A National Database Analysis: Does Cold Weather Affect the Surgical Intervention Rate for Developmental Dysplasia of the Hip in Children Under Five Years?

Autor:	Ferraro SL; Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington DC, USA., Chiu AK; Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington DC, USA., Seibold BT; Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington DC, USA., Gu A; Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington DC, USA., Agarwal AR; Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington DC, USA., Dance S; Orthopaedic Surgery, Children's National Hospital, Washington DC, USA., Thakkar SC; Orthopaedic Surgery, Johns Hopkins Health System, Baltimore, USA., Tabaie S; Orthopaedic Surgery, Children's National Hospital, Washington DC, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Apr 10; Vol. 16 (4), pp. e57998. Date of Electronic Publication: 2024 Apr 10 (Print Publication: 2024).
DOI:	10.7759/cureus.57998
Abstrakt:	Background Cold weather in the first few months of life may increase the risk of a late diagnosis of developmental dysplasia of the hip (DDH). Early detection of DDH can often be treated non-surgically. The purpose of this study is to observe whether the rates of surgical intervention for DDH differ based on average outdoor temperatures in the winter months. Methods A retrospective observational study of DDH patients diagnosed from 2010 to 2021 was conducted using a national administrative database. Five geographic regions were defined based on the average temperatures in the coldest quarter of the year. The rates of DDH-related surgeries were compared across these temperature regions. Results A total of 55,911 patients ≤5 years old with a DDH diagnosis from 2010 to 2021 were identified in the database. When compared to the warmest region (Group 5), the coldest region (Group 1) had higher rates of open reduction (4.59% vs. 2.06%, p<0.001), adductor tenotomy (6.95% vs. 2.91%, p<0.001), femoral osteotomy (5.75% vs. 2.04%, p<0.001), pelvic osteotomy (5.27% vs. 2.04%, p<0.001), and total DDH surgeries (11.42% vs. 5.03%, p<0.001). Conclusion Children living in states with an average winter temperature of -6.17°C had an increased likelihood of requiring surgical intervention for DDH within the first five years of life. Competing Interests: The authors have declared financial relationships, which are detailed in the next section. (Copyright © 2024, Ferraro et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu