Jing Sheng Quek, Eng Sing Lee, Lian Leng Low, Sabrina Kay Wye Wong
How family physicians in Singapore recognise complexity during consultations: a qualitative study
BMC primary care
children hypopituitarism cwhp present orofacial clefting frequently setting multiple midline anomalies hypopituitarism hp complicate medical surgical care perioperative risk cwhp traditionally lower risk cleft lip andor palate clp repair well described objective study examine differences complications mortality clp repair cwhp compared children without hypopituitarism cwohp retrospective crosssectional analysis 1997 2019 kids inpatient databases kid children 3 years old younger underwent clp repair complications mortality total 34 106 weighted cases analyzed 86 hp cwhp longer length stay 30 days iqr 20100 vs 10 day iqr 1020 p 001 higher rates complications mortality 128 vs 29 p 001 compared cwohp controlling demographic factors cwhp 661 higher odds complications mortality cwohp 95 ci 3381294 p 001 cwhp present clp midline defects increase complexity care data show significant increase length stay complications mortality cwhp undergoing clp repair increased multidisciplinary attention monitoring may needed children peri postoperatively especially additional comorbidities present studies perioperative management population warranted reduce morbidity mortality