176 COVID-19 infection risk in patients with non-syndromic orofacial clefts during pandemic in Puerto Rico

OBJECTIVES/GOALS: Patients with nsCL/P are prone to infections due to their open like wound cleft and immune system susceptibility. COVID-19 affected nsCL/P patients access to care and treatment delays. This study will determine COVID-19 infection risk between children with nsCL/P compared to those...

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Main Authors: Yinayra Victoria, Natalio Debs, Augusto Elias, Carmen J Buxo
Format: Article
Language:English
Published: Cambridge University Press 2022-04-01
Series:Journal of Clinical and Translational Science
Online Access:https://www.cambridge.org/core/product/identifier/S2059866122000826/type/journal_article
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author Yinayra Victoria
Natalio Debs
Augusto Elias
Carmen J Buxo
author_facet Yinayra Victoria
Natalio Debs
Augusto Elias
Carmen J Buxo
author_sort Yinayra Victoria
collection DOAJ
description OBJECTIVES/GOALS: Patients with nsCL/P are prone to infections due to their open like wound cleft and immune system susceptibility. COVID-19 affected nsCL/P patients access to care and treatment delays. This study will determine COVID-19 infection risk between children with nsCL/P compared to those unaffected. METHODS/STUDY POPULATION: Retrospective cohort of children 5 years old and under with nsCL/P (exposed group) and children without nsCL/P (unaffected group); matched by age and gender. Participants will be selected from ongoing case-control study (n=500), School of Dental Medicine, and Pediatric University Hospital. Power analysis will calculate minimum sample size (power=0.80 alpha=0.05). Exclusion criteria: syndromic clefts, patients without diagnosis information and with history of co-morbidity. Other bacterial and viral infections present at the time of COVID-19 diagnosis, sex, age, geographic location, COVID-19 vaccination status and others will be considered as possible cofounders. Descriptive statistics, Chi-square, Odds Ratios at 95% confidence intervals and multiple logistic regression will be estimated. RESULTS/ANTICIPATED RESULTS: We hypothesize that we will identify an increased risk of COVID-19 infection in children with nsCL/P than in those unaffected or children without nsCL/P. Children with nsCL/P will also have an increased risk of symptoms and complications of COVID-19 infection than those unaffected. DISCUSSION/SIGNIFICANCE: Knowing the increased risk of COVID-19 infection in children with nsCL/P will aid to prioritize treatment. If a higher risk of COVID-19 infection is found, it will generate a need to modify elective surgery status to semi-elective; minimizing delayed treatments, unnecessary hospitalizations, complications and increased cost of treatment.
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spelling doaj.art-626759fdfcf24fc4a473ec31e87f06942023-03-10T07:53:49ZengCambridge University PressJournal of Clinical and Translational Science2059-86612022-04-016222210.1017/cts.2022.82176 COVID-19 infection risk in patients with non-syndromic orofacial clefts during pandemic in Puerto RicoYinayra Victoria0Natalio Debs1Augusto Elias2Carmen J Buxo3University of Puerto Rico-Medical Science Campus-University of Puerto Rico School of Dental Medicine (UPR SDM)Professor and Assistant Dean of Research (UPR SDM)Associate professor & Director of the Dental Genomic and Craniofacial Core (UPR SDM)OBJECTIVES/GOALS: Patients with nsCL/P are prone to infections due to their open like wound cleft and immune system susceptibility. COVID-19 affected nsCL/P patients access to care and treatment delays. This study will determine COVID-19 infection risk between children with nsCL/P compared to those unaffected. METHODS/STUDY POPULATION: Retrospective cohort of children 5 years old and under with nsCL/P (exposed group) and children without nsCL/P (unaffected group); matched by age and gender. Participants will be selected from ongoing case-control study (n=500), School of Dental Medicine, and Pediatric University Hospital. Power analysis will calculate minimum sample size (power=0.80 alpha=0.05). Exclusion criteria: syndromic clefts, patients without diagnosis information and with history of co-morbidity. Other bacterial and viral infections present at the time of COVID-19 diagnosis, sex, age, geographic location, COVID-19 vaccination status and others will be considered as possible cofounders. Descriptive statistics, Chi-square, Odds Ratios at 95% confidence intervals and multiple logistic regression will be estimated. RESULTS/ANTICIPATED RESULTS: We hypothesize that we will identify an increased risk of COVID-19 infection in children with nsCL/P than in those unaffected or children without nsCL/P. Children with nsCL/P will also have an increased risk of symptoms and complications of COVID-19 infection than those unaffected. DISCUSSION/SIGNIFICANCE: Knowing the increased risk of COVID-19 infection in children with nsCL/P will aid to prioritize treatment. If a higher risk of COVID-19 infection is found, it will generate a need to modify elective surgery status to semi-elective; minimizing delayed treatments, unnecessary hospitalizations, complications and increased cost of treatment.https://www.cambridge.org/core/product/identifier/S2059866122000826/type/journal_article
spellingShingle Yinayra Victoria
Natalio Debs
Augusto Elias
Carmen J Buxo
176 COVID-19 infection risk in patients with non-syndromic orofacial clefts during pandemic in Puerto Rico
Journal of Clinical and Translational Science
title 176 COVID-19 infection risk in patients with non-syndromic orofacial clefts during pandemic in Puerto Rico
title_full 176 COVID-19 infection risk in patients with non-syndromic orofacial clefts during pandemic in Puerto Rico
title_fullStr 176 COVID-19 infection risk in patients with non-syndromic orofacial clefts during pandemic in Puerto Rico
title_full_unstemmed 176 COVID-19 infection risk in patients with non-syndromic orofacial clefts during pandemic in Puerto Rico
title_short 176 COVID-19 infection risk in patients with non-syndromic orofacial clefts during pandemic in Puerto Rico
title_sort 176 covid 19 infection risk in patients with non syndromic orofacial clefts during pandemic in puerto rico
url https://www.cambridge.org/core/product/identifier/S2059866122000826/type/journal_article
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