Document Detail


Cerebral palsy births in eastern Denmark, 1987--90: implications for neonatal care.
MedLine Citation:
PMID:  11489156     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Cerebral Palsy Register in eastern Denmark has collected cases using a uniform data sampling procedure since birth year 1979. We have investigated changes in the rate of cerebral palsy, related to gestational age, mortality and perinatal risk factors in children born 1983--90. The total cerebral palsy birth prevalence decreased from 3.0 in the birth year period 1983--86 to 2.4 per 1000 live births (P < 0.01) in 1987--90, owing to a decrease among all preterm infants (29--19 per 1000, P < 0.001). The perinatal and early neonatal mortality in preterm infants was unchanged from 1983--86 to 1987--90. The rate of cerebral palsy in term infants was 1.5 per 1000 in all birth-year periods from 1979--90. Among the cerebral palsy infants, the proportion of very preterm babies treated with mechanical ventilation in the neonatal period decreased from 95% in 1983--86 to 61% in 1987--90 (P < 0.001), while the group treated with CPAP among the moderately preterm babies increased from 61% to 78% (P < 0.05). The significant decline in cerebral palsy rate in preterm infants born 1987--90 may be due to a change in treatment at the neonatal intensive care units using less mechanical ventilation, a hypothesis which needs further investigation.
Authors:
M Topp; P Uldall; G Greisen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Paediatric and perinatal epidemiology     Volume:  15     ISSN:  0269-5022     ISO Abbreviation:  Paediatr Perinat Epidemiol     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-08-07     Completed Date:  2001-09-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8709766     Medline TA:  Paediatr Perinat Epidemiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  271-7     Citation Subset:  IM    
Affiliation:
The Cerebral Palsy Registry in Denmark, National Institute of Public Health, Copenhagen, Denmark. monica.topp@dadlnet.dk
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MeSH Terms
Descriptor/Qualifier:
Cerebral Palsy / epidemiology*,  mortality
Denmark / epidemiology
Humans
Infant Mortality / trends
Infant, Newborn
Infant, Premature*
Prevalence
Registries
Respiration, Artificial
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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