Prevalence of cerebral palsy in 8-year-old children in three areas of the United States in 2002: a multisite collaboration.
OBJECTIVE: The goal was to estimate the prevalence of cerebral palsy and cerebral palsy subtypes among children in 3 areas of the United States by using a population-based surveillance system. METHODS: Using methods developed by the Centers for Disease Control and Prevention Metropolitan Atlanta Dev...
| Published in: | Pediatrics Vol. 121; no. 3; pp. 547 - 555 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
American Academy of Pediatrics
Mar2008
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105768012&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105768012 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00314005 PDT jtl: Pediatrics issn: 00314005 maglogo: N pubinfo: dt: Mar2008 vid: 121 iid: 3 pid: 1659 pub: American Academy of Pediatrics place: Elk Grove Village, Illinois artinfo: ui: 105768012 105768012 2009882649 10.1542/peds.2007-1270 NLM18310204 105768012 ppf: 547 ppct: 8 formats: tig: atl: Prevalence of cerebral palsy in 8-year-old children in three areas of the United States in 2002: a multisite collaboration. aug: au: Yeargin-Allsopp M Van Naarden Braun K Doernberg NS Benedict RE Kirby RS Durkin MS affil: National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30333, USA. mxy1@cdc.gov sug: subj: Cerebral Palsy Diagnosis Cerebral Palsy Epidemiology Developmental Disabilities Epidemiology Age Factors Autism Spectrum Disorder Epidemiology Cerebral Palsy Ethnology Child Children with Disabilities Confidence Intervals Cross Sectional Studies Descriptive Statistics Ethnic Groups Female Male Multicenter Studies Poisson Distribution Prevalence Registries, Disease Risk Assessment Severity of Illness Sex Factors Socioeconomic Factors Survival Analysis United States Human Child: 6-12 years Female Male ab: OBJECTIVE: The goal was to estimate the prevalence of cerebral palsy and cerebral palsy subtypes among children in 3 areas of the United States by using a population-based surveillance system. METHODS: Using methods developed by the Centers for Disease Control and Prevention Metropolitan Atlanta Developmental Disabilities Surveillance Program, investigators from the Autism and Developmental Disabilities Monitoring Network conducted surveillance of cerebral palsy among 8-year-old children living in northern Alabama, metropolitan Atlanta, and southeastern Wisconsin in 2002 (N = 114,897). Cross-sectional data were collected through retrospective record review from multiple sources. Cases were linked to birth certificate and census files to obtain additional information. Period prevalence estimates were calculated per 1000 children 8 years of age. RESULTS: The average prevalence of cerebral palsy across the 3 sites was 3.6 cases per 1000, with notably similar site-specific prevalence estimates (3.3 cases per 1000 in Wisconsin, 3.7 cases per 1000 in Alabama, and 3.8 cases per 1000 in Georgia). At all sites, prevalence was higher in boys than girls (overall boy/girl ratio: 1.4:1). Also, at all sites, the prevalence of cerebral palsy was highest in black non-Hispanic children and lowest in Hispanic children. At all sites, the prevalence among children living in low- and middle-income neighborhoods was higher than that among children living in high-income neighborhoods. Spastic cerebral palsy was the most common subtype (77% of all cases), with bilateral spastic cerebral palsy dominating the spastic group (70%). CONCLUSION: These findings contribute new knowledge to the epidemiology of cerebral palsy in the United States. The similarities in prevalence rates and patterns of cerebral palsy reported for 8-year-old children at 3 geographically distinct sites provide evidence of the reliability of the surveillance methods used by the Autism and Developmental Disabilities Monitoring Network. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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