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首页> 外文期刊>BMC Pediatrics >Early intervention and follow-up programs among children with cerebral palsy in Moldova: potential impact on impairments?
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Early intervention and follow-up programs among children with cerebral palsy in Moldova: potential impact on impairments?

机译:摩尔多瓦脑瘫儿童早期干预和后续课程:潜在对损伤的影响?

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摘要

To study whether early intervention services (EI) and a follow-up program (FU) influence outcomes of children with cerebral palsy (CP) in Moldova. Records from 351 children with CP in Moldova born during 2009 and 2010 were retrieved from hospital and orphanage archives between 1 July 2016 and 30 September 2017. We investigated the proportion enrolled in EI and FU at the Early Intervention Centre Voinicel and at the Institute of Mother and Child in 2009–2012. Logistic regression analyses were applied to calculate crude and adjusted odds ratios (OR) with 95% confidence intervals (CI) for outcomes in children enrolled and not enrolled. Among all children with CP, 166 (47%) were enrolled in EI and FU. Of the 51 children born extremely preterm (gestational age?≤?31?weeks), 46 (90%) were enrolled, compared to 97 (39%) of the 250 children born at term. Among 110 non-walking children with CP, 82 (74%) were enrolled into EI and FU, compared to 84 (35%) of 241 able to walk. There was no difference in outcomes of cognition, communication, vision and hearing impairments between those enrolled or not enrolled in EI and FU. However, the subgroup analyses showed that the risk of contractures was 11 times higher among non-walking children who were not enrolled in EI and FU programs (OR?=?10.931, 95% CI 2.328–51.328, p?=?0.002). In Moldova, EI and FU seem to be offered mostly to extremely preterm and non-walking children with CP. The results indicate a decreased risk for contractures in these children.
机译:研究早期干预服务(ei)和后续计划(u)在摩尔多瓦患有脑瘫(Cp)的儿童的结果。 2009年7月1日至2010年摩尔多瓦的351名摩尔多瓦儿童的记录从2016年7月1日至2017年7月1日至2017年7月30日之间取消了。我们调查了在早期干预中心和母亲研究所的ei和福的比例和孩子在2009 - 2012年。应用逻辑回归分析来计算粗糙和调整后的大量比率(或),以95%的置信区间(CI)用于注册和未注册的儿童的结果。在所有患有CP的儿童中,166名(47%)注册了EI和FU。在出生的51名儿童(胎龄)中(胎儿?≤≤31?周),注册了46名(90%),而在术语中出生的250名儿童的97(39%)。在110名含有CP的非行走儿童中,82名(74%)注册到EI和FU,而能够走路的84(35%)。在注册或未参加EI和FU的人之间的认知,沟通,愿景和听证障碍的结果没有差异。然而,亚组分析表明,在没有参加EI和FU计划的非行走儿童(或?= 10.931,95%CI 2.328-51.328,P?= 0.002),缔约国的挛缩风险增加了11倍。在摩尔多瓦,EI和FU似乎主要提供给具有CP的极端早产和非散步的儿童。结果表明这些儿童的挛缩风险降低。

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