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Published in: BMC Oral Health 1/2015

Open Access 01-12-2015 | Research article

Description of total population hospital admissions for cleft lip and/or palate in Australia

Authors: Jonathan Y. J. Lo, Nicky Kilpatrick, Peter Jacoby, Linda M. Slack-Smith

Published in: BMC Oral Health | Issue 1/2015

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Abstract

Background

Orofacial clefts are a group of frequently observed congenital malformations often requiring multiple hospital admissions over the lifespan of affected individuals. The aim of this study was to describe the total-population hospital admissions with principal diagnosis of cleft lip and/or palate in Australia over a 10 year period.

Methods

Data for admissions to hospitals were obtained from the Australian Institute of Health and Welfare National Hospital Morbidity Database (July 2000 to June 2010). The outcome variable was a hospital separation with the principal diagnosis of cleft palate, cleft lip or cleft lip and palate (ICD-10-AM diagnosis codes Q35-Q37 respectively). Trends in rates of admission and length of stay by age, gender and cleft type were investigated.

Results

A total of 11, 618 admissions were identified; cleft palate (4,454; 0.22 per 10,000 people per year), cleft lip (2,251; 0.11) and cleft lip and palate (4,913; 0.25). Admission age ranged from birth to 79 years with males more frequently admitted. Most admissions occurred prior to adolescence in cleft palate and cleft lip and through to late teens in cleft lip and palate, declining for all groups after 25 years.

