Key result
Neighbourhood deprivation was associated with obstetric brachial plexus palsy, with 39% of affected infants living in the top 20% most deprived neighbourhoods.
Why the study?
The study was conducted to analyse the relationships between deprivation and obstetric brachial plexus palsy.
Is neighbourhood deprivation associated with obstetric brachial plexus palsy?
Cohort (n=321)
Is neighbourhood deprivation associated with obstetric brachial plexus palsy?
Neighbourhood deprivation is associated with a higher incidence of obstetric brachial plexus palsy, highlighting a potential area for targeted health interventions.
Answers are grounded in this paper and cite their sources.
Deprivation was associated with higher obstetric brachial plexus palsy incidence; leaves open whether targeted interventions would reduce cases.
The present study analyses the relationships between deprivation and obstetric brachial plexus palsy (OBPP). A retrospective observational study was conducted of infants with OBPP seen between 2008 and 2020 ( n = 321). The index of multiple deprivation (IMD) was used to assign an IMD rank to patients based on birth postcode and the relationship with OBPP was analysed, including deprivation, gestational diabetes, age at referral and at first assessment. Quintile-based analysis demonstrated over-representation of patients from more deprived neighbourhoods ( n = 109, 39%) living in the top 20% most deprived neighbourhoods. A total of 48 (15%) mothers had diabetes and 98 (31%) infants underwent surgical brachial plexus exploration (a marker of disease severity). Neither diabetes, age at referral nor age at first assessment were associated with IMD score. This suggests that neighbourhood deprivation is associated with OBPP, though the mechanisms are unclear. Further studies in this area may enable targeted health intervention for more deprived maternal and infant groups. Level of evidence: III
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Hardie et al. (2023) conducted a cohort in Obstetric brachial plexus palsy (OBPP) (n=321). Neighbourhood deprivation was evaluated on Over-representation in the top 20% most deprived neighbourhoods. Neighbourhood deprivation was associated with obstetric brachial plexus palsy, with 39% of affected infants living in the top 20% most deprived neighbourhoods.
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