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Effects of cognitive motor and sensory disabilities on survival in cerebral palsy

机译:认知运动和感觉障碍对脑瘫生存的影响

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摘要

Background: Cerebral palsy presents with a range of severity of cognitive, motor, and sensory disabilities, which might affect survival. Aims: To quantify the effects of motor, cognitive, and sensory disabilities, year of birth, birth weight, and gestational age on survival in cerebral palsy. Methods: A cohort of children with cerebral palsy born between 1966 and 1989 to mothers resident in a defined geographical region was subdivided into early impairment (EICP: cerebral insult prenatally or within 28 days of birth) or late impairment (LICP: insult at least 28 days after birth). Deaths are notified by the National Health Service Central Register. Birth and disability details were obtained from clinical records. Survival analyses were carried out. Results: Severe motor disability was associated with a 30 year survival of 42% and severe cognitive disability with a 30 year survival of 62%. Severe visual disability was associated with a 30 year survival of 38%, but the association of survival with hearing disability was weak. EICP had better survival than LICP but the difference was not significant after allowing for severity of functional disabilities. Normal birth weight infants (≥2500 g) showed no birth cohort effect, but the 10 year survival of low birth weight (<2500 g) infants declined from 97% for 1966 to 89% for 1989 births. Conclusions: Survival in cerebral palsy varies according to the severity and number of functional disabilities and by birth weight. Among low birth weight children, survival declined steadily from 1966 to 1989 after allowing for disability. The disabilities reported do not capture all the factors affecting survival of preterm infants.
机译:背景:脑瘫表现出一系列认知,运动和感觉障碍的严重性,可能影响生存。目的:量化运动障碍,认知障碍和感觉障碍,出生年份,出生体重和胎龄对脑瘫生存的影响。方法:将1966年至1989年之间出生于特定地理区域的母亲的脑瘫患儿分为早期损伤(EICP:产前或出生后28天内脑损伤)或晚期损伤(LICP:至少损伤28岁)。出生后几天)。死亡由国家卫生总局中央登记处通知。从临床记录中获得了出生和残疾的详细信息。进行生存分析。结果:严重的运动障碍与30年生存率为42%,严重的认知障碍与30年生存为62%。严重的视力障碍与30%的存活率相关,但存活率与听力障碍的相关性较弱。 EICP的生存期优于LICP,但考虑到功能障碍的严重程度,差异无统计学意义。正常出生体重的婴儿(≥2500g)没有出生队列效应,但是低出生体重(<2500 g)的婴儿的10年生存率从1966年的97%下降到1989年出生的89%。结论:脑性瘫痪的存活率根据功能障碍的严重程度和数量以及出生体重的不同而不同。 1966年至1989年,低出生体重儿童的残障率得以稳定下降。报告的残疾并没有涵盖影响早产儿生存的所有因素。

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