Unit of Paediatric Orthopaedics and Traumatology, Giovanni XXIII Children's Hospital, Via Giovanni Amendola, 70126 Bari, Italy.
Clinical Department of Medical, Surgical and Health Sciences University of Trieste, Strada di Fiume, 34149 Trieste, Italy.
Int J Environ Res Public Health. 2022 Apr 29;19(9):5406. doi: 10.3390/ijerph19095406.
(1) Background: We find the incidence of clubfoot in Italy from "Certificate of Delivery Care Registry (CeDAP)", a database of the Italian Ministry of Health, the most comprehensive public data available for this purpose. (2) Methods: The CeDAP registry is a web system that provides epidemiological and sociodemographic information about newborns. It started on 1 January 2002, following the ministerial Decree no. 349 of 16 July 2001. The certificate is structured into six sections; each collects specific information referring to the birthplace, parents, pregnancy, childbirth, newborn, and the possible presence of congenital malformations or the causes of neonatal mortality. The midwife or the doctor draws up the certificate no later than ten days after birth. Each region transmits the data every six months to the Ministry of Health. The period between 2013 and 2017 has been selected for the study, with every Italian region's data. We conducted a retrospective descriptive study. (3) Results: The overall rate in northern Italy is 1.09 (with some exceptions described), but we think it is essential to reevaluate this number again, given more accurate data collections by every Italian hospital. (4) Conclusions: This study intends to build a framework for future epidemiologic studies about clubfoot in Italy.
(1) 背景:我们从意大利卫生部的“分娩护理登记证(CeDAP)”数据库中找到了意大利的马蹄内翻足发病率,这是为此目的提供的最全面的公共数据。(2) 方法:CeDAP 登记处是一个网络系统,提供有关新生儿的流行病学和社会人口学信息。它于 2001 年 7 月 16 日第 349 号部长令后开始运作。该证书分为六个部分;每个部分收集特定信息,涉及出生地、父母、怀孕、分娩、新生儿以及可能存在的先天性畸形或新生儿死亡的原因。助产士或医生在分娩后不迟于十天内填写证书。每个地区每六个月向卫生部传送数据。研究选择了 2013 年至 2017 年期间的每个意大利地区的数据。我们进行了回顾性描述性研究。(3) 结果:意大利北部的总体发病率为 1.09(有一些例外情况),但我们认为,鉴于意大利每家医院对数据的收集更加准确,再次重新评估这个数字是很有必要的。(4) 结论:本研究旨在为意大利马蹄内翻足的未来流行病学研究建立一个框架。