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Epidemiology of Neonatal Brachial Plexus Palsy in the United States: Years 1997, 2000, 2003

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Epidemiology of Neonatal Brachial Plexus Palsy in the United States: Years 1997, 2000, 2003

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    1. Epidemiology of Neonatal Brachial Plexus Palsy in the United States: Years 1997, 2000, 2003 CT Mehlman, DO, MPH, SL Foad, MPH, J Ying, PhD Cincinnati, Ohio USA

    2. PURPOSE

    3. METHODS The nationwide Kids Inpatient Database (KID) was utilized KID was developed as part of the Health Care Utilization Project (HCUP) The KID is a sample of pediatric (birth -20 years old) discharges from all community, non-rehabilitation hospitals in participating states ICD-9 codes were utilized to identify neonates with NBPP and risk factors for NBPP

    4. METHODS Univariate Analysis Multivariate Logistic Regression SAS-callable SUDDAN version 9.0.1 (Research Triangle Institute)

    5. RESULTS Incidence of NBPP in USA

    6. RESULTS Rate of instrumented delivery, breech delivery, shoulder dystocia, and exceptionally large baby (> 4.5 kg) ?1997 to 2003 (p<0.01) Rate of cesarean delivery, heavy for date, and twin/multi born ? 1997 to 2003 (p<0.01)

    7. RESULTS Adjusted Odds Ratio

    8. CONCLUSIONS US incidence of NBPP 1.5 per 1000 live births Significant ? 1997 to 2003

    9. CONCLUSIONS Risk Factors that confer HIGHER RISK Shoulder Dystocia = chances of NBPP are 100 X higher Exceptionally Large Baby (>4.5 kg) = chances of NBPP are 14 X higher Instrumented Delivery = chances of NBPP are 8 X higher

    10. CONCLUSIONS Risk Factors that confer LOWER RISK C-section = chances of NBPP are 8 X lower Twin / Multi Born = chances of NBPP are 4 X lower

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