Conclusions

This study identified population level trends in hospital separations for orofacial cleft diagnosis in Australia.
Literature
1.
2.
go back to reference Tanaka SA, Mahabir RC, Jupiter DC, Menezes JM. Updating the Epidemiology of Cleft Lip with or without Cleft Palate. Plast Reconstr Surg. 2012;129(3):8.CrossRef Tanaka SA, Mahabir RC, Jupiter DC, Menezes JM. Updating the Epidemiology of Cleft Lip with or without Cleft Palate. Plast Reconstr Surg. 2012;129(3):8.CrossRef
3.
go back to reference Association ACP-C. Parameters for evaluation and treatment of patients with Cleft Lip/Palate or other Craniofacial Anomalies. Cleft Palate Craniofac J. 1993;30(Suppl):S1–16. Association ACP-C. Parameters for evaluation and treatment of patients with Cleft Lip/Palate or other Craniofacial Anomalies. Cleft Palate Craniofac J. 1993;30(Suppl):S1–16.
5.
go back to reference Boulet SL, Grossee SD, Honein MA, Correa-Villasenor A. Children with orofacial clefts: health-care use and costs among a privately insured population. Public Health Rep. 2009;124(2):447–53.PubMedCentralPubMed Boulet SL, Grossee SD, Honein MA, Correa-Villasenor A. Children with orofacial clefts: health-care use and costs among a privately insured population. Public Health Rep. 2009;124(2):447–53.PubMedCentralPubMed
8.
go back to reference Bell JC, Raynes-Greenow C, Bower C, Turner RM, Roberts CL, Nassar N. Descriptive epidemiology of cleft lip and cleft palate in Western Australia. Birth Defects Res A Clin Mol Teratol. 2013;97(2):101–8. doi:10.1002/bdra.23110.CrossRefPubMed Bell JC, Raynes-Greenow C, Bower C, Turner RM, Roberts CL, Nassar N. Descriptive epidemiology of cleft lip and cleft palate in Western Australia. Birth Defects Res A Clin Mol Teratol. 2013;97(2):101–8. doi:10.​1002/​bdra.​23110.CrossRefPubMed
11.
go back to reference Fitzsimmons KJ, Mukarram S, Copely LP, Deacon S, van der Meulen JH. Centralisation of services for children with cleft lip or palate in England: a study of hospital episode statistics. BMC Health Serv Res. 2012;12:148. doi:10.1186/1472-6963-12-148. Fitzsimmons KJ, Mukarram S, Copely LP, Deacon S, van der Meulen JH. Centralisation of services for children with cleft lip or palate in England: a study of hospital episode statistics. BMC Health Serv Res. 2012;12:148. doi:10.​1186/​1472-6963-12-148.​
12.
go back to reference Cheung LK, Chua HDP. A meta-analysis of cleft maxillary osteotomy and distraction osteogenesis. Int J Oral Maxillofac Surg. 2006;35(1):14–24.CrossRefPubMed Cheung LK, Chua HDP. A meta-analysis of cleft maxillary osteotomy and distraction osteogenesis. Int J Oral Maxillofac Surg. 2006;35(1):14–24.CrossRefPubMed
13.
16.
go back to reference Sinko K, Jagsch R, Prechtl V, Watzinger F, Hollmann K, Baumann A. Evaluation of Esthetic, Functional, and Quality-of-Life Outcome in Adult Cleft Lip and Palate Patients. Cleft Palate Craniofac J. 2005;42(4):355–61. doi:10.1597/03-142.1.CrossRefPubMed Sinko K, Jagsch R, Prechtl V, Watzinger F, Hollmann K, Baumann A. Evaluation of Esthetic, Functional, and Quality-of-Life Outcome in Adult Cleft Lip and Palate Patients. Cleft Palate Craniofac J. 2005;42(4):355–61. doi:10.​1597/​03-142.​1.CrossRefPubMed
17.
go back to reference Chuo CB, Searle Y, Jeremy A, Richard BM, Sharp I, Slator R. The continuing multidisciplinary needs of adult patients with cleft lip and/or palate. Cleft Palate Craniofac J. 2008;45(6):633–8. doi:10.1597/07-048.1.CrossRefPubMed Chuo CB, Searle Y, Jeremy A, Richard BM, Sharp I, Slator R. The continuing multidisciplinary needs of adult patients with cleft lip and/or palate. Cleft Palate Craniofac J. 2008;45(6):633–8. doi:10.​1597/​07-048.​1.CrossRefPubMed
18.
go back to reference Bille C, Winther JF, Bautz A, Murray JC, Olsen J, Christensen K. Cancer risk in persons with oral cleft - a population based study of 8093 cases. Am J Epidemiol. 2005;161(11):1047–55.PubMedCentralCrossRefPubMed Bille C, Winther JF, Bautz A, Murray JC, Olsen J, Christensen K. Cancer risk in persons with oral cleft - a population based study of 8093 cases. Am J Epidemiol. 2005;161(11):1047–55.PubMedCentralCrossRefPubMed
19.
go back to reference Christensen K, Mortensen PB. Facial clefting and psychiatric disease: a follow-up of the Danish 1936–1987 facial cleft cohort. Cleft Palate Craniofac J. 2002;39(4):392–6.CrossRefPubMed Christensen K, Mortensen PB. Facial clefting and psychiatric disease: a follow-up of the Danish 1936–1987 facial cleft cohort. Cleft Palate Craniofac J. 2002;39(4):392–6.CrossRefPubMed
20.
go back to reference Vallino-Napoli LD, Riley MM, Halliday J. An epidemiologic study of isolated cleft lip, palate, or both in Victoria, Australia from 1983 to 2000. Cleft Palate Craniofac J. 2004;41(2):185–94.CrossRefPubMed Vallino-Napoli LD, Riley MM, Halliday J. An epidemiologic study of isolated cleft lip, palate, or both in Victoria, Australia from 1983 to 2000. Cleft Palate Craniofac J. 2004;41(2):185–94.CrossRefPubMed
22.
go back to reference Izadi N, Haers PE. An investigation into the variables associated with length of hospital stay related to primary cleft lip and palate surgery and alveolar bone grafting. Int J Oral Maxillofac Surg. 2012;41(10):1238-43. doi:http://dx.doi.org/10.1016/j.ijom.2012.05.024. Izadi N, Haers PE. An investigation into the variables associated with length of hospital stay related to primary cleft lip and palate surgery and alveolar bone grafting. Int J Oral Maxillofac Surg. 2012;41(10):1238-43. doi:http://​dx.​doi.​org/​10.​1016/​j.​ijom.​2012.​05.​024.
23.
go back to reference Nguyen C, Hernandez-Boussard T, Davies SM, Bhattacharya J, Khosla RK, Curtin CM. Cleft palate surgery: an evaluation of length of stay, complications, and costs by hospital type. Cleft Palate Craniofac J. 2014;51(4):412. doi:10.1597/12-150.CrossRefPubMed Nguyen C, Hernandez-Boussard T, Davies SM, Bhattacharya J, Khosla RK, Curtin CM. Cleft palate surgery: an evaluation of length of stay, complications, and costs by hospital type. Cleft Palate Craniofac J. 2014;51(4):412. doi:10.​1597/​12-150.CrossRefPubMed
24.
go back to reference Milerad J, Larson O, Hagberg C, Ideberg M. Associated malformations in infants with cleft lip and palate: a prospective population based study. Pediatr. 1997;100:180–6.CrossRef Milerad J, Larson O, Hagberg C, Ideberg M. Associated malformations in infants with cleft lip and palate: a prospective population based study. Pediatr. 1997;100:180–6.CrossRef
25.
go back to reference Vallino-Napoli LD, Riley MM, Halliday JL. An epidemiologic study of orofacial clefts with other birth defects in Victoria Australia. Cleft Palate Craniofac J. 2006;43(5):571–6.CrossRefPubMed Vallino-Napoli LD, Riley MM, Halliday JL. An epidemiologic study of orofacial clefts with other birth defects in Victoria Australia. Cleft Palate Craniofac J. 2006;43(5):571–6.CrossRefPubMed
Metadata
Title
Description of total population hospital admissions for cleft lip and/or palate in Australia
Authors
Jonathan Y. J. Lo
Nicky Kilpatrick
Peter Jacoby
Linda M. Slack-Smith
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2015
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-015-0144-1

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