{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:34:31Z","timestamp":1777523671942,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T00:00:00Z","timestamp":1620777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2022,5]]},"abstract":"\n Objectives:<\/jats:title>\n This study collected national inpatient data to investigate the impact of hospital specialty and size on patient outcomes following mandibular distraction osteogenesis (MDO).<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Kids\u2019 Inpatient Database was used to identify patients less than 12 months of age with Pierre Robin sequence (PRS) who underwent MDO in one of the following years: 2006, 2009, and 2012.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Inpatient database from the United States.<\/jats:p>\n <\/jats:sec>\n \n Participants:<\/jats:title>\n Two hundred seventy-six patients with PRS underwent MDO with 134 (48.6%) identified as nonsyndromic and 142 (51.4%) as syndromic.<\/jats:p>\n <\/jats:sec>\n \n Interventions:<\/jats:title>\n Mandibular distraction osteogenesis.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures:<\/jats:title>\n Length of hospital stay, adjunct airway and nutritional interventions and disposition.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The average length of stay was 24 and 30 days for patients with nonsyndromic and syndromic PRS, respectively ( P = .066). Patients with a syndromic as compared to nonsyndromic diagnosis had a higher incidence of gastrostomy tube placement (21.8 vs 12.7%, P = .045). Univariate analysis showed that a lower proportion of patients at children\u2019s hospitals as compared to non-children\u2019s hospitals necessitated 1 or more airway or nutrition-related intervention (19\/148 [12.8%] vs 31\/127 [24.4%]; P = .012) and had a lower incidence of a nonroutine discharge (transfer or patient death; 7.4% vs 40.0% nonroutine; P < .001). Multivariable analysis additionally revealed that patients at children\u2019s hospitals were less likely to discharge nonroutine (OR = 0.07, 95% CI: 0.02-0.32).<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Results from this national cohort demonstrated that at children-specific hospitals patients with PRS were less likely to require additional airway and nutritional procedures and more likely to discharge to home.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10556656211015007","type":"journal-article","created":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T05:34:18Z","timestamp":1620797658000},"page":"622-628","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of Hospital Characteristics on Mandibular Distraction Osteogenesis Outcomes Among Patients With Pierre Robin Sequence Utilizing a National Inpatient Database"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7407-4334","authenticated-orcid":false,"given":"Alexander P.","family":"Marston","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Tufts University School of Medicine, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terral","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phayvanh P.","family":"Pecha","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaun A.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher M.","family":"Discolo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,5,12]]},"reference":[{"key":"bibr1-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1597\/15-282"},{"key":"bibr2-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182865da0"},{"key":"bibr3-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2016.01.009"},{"key":"bibr4-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.03.033"},{"key":"bibr5-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2016.0796"},{"key":"bibr6-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2015.06.039"},{"key":"bibr7-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1320065"},{"key":"bibr8-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000630"},{"key":"bibr9-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-196505000-00007"},{"key":"bibr10-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.16"},{"key":"bibr11-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31815667f3"},{"key":"bibr12-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306472"},{"key":"bibr13-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000299285.97379.35"},{"key":"bibr14-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198208000-00017"},{"key":"bibr15-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1597\/02-055"},{"key":"bibr16-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2018.05.031"},{"key":"bibr17-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199405000-00032"},{"key":"bibr18-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24782"},{"key":"bibr19-10556656211015007","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000438049.29258.a8"}],"container-title":["The 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