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Survival rates of children with severe neurologic disabilities: a review.

Knowledge of accurate survival rates of children with neurologic disabilities is important for third-party insurance payers planning future medical expenses. This is of particular importance to pediatric skilled nursing facilities (SNFs) that depend on financial support from governmental sources. Ey...

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Published in:Seminars in Pediatric Neurology Vol. 10; no. 2; pp. 120 - 130
Main Author: Plioplys AV
Format: review tables/charts Journal Article
Published: W B Saunders 2003 Jun
Online Access:View this record in EBSCOhost
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      jtl: Seminars in Pediatric Neurology
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      dt: 2003 Jun
      vid: 10
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      pub: W B Saunders
      place: Philadelphia, Pennsylvania
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        106721730
        106721730
        2004054326
        10.1016/s1071-9091(03)00020-2
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        atl: Survival rates of children with severe neurologic disabilities: a review.
      aug:
        au: Plioplys AV
        affil: Division of Neurology, Mercy Hospital and Medical Center, Chicago, IL
      sug:
        subj:
          Survival In Infancy and Childhood
          Nervous System Diseases Mortality
          Risk Factors
          Cerebral Palsy Physiopathology
          Time Factors
          Infant
          Child, Preschool
          Child
          Adolescence
          Adult
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
      ab: Knowledge of accurate survival rates of children with neurologic disabilities is important for third-party insurance payers planning future medical expenses. This is of particular importance to pediatric skilled nursing facilities (SNFs) that depend on financial support from governmental sources. Eyman published survival rate results from California that were extremely pessimistic and not in keeping with our clinical impressions. This led us to conduct a thorough review of our survival rates, which were much better than those reported by Eyman. Since the publication of our study, a large number of reports have appeared from many different countries, as well as further information from California using an expanded database. The survival rate data that we obtained remain consistently better than that in most recent reports. In the California results, 10-year survival rates for the most-disabled group (group 1) were reported to be 32% in 1993 and 45% in 1998, compared with 73% in our study. Eight-year survival rates for group 1 from California were reported to be 38% in 1993 and 63% in 2000, compared with our finding of 73%. The reasons for our better survival rates include the fact that all of our patients were in SNFs, where prompt medical care for acute illnesses was always provided, whereas only 3.5% of the study group was in SNFs in California. Also, the California data contained many methodologic and statistical errors, which are reviewed here. Copyright © 2003 by Elsevier Science (USA).
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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