Prevalence of Developmental Dysplasia of the Hip in a Maternity Hospital in São Paulo, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000500664 |
Resumo: | Abstract Objective To evaluate the prevalence of developmental dysplasia of the hip (DDH), that is, hips classified as Graf type-IIc or higher, among a sample of the population of newborns aged from 0 to 3 days of life, and to correlate the findings with the main risk factors described in the literature. Methods An observational, cross-sectional, prospective study on a sample of newborns at a Maternity Hospital School in the city of São Paulo, Brazil, to assess the prevalence of DDH diagnosed by the Graf method and verify its correlation with the risk factors. Results A total of 678 newborns underwent hip ultrasound (1,356 hips). The prevalence of DDH was of 5.46%. The logistic regression analysis showed odds ratios (ORs) with statistical significance for the following parameters: white ethnicity (OR = 2.561; 95% confidence interval [95%CI]: 1.07 to 6.11); multiparity (OR = 3.50; 95%CI: 1.62 to 7.38), female gender (OR = 4.95; 95%CI: 1.86 to 13.13); and breech presentation (OR = 2.03; 95%CI: 1,01 to 4.11). Conclusion The prevalence of DDH in the sample was of 5.45% using ultrasound as a diagnostic method. This result is different from that of studies that assessed prevalence exclusively through physical examination (Ortolani maneuver). The main risk factors associated with a higher risk of developing DDH were newborns of the female gender, with breech presentation, firstborns, and of white ethnicity. |
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Prevalence of Developmental Dysplasia of the Hip in a Maternity Hospital in São Paulo, Brazilhip dislocationcongenitalultrasonographydiagnosisnewbornAbstract Objective To evaluate the prevalence of developmental dysplasia of the hip (DDH), that is, hips classified as Graf type-IIc or higher, among a sample of the population of newborns aged from 0 to 3 days of life, and to correlate the findings with the main risk factors described in the literature. Methods An observational, cross-sectional, prospective study on a sample of newborns at a Maternity Hospital School in the city of São Paulo, Brazil, to assess the prevalence of DDH diagnosed by the Graf method and verify its correlation with the risk factors. Results A total of 678 newborns underwent hip ultrasound (1,356 hips). The prevalence of DDH was of 5.46%. The logistic regression analysis showed odds ratios (ORs) with statistical significance for the following parameters: white ethnicity (OR = 2.561; 95% confidence interval [95%CI]: 1.07 to 6.11); multiparity (OR = 3.50; 95%CI: 1.62 to 7.38), female gender (OR = 4.95; 95%CI: 1.86 to 13.13); and breech presentation (OR = 2.03; 95%CI: 1,01 to 4.11). Conclusion The prevalence of DDH in the sample was of 5.45% using ultrasound as a diagnostic method. This result is different from that of studies that assessed prevalence exclusively through physical examination (Ortolani maneuver). The main risk factors associated with a higher risk of developing DDH were newborns of the female gender, with breech presentation, firstborns, and of white ethnicity.Sociedade Brasileira de Ortopedia e Traumatologia2021-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000500664Revista Brasileira de Ortopedia v.56 n.5 2021reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1055/s-0041-1736407info:eu-repo/semantics/openAccessMotta,Giovanna Galvão BragaChiovatto,Alessandra Rodrigues SilvaChiovatto,Eduardo DavinoLuís Duarte,MárcioRodrigues,Natasha Vogel MajewskiIared,Wagnereng2021-12-14T00:00:00Zoai:scielo:S0102-36162021000500664Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2021-12-14T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Prevalence of Developmental Dysplasia of the Hip in a Maternity Hospital in São Paulo, Brazil |
title |
Prevalence of Developmental Dysplasia of the Hip in a Maternity Hospital in São Paulo, Brazil |
spellingShingle |
Prevalence of Developmental Dysplasia of the Hip in a Maternity Hospital in São Paulo, Brazil Motta,Giovanna Galvão Braga hip dislocation congenital ultrasonography diagnosis newborn |
title_short |
Prevalence of Developmental Dysplasia of the Hip in a Maternity Hospital in São Paulo, Brazil |
title_full |
Prevalence of Developmental Dysplasia of the Hip in a Maternity Hospital in São Paulo, Brazil |
title_fullStr |
Prevalence of Developmental Dysplasia of the Hip in a Maternity Hospital in São Paulo, Brazil |
title_full_unstemmed |
Prevalence of Developmental Dysplasia of the Hip in a Maternity Hospital in São Paulo, Brazil |
title_sort |
Prevalence of Developmental Dysplasia of the Hip in a Maternity Hospital in São Paulo, Brazil |
author |
Motta,Giovanna Galvão Braga |
author_facet |
Motta,Giovanna Galvão Braga Chiovatto,Alessandra Rodrigues Silva Chiovatto,Eduardo Davino Luís Duarte,Márcio Rodrigues,Natasha Vogel Majewski Iared,Wagner |
author_role |
author |
author2 |
Chiovatto,Alessandra Rodrigues Silva Chiovatto,Eduardo Davino Luís Duarte,Márcio Rodrigues,Natasha Vogel Majewski Iared,Wagner |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Motta,Giovanna Galvão Braga Chiovatto,Alessandra Rodrigues Silva Chiovatto,Eduardo Davino Luís Duarte,Márcio Rodrigues,Natasha Vogel Majewski Iared,Wagner |
dc.subject.por.fl_str_mv |
hip dislocation congenital ultrasonography diagnosis newborn |
topic |
hip dislocation congenital ultrasonography diagnosis newborn |
description |
Abstract Objective To evaluate the prevalence of developmental dysplasia of the hip (DDH), that is, hips classified as Graf type-IIc or higher, among a sample of the population of newborns aged from 0 to 3 days of life, and to correlate the findings with the main risk factors described in the literature. Methods An observational, cross-sectional, prospective study on a sample of newborns at a Maternity Hospital School in the city of São Paulo, Brazil, to assess the prevalence of DDH diagnosed by the Graf method and verify its correlation with the risk factors. Results A total of 678 newborns underwent hip ultrasound (1,356 hips). The prevalence of DDH was of 5.46%. The logistic regression analysis showed odds ratios (ORs) with statistical significance for the following parameters: white ethnicity (OR = 2.561; 95% confidence interval [95%CI]: 1.07 to 6.11); multiparity (OR = 3.50; 95%CI: 1.62 to 7.38), female gender (OR = 4.95; 95%CI: 1.86 to 13.13); and breech presentation (OR = 2.03; 95%CI: 1,01 to 4.11). Conclusion The prevalence of DDH in the sample was of 5.45% using ultrasound as a diagnostic method. This result is different from that of studies that assessed prevalence exclusively through physical examination (Ortolani maneuver). The main risk factors associated with a higher risk of developing DDH were newborns of the female gender, with breech presentation, firstborns, and of white ethnicity. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000500664 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000500664 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0041-1736407 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.56 n.5 2021 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122363215872000 |