title: Hospital care of children with a cleft in England.
abstract: OBJECTIVE
  To analyse hospital admissions in the first 2 years of life among children with cleft lip and/or palate in England.
  
  
  METHODS
  Analysis of national administrative data of hospital admissions.
  
  
  METHODS
  National Health Service hospitals.
  
  
  METHODS
  Patients born alive between 1997 and 2008 who underwent surgical cleft repair.
  
  
  METHODS
  Number of admissions, including the birth episode, and days spent in hospital were examined. Children were analysed according to cleft type and whether or not they had additional congenital anomalies.
  
  
  RESULTS
  10 892 children were included. In their first 2 years, children without additional anomalies (n=8482) had on average 3.2 admissions and 13.2 days in hospital, which varied from 2.6 admissions and 9.2 days with cleft lip to 4.7 admissions and 19.7 days with bilateral cleft lip and palate (BCLP). Children with additional anomalies (n=2410) had on average 6.7 admissions and 51.4 days in hospital, which varied from 6.4 admissions and 48.5 days with cleft palate to 8.8 admissions and 67.5 days with BCLP. The mean number and duration of cleft-related admissions was similar in children without (1.6 admissions and 6.4 days) and in those with additional anomalies (1.5 admissions and 8.5 days). 35.2% of children without additional anomalies had at least one emergency admission, whereas the corresponding figure was 67.3% with additional anomalies.
  
  
  CONCLUSIONS
  The burden of hospital care in the first 2 years of life varied according to cleft type and presence of additional anomalies. However, cleft-specific hospital care did not differ between children with and without additional anomalies.
authors: Clinical Effectiveness Unit, Royal College of Surgeons of England, , London, UK.
authors: Kate J
authors: KJ
authors: Fitzsimons
authors: Lynn P
authors: LP
authors: Copley
authors: Scott A
authors: SA
authors: Deacon
authors: Jan H
authors: JH
authors: van der Meulen
mesh_terms: D002971:Cleft Lip / Q000453:epidemiology / Q000601:surgery*; D002972:Cleft Palate / Q000453:epidemiology / Q000601:surgery*; D004739:England / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006761:Hospitals; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007902:Length of Stay / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care
keywords: Administrative data; Children; Cleft lip and palate; Hospital admissions; Length of stay
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