Trends in the prevalence of cerebral palsy in a population-based study.
OBJECTIVE: To determine trends in the prevalence of congenital cerebral palsy (CP) over a 16-year period for 1-year survivors using a large, population-based surveillance program. METHODS: We determined birth weight-specific trends in the prevalence of CP in live birth and 1-year survivor cohorts of...
| Publicado en: | Pediatrics Vol. 110; no. 6; pp. 1220 - 1226 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Academy of Pediatrics
Dec2002 Part 1
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106803736&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106803736 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00314005 PDT jtl: Pediatrics issn: 00314005 maglogo: N pubinfo: dt: Dec2002 Part 1 vid: 110 iid: 6 pid: 1659 pub: American Academy of Pediatrics place: Elk Grove Village, Illinois artinfo: ui: 106803736 106803736 2003030921 10.1542/peds.110.6.1220 NLM12456922 106803736 ppf: 1220 ppct: 6 formats: tig: atl: Trends in the prevalence of cerebral palsy in a population-based study. aug: au: Winter S Autry A Boyle C Yeargin-Allsopp M affil: Department of Pediatrics, Emory University, Atlanta, Georgia sug: subj: Cerebral Palsy Epidemiology Child Child, Preschool Descriptive Statistics Epidemiological Research Infant Infant, Newborn Linear Regression Record Review Human Child: 6-12 years Child, Preschool: 2-5 years Infant: 1-23 months Infant, Newborn: birth-1 month ab: OBJECTIVE: To determine trends in the prevalence of congenital cerebral palsy (CP) over a 16-year period for 1-year survivors using a large, population-based surveillance program. METHODS: We determined birth weight-specific trends in the prevalence of CP in live birth and 1-year survivor cohorts of children in a 5-county metropolitan Atlanta area for the periods from 1975-1977, 1981-1985, and 1986-1991. We ascertained children with CP in metropolitan Atlanta by record review as part of an ongoing developmental disability surveillance program conducted by the Centers for Disease Control and Prevention and the Georgia Department of Human Resources. A total of 110, 262, and 443 cases of congenital CP were identified for the birth years 1975-1977, 1981-1985, and 1986-1991, respectively. Data were analyzed by birth weight, race, subtypes of CP, and whether the CP existed as an isolated disability or was accompanied by another disability. RESULTS: There was a modest increase in the overall prevalence of congenital CP from 1.7 to 2.0 per 1000 1-year survivors during the period from 1975-1991. This trend was primarily attributable to a slight increase in CP in infants of normal birth weight--CP rates in moderately low and very low birth weight infants did not show consistent trends. There was an increase in the proportion of children who had CP and no other disabilities that was most apparent in infants of normal birth weight from 17% in 1975-1977 to 39% in 1986-1991. For children weighing <1500 g, the proportion of children with spastic diplegic CP increased over time (7% of cases in 1975-1977, 36% in 1985-1988, and 32% in 1986-1991). CONCLUSIONS: In the only ongoing population-based study of CP in the United States, there has been a modest increase in the prevalence of CP in 1-year survivors born from 1975-1991. This increase however was seen only in infant survivors of normal birth weight. No change was seen in the trends in CP prevalence in low birth weight and very low birth weight infant based on infant survivors. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|