Diagnosing developmental dysplasia of the hip using the Graf ultrasound method: risk and protective factor analysis in 11,820 universally screened newborns

Diagnosing developmental dysplasia of the hip using the Graf ultrasound method: risk and... The essential role of ultrasound examinations in diagnosis and treatment of developmental dysplasia of the hip (DDH) is widely accepted while the weighting and correlation of protective factors and perinatal risk for DDH still give rise to debate. Our aim was to investigate the impact of single and twofold combined risk and protective factors on the newborns' hip maturity, assessed with the Graf ultrasound method. Therefore, data sets of 11,820 universally screened newborns were analyzed. Univariate and logistic regression analyses were performed to correlate risk and protective factors with mature or immature but appropriate for age and pathologic hip types. Thereby, female gender (OR 4.07 (95% CI 3.01–5.51), p < 0.001), breech presentation (4.98 (3.71–6.71), p < 0.001), and positive family anamnesis (5.05 (3.49–7.31), p < 0.001) as well as the combination of female gender with high birth weight (3.51 (2.45–5.03), p < 0.001) could be identified as independent predictive risk factors. Only low birth weight (0.27 (0.11–0.66), p = 0.004) could be identified as a single protective factor, while no combination of protective factors was significant. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Pediatrics Springer Journals

Diagnosing developmental dysplasia of the hip using the Graf ultrasound method: risk and protective factor analysis in 11,820 universally screened newborns

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany
Subject
Medicine & Public Health; Pediatrics
ISSN
0340-6199
eISSN
1432-1076
D.O.I.
10.1007/s00431-017-2959-z
Publisher site
See Article on Publisher Site

Abstract

The essential role of ultrasound examinations in diagnosis and treatment of developmental dysplasia of the hip (DDH) is widely accepted while the weighting and correlation of protective factors and perinatal risk for DDH still give rise to debate. Our aim was to investigate the impact of single and twofold combined risk and protective factors on the newborns' hip maturity, assessed with the Graf ultrasound method. Therefore, data sets of 11,820 universally screened newborns were analyzed. Univariate and logistic regression analyses were performed to correlate risk and protective factors with mature or immature but appropriate for age and pathologic hip types. Thereby, female gender (OR 4.07 (95% CI 3.01–5.51), p < 0.001), breech presentation (4.98 (3.71–6.71), p < 0.001), and positive family anamnesis (5.05 (3.49–7.31), p < 0.001) as well as the combination of female gender with high birth weight (3.51 (2.45–5.03), p < 0.001) could be identified as independent predictive risk factors. Only low birth weight (0.27 (0.11–0.66), p = 0.004) could be identified as a single protective factor, while no combination of protective factors was significant.

Journal

European Journal of PediatricsSpringer Journals

Published: Jul 17, 2017

References

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