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唇腭裂患者的随访护理障碍。

Follow-Up Care Barriers for Patients with Orofacial Clefts.

机构信息

College of Medicine, 2345Medical University of South Carolina, Charleston, SC, USA.

Department of Public Health Sciences, 2345Medical University of South Carolina, Charleston, SC, USA.

出版信息

Cleft Palate Craniofac J. 2022 Oct;59(10):1213-1221. doi: 10.1177/10556656211042162. Epub 2021 Oct 22.

Abstract

OBJECTIVE

The aim of this study was to evaluate whether a patient with a cleft's age, associated syndrome, cleft phenotype or travel distance affects their follow-up rate.

DESIGN

This study is a retrospective review of patients with CL/P treated by a craniofacial clinic.

SETTING

The setting was a craniofacial clinic at a tertiary care university hospital.

PATIENTS, PARTICIPANTS: Candidates were patients seen by the craniofacial clinic between January 2007 and December 2019. An initial pool of 589 patients was then reduced to 440 due to exclusion criteria.

INTERVENTIONS

None.

MAIN OUTCOME MEASURE(S): The outcome measure was actual patient attendance to the craniofacial team compared to the team goal expectation of annual return visits.

RESULTS

The mean age of participants at the end of the study was 9.0 ±  5.4 years with a mean follow-up period (total possible follow-up period length based on patient age at presentation and study window) of 5.5 ±  3.6 years. There was no association between cleft phenotype, type of syndrome, or distance to the clinic with attendance. Children with syndromes had an 11% decrease in the odds of attending follow-up visits with each 1-year increase in age compared to a 4% decrease in children without syndromes.

CONCLUSIONS

The only significant factors determining patient attendance were the presence of a syndrome and increasing age.

摘要

目的

本研究旨在评估患者的年龄、伴发综合征、裂隙表型或就诊距离是否影响其随访率。

设计

这是一项对颅面诊所治疗的 CL/P 患者进行的回顾性研究。

地点

三级护理大学医院的颅面诊所。

患者、参与者:候选者为 2007 年 1 月至 2019 年 12 月期间在颅面诊所就诊的患者。最初的 589 名患者中有 440 名因排除标准而被剔除。

干预措施

无。

主要观察指标

观察指标为实际患者就诊与颅面团队年度复诊预期的比较。

结果

研究结束时,参与者的平均年龄为 9.0±5.4 岁,平均随访期(根据患者就诊时的年龄和研究窗口计算的总可能随访期长度)为 5.5±3.6 年。裂隙表型、综合征类型或距诊所的距离与就诊率之间均无关联。与无综合征的儿童相比,每增加 1 岁,患有综合征的儿童参加随访就诊的可能性降低 11%,而无综合征的儿童则降低 4%。

结论

唯一能显著决定患者就诊率的因素是是否存在综合征和年龄增长。

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