TY - JOUR
T1 - Brachial plexus birth palsy
T2 - incidence, natural-course, and prognostic factors during the first year of life
AU - Fogel, Itay
AU - Katz, Alan
AU - Sela, Hen Y.
AU - Lebel, Ehud
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Nature America, Inc. part of Springer Nature.
PY - 2021/7
Y1 - 2021/7
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85103941684&partnerID=8YFLogxK
U2 - 10.1038/s41372-021-00972-4
DO - 10.1038/s41372-021-00972-4
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C2 - 33790402
AN - SCOPUS:85103941684
SN - 0743-8346
VL - 41
SP - 1590
EP - 1594
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 7
ER -