The effects of oral clefts on hospital use throughout the lifespan

George L Wehby; Dorthe Almind Pedersen; Jeffrey C Murray; Kaare Christensen

doi:10.1186/1472-6963-12-58

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The effects of oral clefts on hospital use throughout the lifespan

Journal article

Open access

Peer reviewed

The effects of oral clefts on hospital use throughout the lifespan

George L Wehby, Dorthe Almind Pedersen, Jeffrey C Murray and Kaare Christensen

BMC health services research, Vol.12(1), pp.58-58

03/09/2012

DOI: 10.1186/1472-6963-12-58

PMCID: PMC3350419

PMID: 22405490

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Abstract

Oral clefts are one of the most common birth defects worldwide. They require multiple healthcare interventions and add significant burden on the health and quality of life of affected individuals. However, not much is known about the long term effects of oral clefts on health and healthcare use of affected individuals. In this study, we evaluate the effects of oral clefts on hospital use throughout the lifespan. We estimate two-part regression models for hospital admission and length of stay for several age groups up to 68 years of age. The study employs unique secondary population-based data from several administrative inpatient, civil registration, demographic and labor market databases for 7,670 individuals born with oral clefts between 1936 and 2002 in Denmark, and 220,113 individuals without oral clefts from a 5% random sample of the total birth population from 1936 to 2002. Oral clefts significantly increase hospital use for most ages below 60 years by up to 233% for children ages 0-10 years and 16% for middle age adults. The more severe cleft forms (cleft lip with palate) have significantly larger effects on hospitalizations than less severe forms. The results suggest that individuals with oral clefts have higher hospitalization risks than the general population throughout most of the lifespan.

Residence Characteristics

Age Factors

Humans

Middle Aged

Parents

Child, Preschool

Hospitalization - statistics & numerical data

Infant

Male

Cleft Palate - therapy

Socioeconomic Factors

Cleft Lip - therapy

Adult

Female

Registries

Child

Infant, Newborn

Length of Stay - statistics & numerical data

Cleft Lip - epidemiology

Comorbidity

Risk Factors

Chronic Disease - epidemiology

Logistic Models

Outcome and Process Assessment (Health Care) - statistics & numerical data

Cleft Palate - complications

Denmark - epidemiology

Poisson Distribution

Aged

Patient Admission - statistics & numerical data

Cleft Palate - epidemiology

Cleft Lip - complications

Details

Title: Subtitle: The effects of oral clefts on hospital use throughout the lifespan
Creators: George L Wehby - Department of Health Management and Policy, College of Public Health, University of Iowa, 105 River Street, N248 CPHB, Iowa City, IA 52242, USA. george-wehby@uiowa.edu
Dorthe Almind Pedersen
Jeffrey C Murray
Kaare Christensen
Resource Type: Journal article
Publication Details: BMC health services research, Vol.12(1), pp.58-58
DOI: 10.1186/1472-6963-12-58
PMID: 22405490
PMCID: PMC3350419
NLM abbreviation: BMC Health Serv Res
ISSN: 1472-6963
eISSN: 1472-6963
Publisher: England
Grant note: R37 DE008559 / NIDCR NIH HHS 1R01DD000295. / NCBDD CDC HHS
Language: English
Date published: 03/09/2012
Academic Unit: Preventive and Community Dentistry; Anatomy and Cell Biology; Health Management and Policy; Stead Family Department of Pediatrics; Epidemiology; Economics; Pediatric Dentistry; Craniofacial Anomalies Research Center; Public Policy Center (Archive); Dental Research
Record Identifier: 9984025367302771

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