A carregar...
Publicação
Postneonatal Cerebral Palsy according to the new surveillance of Cerebral Palsy in Europe Classification: Data from the Portuguese Cerebral Palsy Surveillance Program
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 477.74 KB | Adobe PDF |
Orientador(es)
Resumo(s)
Background and Objectives: The Portuguese National Surveillance of Cerebral Palsy Program (PNSCPP) registers clinical, epidemiological and functional data of children with cerebral palsy(CP) at 5-8 year old, born in the 21 st century, The Surveillance of Cerebral Palsy in Europe (SCPE) recently published the classification of primary events contributing to postneonatal cerebral palsy (CEC-PNCP) in whose validation process the PCPSP contributed with part of the cases reported. We propose to analyze all portugueses cases of post-neonatal cause, according to the SCPE (CPEC-PNCP).
Participants and Methods: The PNSCPP uses multiple sources, following the common Surveillance of Cerebral Palsy in Europe (SCPE) protocol, including CP definition and classification, neuroimaging and associated impairments. Children with post-neonatal cause (PNCP) born between 2001-2015 and reported to the PVNPC between 2006-2024 at living in Portugal at 5-8 years were analysed acording the CEC-PNCP.
Results: Were analysed 203 (9%) children with PNCP from a total of 2276. Age of injury between 1-59th month of life, almost (80%) up to 24th months. Applying the CPEC-PNCP, were classified according to the categories: A-Infections (CA-I) 84 cases (41%); 22 (11%) B-Traumatic Brain Injury (CBI-T); 44 (22%); C-Injury related to medical procedure (CC-IRMP), 30 (15%) D-Stroke (CD-CVA), 14 (7%); E-Hypoxic Brain Damaging (CE-HBD); 9 (4%) in class F-Miscellaneous (CF-M).
Spastic Cerebral Palsy (SCP) was the most frequently recorded clinical type, ranging from 100% in CD-CVA to 84.1% in CA-I. Dyskinetic Cerebral Palsy (DCP) was more common in the CE- HBD (15.4%) and CA-I (13.4%), and Ataxic Cerebral Palsy (ACP) in CF-M (11.1%) (p0.102). The presence of any congenital anomaly (CA) was confirmed in 47/197 children (23.9%). CC- IRMP registed the highest proportion of CA (65.1%), followed by CD-CVA (33.3%) and CE- HBD (21.4%). The cardiac CA subtype (ICD-10-Q2) registed 46.5% in CC- IRMP and 0% in CB-TBI and CF-M. The class with the best functional record was CB-TBI (GMF-I-II: 63.7%); (BFMF-I-II 57.1%); The worst functional was CE- HBD (GMF-III-IV-V 90.9%) and (BFMF-III-IV-V 100%). Associated morbidity and school inclusion varied among the different categories.
Conclusion: Children with CP-PNN differ greatly according to the CPEC-PNCP in terms of clinical type, functional skills. This classification allows a better characterization of the primary event contributing to post-neonatal etiopathological process, a better understanding and action in the rehabilitation and inclusion processes and provide an opportunity for preventive measures to be implemented.
Descrição
Palavras-chave
Cerebral Palsy Cerebral Palsy Registry Cerebral Palsy Classification Surveillance Program Estados de Saúde e de Doença Portugal