Itay Fogel1, Alan Katz2, Hen Y Sela3, Ehud Lebel4. 1. The Hebrew University School of Medicine, Jerusalem, Israel. 2. Department of Orthopedic Surgery, Shaare Zedek Medical Center, The Hebrew University School of Medicine, Jerusalem, Israel. ajkatz3@gmail.com. 3. Maternity D, Department of Obstetrics & Gynecology, Shaare Zedek Medical Center, The Hebrew University School of Medicine, Jerusalem, Israel. 4. Pediatric Orthopedics Unit, Department of Orthopedic Surgery, Shaare Zedek Medical Center, The Hebrew University School of Medicine, Jerusalem, Israel. lebel@szmc.org.il.
Abstract
OBJECTIVE: To evaluate the incidence of brachial plexus birth palsy (BPBP) in a large, single cohort and stratify clinical 1-year outcomes. STUDY DESIGN: A cohort study of all births occurring at a single institution between 2011 and 2015. Hospital discharge papers were analyzed, and structured telephone interviews were conducted. RESULTS: Among 76,000 livebirths, 98 (0.13%) cases of BPBP were diagnosed. Of cases who fully responded to interview (66/98), at 3 months of age 77% infants made a complete recovery, and by 1 year of age an additional 20% had recovered completely. Only 3% of infants had residual longer-term neurological deficits. CONCLUSIONS: Predictors of a longer course of recovery were the presence of shoulder dystocia (p < 0.04) and right-sided palsy (p < 0.02). Birth weight, neonatal head circumference, and sex were not correlated with outcome. Future reports of BPBP should differentiate between infants showing early recovery from those with true BPBP.
OBJECTIVE: To evaluate the incidence of brachial plexus birth palsy (BPBP) in a large, single cohort and stratify clinical 1-year outcomes. STUDY DESIGN: A cohort study of all births occurring at a single institution between 2011 and 2015. Hospital discharge papers were analyzed, and structured telephone interviews were conducted. RESULTS: Among 76,000 livebirths, 98 (0.13%) cases of BPBP were diagnosed. Of cases who fully responded to interview (66/98), at 3 months of age 77% infants made a complete recovery, and by 1 year of age an additional 20% had recovered completely. Only 3% of infants had residual longer-term neurological deficits. CONCLUSIONS: Predictors of a longer course of recovery were the presence of shoulder dystocia (p < 0.04) and right-sided palsy (p < 0.02). Birth weight, neonatal head circumference, and sex were not correlated with outcome. Future reports of BPBP should differentiate between infants showing early recovery from those with true BPBP.
Authors: Janine E Spain; Heather A Frey; Methodius G Tuuli; Ryan Colvin; George A Macones; Alison G Cahill Journal: Am J Obstet Gynecol Date: 2014-10-05 Impact factor: 8.661