Epidemiologic Assessment of Craniosynostosis in Mississippi's Pediatric Population from 2015 to 2020.

Autor:	McCandless MG, Brown MI; From the Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson., Shiflett JM; the Department of Neurosurgery, University of Mississippi Medical Center, Jackson., Weaver KJ; the Department of Neurosurgery, University of Mississippi Medical Center, Jackson., Hoppe IC; From the Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson., Humphries LS; From the Division of Plastic and Reconstructive Surgery, University of Mississippi Medical Center, Jackson.
Jazyk:	angličtina
Zdroj:	Southern medical journal [South Med J] 2024 Jul; Vol. 117 (7), pp. 383-388.
DOI:	10.14423/SMJ.0000000000001706
Abstrakt:	Objectives: This study aimed to report geographic and demographic patterns of patients with craniosynostosis (CS) treated at Children's of Mississippi, the state's only American Cleft Palate-Craniofacial Association-approved craniofacial team. Methods: Patients with CS were treated at a tertiary pediatric hospital cared for by craniofacial surgeons and neurosurgeons from 2015 to 2020. Demographic, geographic, and CS diagnosis details, including sex, gestational age, race, ethnicity, insurance status, and affected cranial suture type(s), number, and associated syndromic diagnosis were collected, including birth county and total live births from state data. Significant differences between prevalence of CS in four regions of Mississippi were examined using two-tailed t tests ( P < 0.05). Results: Among 222,819 live births in Mississippi between 2015 and 2020, 79 pediatric patients presented to Children's of Mississippi with CS, with an overall incidence of 0.355/1000 live births. Most cases were nonsyndromic CS (82%, n = 65) affecting a single major cranial suture (81%, n = 64). The overall incidence of CS was higher in the coastal and central regions compared with northeast Mississippi, at 0.333 and 0.527 vs 0.132/1000 live births ( P = 0.012 and P = 0.004), respectively. Conclusions: Results from this study suggest regional patterns of CS in Mississippi, which may reflect actual incidence patterns or proximity to Children's of Mississippi. Further study could reveal regional differences in risk factors underlying CS incidence or access to specialized CS care for different regions in the state. This will lead to opportunities for institutional outreach to decrease the burden of CS care in Mississippi.
Databáze:	MEDLINE
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