Risk factors for misdiagnosis in children with developmental dysplasia of the hip: a retrospective single centre study

Autor: Jing Liu, Chao Li, Zong-Zhi Fan, Ya-Bo Yan, Jia Sha, Hui-Fa Xu, Zhi-Chen Liu, Lu-Yu Huang
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMJ Paediatrics Open, Vol 7, Iss 1 (2023)
Druh dokumentu: article
ISSN: 2399-9772
DOI: 10.1136/bmjpo-2023-001909
Popis: Objective To investigate risk factors of misdiagnosis at the first visit of children with developmental dysplasia of the hip (DDH) who did not participate in hip ultrasound screening.Methods A retrospective review was conducted on children with DDH admitted to a tertiary hospital in northwestern China between January 2010 and June 2021. We divided the patients into the diagnosis and misdiagnosis groups according to whether they were diagnosed at the first visit. The basic information, treatment process and medical information of the children were investigated. We made a line chart of the annual misdiagnosis rate to observe the trend in the annual misdiagnosis rate. Univariate and multivariate logistic regression analyses were used to identify significant risk factors for missed diagnosis.Results A total of 351 patients met the inclusion criteria, including 256 (72.9%) patients in the diagnosis group and 95 (27.1%) patients in the misdiagnosis group. The line chart of the annual rate of misdiagnoses among children with DDH from 2010 to 2020 showed no significant change trend. Multiple logistic regression analysis showed that the paediatrics department (v the paediatric orthopaedics department: OR 0.21, p
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