Epidemiology of Hospital Admissions for Craniosynostosis in Australia: A Population-Based Study.

Autor:	Junaid M; School of Population and Global Health, The University of Western Australia, Nedlands, Western Australia, Australia.; Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia, Australia., Slack-Smith L; School of Population and Global Health, The University of Western Australia, Nedlands, Western Australia, Australia.; Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia, Australia., Wong K; Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia, Australia., Baynam G; Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia, Australia.; Department of Health, Genetic Services of Western Australia, Perth, Western Australia, Australia., Calache H; School of Health and Social Development, Faculty of Health, Deakin Health Economics, Institute of Health Transformation, Deakin University, Geelong, Victoria, Australia.; Department of Dentistry and Oral Health, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia., Hewitt T; Department of Plastic Surgery, Perth Children's Hospital, Nedlands, Western Australia, Australia., Leonard H; Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia, Australia.; Faculty of Health and Medical Sciences, Centre of Child Health Research, University of Western Australia, Nedlands, Western Australia, Australia.
Jazyk:	angličtina
Zdroj:	The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2023 May; Vol. 60 (5), pp. 569-576. Date of Electronic Publication: 2022 Feb 07.
DOI:	10.1177/10556656221074215
Abstrakt:	To describe trends, age, and sex-specific patterns of population hospital admissions with a diagnosis of craniosynostosis (CS) in Australia. Population data for hospital separations (in-patient) from public and private hospitals (July 1996-June 2018) were obtained from the publicly available Australian Institute of Health and Welfare (AIHW) National Hospital Morbidity Database. The outcome variables were hospital separation rates (HSR) (number of hospital separations divided by the estimated resident population [ERP] per year) and average length of stay (aLOS) (patient days divided by the number of hospital separations) with a diagnosis of CS. Trends in HSR and aLOS adjusted for age, sex, and type of CS were investigated by negative binomial regression presented as annual percent change (APC). In 8057 admissions identified, we observed no significant change in the annual trend for HSR for the 22-year period. However, a marginal annual decrease of 1.6% (95% CI: -0.7, -2.4) in the aLOS was identified for the same time period. HSR were higher for males, infants, and single suture synostosis. aLOS was 3.8 days (95% CI: 3.8, 3.9) per visit, longer for syndromic conditions. There was a minor reduction in the average length of hospital stay for CS over the 22-year period potentially indicative of improved care. Population-level information on hospitalisations for rare craniofacial conditions can inform research, clinical, and surgical practice.
Databáze:	MEDLINE
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