The AAPS 102nd Annual Meeting

Barriers to Care in Obstetric Brachial Plexus Palsy: Assessing the Impact of Area of Deprivation Index and Urban-Rural Locale on Patient Recovery

Casey Zhang, BS, Alexander J. Comerci, BS, Nerone Douglas, BS, Mary Wilding, BS, Angel Dixon, BA, Anne E. Glenney, BS, Elizabeth A. Moroni, MD MHA; Alexander J. Davit MD

Department of Plastic Surgery, UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA USA

•Obstetric brachial plexus palsy (OBPP) results from excess traction on the nerves during birth, occurring in up to 5 in 1000 live births

•Comprehensive treatment of children with OBPP requires consistent care with a multidisciplinary clinic

•When evaluating infants for OBPP, potential barriers to care must be considered to promote successful follow-up.

This study aims to assess the role of socioeconomic status (SES) on clinical and surgical outcomes for OBPP patients.

SES Metrics:

Area of Deprivation Index (ADI), Social Vulnerability Index (SVI), geographic locale (urban/rural), race

•Inclusion:

•Infants with OBPP who presented to the Children’s Hospital of Pittsburgh between 2010-2023

•Outcomes:

•Surgical intervention

•Active Movement Scale (AMS) scores

•While socioeconomic factors may impact OBPP management and outcomes, initial severity upper extremity movement is more associated with likelihood of surgical intervention.

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•Nevertheless, our findings highlight the importance of regular follow-up and the reevaluation of resources available for those experiencing obstacles to care.

The AAPS 102nd Annual Meeting

Barriers To Care In Obstetric Brachial Plexus Palsy: Assessing The Impact Of Area Of Deprivation Index And Urban-Rural Locale On Patient Recovery

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