Hip pain in children with cerebral palsy: a population-based registry study of risk factors

Background Increases in the proportion of the population with increased likelihood of cesarean section (CS) have been postulated as a driving force behind the rise in CS rates worldwide. The aim of the study was to assess if changes in selected maternal risk factors for CS are associated with changes in CS births from 1999 to 2016 in Norway. Methods and findings This national population-based registry study utilizes data from 1,055,006 births registered in the Norwegian Medical Birth Registry from 1999 to 2016. The following maternal risk factors for CS were included: nulliparous/≥35 years, multiparous/≥35 years, pregestational diabetes, gestational diabetes, hypertensive disorders, previous CS, assisted reproductive technology, and multiple births. The proportion of CS births in 1999 was used to predict the number of CS births in 2016. The observed and predicted numbers of CS births were compared to determine the number of excess CS births, before and after considering the selected risk factors, for all births, and for births stratified by 0, 1, or ≥1 of the selected risk factors. The proportion of CS births increased from 12.9% to 16.1% (+24.8%) during the study period. The proportion of births with 1 selected risk factor increased from 21.3% to 26.3% (+23.5%), while the proportion with >1 risk factor increased from 4.5% to 8.8% (+95.6%). Stratification by the presence of selected risk factors reduced the number of excess CS births observed in 2016 compared to 1999 by 67.9%. Study limitations include lack of access to other important maternal risk factors and only comparing the first and the last year of the study period. Conclusions In this study, we observed that after an initial increase, proportions of CS births remained stable from 2005 to 2016. Instead, both the size of the risk population and the mean number of risk factors per birth continued to increase. We observed a possible association between the increase in size of risk population and the additional CS births observed in 2016 compared to 1999. The increase in size of risk population and the stable CS rate from 2005 and onward may indicate consistent adherence to obstetric evidence-based practice in Norway.

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Pain in children and adolescents with cerebral palsy: a population-based registry study

Developmental Medicine & Child Neurology ◽

10.1111/dmcn.80_13241 ◽

2016 ◽

Vol 58 ◽

pp. 38-39

Keyword(s):

Cerebral Palsy ◽

Children And Adolescents ◽

Population Based ◽

Registry Study ◽

Population Based Registry

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Faculty Opinions recommendation of Effect of Hysterectomy on Pain in Patients With Endometriosis: A Population-Based Registry Study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.737997142.793574967 ◽

2020 ◽

Author(s):

Edgardo Rolla

Keyword(s):

Population Based ◽

Registry Study ◽

Population Based Registry

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A Cross-sectional Study of the Clinical Profile of Children With Cerebral Palsy in Benin, a West African Low-Income Country

Journal of Child Neurology ◽

10.1177/0883073819864516 ◽

2019 ◽

Vol 34 (13) ◽

pp. 842-850

Author(s):

Emmanuel Segnon Sogbossi ◽

Damienne Houekpetodji ◽

Toussaint G. Kpadonou ◽

Yannick Bleyenheuft

Keyword(s):

Risk Factors ◽

Cerebral Palsy ◽

Low Income ◽

Classification System ◽

West African ◽

Low Income Countries ◽

Cross Sectional ◽

Common Cause ◽

Low Income Country ◽

Children With Cerebral Palsy

Cerebral palsy is a common cause of pediatric motor disability. Although there are increasing amounts of data on the clinical profile of children with cerebral palsy in high-income countries, corresponding information about low-income countries and developing countries is lacking. Therefore, we aimed to describe the clinical spectrum of cerebral palsy in children in Benin, a representative West African low-income country. Our cross-sectional observational study included 114 children with cerebral palsy recruited from community-based rehabilitation centers and teaching hospitals (median age: 7 years, range 2-17; sex: 66% male). Data were collected through review of medical records and interviews with children’s mothers. Assessment included risk factors, clinical subtypes according to the Surveillance of CP in Europe criteria, severity of motor outcome scored by the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System, comorbidities, and school attendance. We recorded a high prevalence of intrapartum adverse events. Seventeen percent of children had postneonatal cerebral palsy, with cerebral malaria being the most common cause. Most children were severely affected (67.5% as bilateral spastic; 54.4% as GMFCS IV or V), but severity declined substantially with age. Only 23% of the children with cerebral palsy had attended school. Poor motor outcomes and comorbidities were associated with school nonattendance. These results suggest that intrapartum risk factors and postnatal cerebral malaria in infants are opportune targets for prevention of cerebral palsy in Sub-Saharan low-income countries.

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Evaluation of risk factors for cerebral palsy

The Egyptian Journal of Neurology Psychiatry and Neurosurgery ◽

10.1186/s41983-020-00265-1 ◽

2021 ◽

Vol 57 (1) ◽

Author(s):

Dina Salama Abd Elmagid ◽

Hend Magdy

Keyword(s):

Risk Factors ◽

Cerebral Palsy ◽

Intracranial Hemorrhage ◽

Cns Infection ◽

Motor Impairments ◽

Cerebrovascular Accidents ◽

Common Causes ◽

Children With Cerebral Palsy ◽

Infant Brain ◽

Cns Malformation

Abstract Background Cerebral palsy (CP) has been identified as one of the most important and common causes of childhood disabilities worldwide and is often accompanied by multiple comorbidities. CP is defined as a group of disorders of the development of movement and posture, causing activity limitation that are attributed to non-progressive disturbances that occurred in the developing fetal or infant brain. The objective of our study was to describe main clinical pattern and motor impairments of our patients, and to evaluate the presence of risk factors and if there is a relation to the type of cerebral palsy. Methods Children with cerebral palsy were retrospectively enrolled over 2 years from the neurology outpatient clinics. Cerebral palsy risk factors and motor impairments were determined through caregiver interviews, review of medical records, and direct physical examination. Results One thousand children with cerebral palsy were enrolled. Subjects were 64.4% male, with a median age of 2.5 years. The risk factors for cerebral palsy in our study were antenatal (21%), natal and post-natal (30.5%), post-neonatal (17.1%), and unidentified (31.4%). Antenatal as CNS malformation (26.6%), maternal DM (17.6%), prolonged rupture of membrane (11.9%), maternal hemorrhage (10.4%), and pre-eclampsia (4.7%). Natal and post-natal as hypoxic ischemic encephalopathy (28.5%), infection (16.3%), hyperbilirubinemia (12.7%), cerebrovascular accidents (8.8%), meconium aspiration (6.2%), and intracranial hemorrhage. Post-neonatal as CNS infection (34.5%), cerebrovascular accidents (28.6%), sepsis (23.9%), and intracranial hemorrhage (8.7%). Conclusions Cerebral palsy has different etiologies and risk factors. Further studies are necessary to determine optimal preventative strategies in these patients.

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Unequal physical activity among children with cerebral palsy in Sweden—A national registry study

Health Science Reports ◽

10.1002/hsr2.342 ◽

2021 ◽

Vol 4 (3) ◽

Author(s):

Frida Degerstedt ◽

Martin Björklund ◽

Britt‐Inger Keisu ◽

Birgit Enberg

Keyword(s):

Physical Activity ◽

Cerebral Palsy ◽

National Registry ◽

Registry Study ◽

Children With Cerebral Palsy

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