Surgical treatment of neonatal brachial plexus palsy: A cohort study using the Pediatric Health Information…

Cohort studyChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery· Dec 2024

Surgical treatment of neonatal brachial plexus palsy: A cohort study using the Pediatric Health Information System (PHIS) database.

Molly F MacIsaac, Joshua M Wright, Nicole K Le … Jordan N Halsey

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Peripheral NerveCohort studyClinical practiceQ3IF 1.3

Narcotic use linked to more complications after neonatal brachial plexus palsy surgery

Surgical treatment of neonatal brachial plexus palsy: A cohort study using the Pediatric Health Information System (PHIS) database.

Molly F MacIsaac … Jordan N Halsey

Child's nervous system · Dec 2024 · Q3 in Neurology

Purpose

This study aims to explore demographic disparities, regional and institutional variations, surgical timing, narcotic use, and management trends in neonatal brachial plexus palsy (neonatal brachial plexus palsy) patients due to limited published literature.

Methods

Were stratified into two groups based on age at surgery: ≤ 8 months and > 8 months.

n = 788 patients

Results

narcotics linked to more than double the complication rate

7.9%

Narcotics

3.1%

No narcotics

More results

A total of 788 patients were identified, with a mean surgical age of 8.1 months.

Black patients were disproportionately affected (29%), over twice their national birth rate (14%).

Narcotic use decreased significantly over the study period (p = 0.002).

“

Conclusion

While narcotic use was associated with longer stays and complications, short-term outcomes were consistent across specialties. Standardized care protocols may help improve patient outcomes.

Surgical treatment of neonatal brachial plexus palsy: A cohort study using the Pediatric Health Information System (PHIS) database.

Surgical treatment of neonatal brachial plexus palsy: A cohort study using the Pediatric Health Information System (PHIS) database.

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