Document Detail

A case-control study of infant, maternal and perinatal characteristics associated with deformational plagiocephaly.
MedLine Citation:
PMID:  19523080     Owner:  NLM     Status:  MEDLINE    
Deformational plagiocephaly, an abnormal asymmetric flattening of infants' heads, is diagnosed in approximately 10% of infants. The prevalence of plagiocephaly has increased dramatically since 1992 when it was first recommended that infants be placed to sleep in a non-prone position to reduce the risk of sudden infant death syndrome. The authors conducted a case-control study to evaluate associations between plagiocephaly and perinatal characteristics. The authors assessed whether risk factors for plagiocephaly have changed since 1992. Cases were born 1987-2002 in Washington State and diagnosed with plagiocephaly at the Craniofacial Center at Seattle Children's Hospital. Risk factor information was abstracted from birth certificate and hospital discharge data and unconditional logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CI). Cases (n = 2764) were more likely than controls (n = 13 817) to have been injured at birth (OR 1.4; 95% CI 1.2, 1.7) or diagnosed with a congenital anomaly (OR 2.0; 95% CI 1.8, 2.3). Cases were more likely to have been male, a twin, or small-for-gestational-age. This first large-scale, case-control study of risk factors for plagiocephaly in a U.S. population provides new evidence that birth injuries and congenital anomalies are associated with plagiocephaly risk.
Christy M McKinney; Michael L Cunningham; Victoria L Holt; Brian Leroux; Jacqueline R Starr
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Paediatric and perinatal epidemiology     Volume:  23     ISSN:  1365-3016     ISO Abbreviation:  Paediatr Perinat Epidemiol     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-15     Completed Date:  2009-11-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8709766     Medline TA:  Paediatr Perinat Epidemiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  332-45     Citation Subset:  IM    
Dallas Regional Campus, University of Texas School of Public Health, Dallas, TX 75390, USA.
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MeSH Terms
Child, Preschool
Epidemiologic Methods
Frontal Bone / abnormalities*,  pathology
Infant, Newborn
Maternal Age
Multiple Birth Offspring / statistics & numerical data
Occipital Bone / abnormalities*,  pathology
Plagiocephaly, Nonsynostotic / complications*,  epidemiology
Sex Distribution
Sleep / physiology
Supine Position / physiology
Grant Support
P60 DE13061/DE/NIDCR NIH HHS; T32 DE07132/DE/NIDCR NIH HHS; U50/CCU01348404//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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