Julie Montreuil, Miriam Lacasse, Marie-Claude Audétat, Élisabeth Boileau, Marie-Claude Laferrière, Alexandre Lafleur, Shirley Lee, Mathieu Nendaz, Yvonne Steinert
Interventions for undergraduate and postgraduate medical learners with academic difficulties: A BEME systematic review update: BEME Guide No. 85
Medical teacher
literature replete clinical studies reporting robin sequence rs populationbased analyses scarce significant variability within literature terms reported incidence demographic parameters outcomes authors conducted 20year populationbased analysis guide clinical practice birth cohort created available datasets healthcare cost utilization projectkids inpatient database hcupkid 20002019 robin sequence patients identified stratified syndromic status incidence demographic parameters outcomes including mortality tracheostomy rates computed subset analysis comparing isolated syndromic cohorts conducted data analyzed 2 test incidence rs 51510000 95 ci 499531 birth cohort 75 million overall 633 cohort isolated rs 367 syndromic rs robin sequence patients significantly higher rate cardiac 259 neurological 86 anomalies compared general birth cohort commonly managed urban teaching hospitals p 00001 pooled mortality tracheostomy rates 66 36 respectively syndromic status associated longer length hospital stay 278 versus 136 tracheostomy rate 62 versus 21 mortality 141 versus 22 compared isolated rs p 00001 true incidence rs likely higher previously reported estimates isolated rs patients low associated mortality tracheostomy rate typically managed urban teaching hospitals syndromic status confers higher mortality rate tracheostomy rate length stay compared nonsyndromic counterparts