Search: L773:1753 1934 OR L773:2043 6289 >
Demographics and de...
Demographics and deprivation in obstetric brachial plexus palsy : a retrospective cohort study
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- Hardie, Claire (author)
- Leeds Institute for Medical Research, University of Leeds, Leeds, UK; Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK
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- Bourke, Grainne (author)
- Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Institutionen för integrativ medicinsk biologi (IMB),Leeds Institute for Medical Research, University of Leeds, Leeds, UK; Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK
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- salt, Emily (author)
- Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK
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- Fort-Schaale, Alice (author)
- Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK
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- Clark, Stephen (author)
- Consumer Data Research Centre and School of Geography, University of Leeds, Leeds, UK
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- Wiberg, Mikael (author)
- Umeå universitet,Institutionen för integrativ medicinsk biologi (IMB),Institutionen för kirurgisk och perioperativ vetenskap
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- Bains, Robert (author)
- Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK
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(creator_code:org_t)
- Sage Publications, 2024
- 2024
- English.
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In: Journal of Hand Surgery, European Volume. - : Sage Publications. - 1753-1934 .- 2043-6289. ; 49:5, s. 570-575
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- The present study analyses the relationships between deprivation and obstetric brachial plexus palsy (OBPP). A retrospective observational study was conducted of infants with OBPP seen between 2008 and 2020 (n = 321). The index of multiple deprivation (IMD) was used to assign an IMD rank to patients based on birth postcode and the relationship with OBPP was analysed, including deprivation, gestational diabetes, age at referral and at first assessment. Quintile-based analysis demonstrated over-representation of patients from more deprived neighbourhoods (n = 109, 39%) living in the top 20% most deprived neighbourhoods. A total of 48 (15%) mothers had diabetes and 98 (31%) infants underwent surgical brachial plexus exploration (a marker of disease severity). Neither diabetes, age at referral nor age at first assessment were associated with IMD score. This suggests that neighbourhood deprivation is associated with OBPP, though the mechanisms are unclear. Further studies in this area may enable targeted health intervention for more deprived maternal and infant groups.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- brachial plexus
- deprivation. socio-demographics
- Erb’s palsy
- high body mass index
- macrosomia
- maternal diabetes
- Obstetric brachial plexus palsy
- Surgery
- kirurgi
Publication and Content Type
- ref (subject category)
- art (subject category)
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