Document Detail


Cerebral palsy in eastern Denmark: declining birth prevalence but increasing numbers of unilateral cerebral palsy in birth year period 1986-1998.
MedLine Citation:
PMID:  19564124     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Cerebral Palsy Registry in eastern Denmark has been collecting cases using a uniform data sampling procedure since birth year 1979. Children are included by two child neurologists and an obstetrician. Information on pregnancy, birth, neonatal period, impairments and demographic data are registered. The total cerebral palsy birth prevalence has been significantly decreasing since the birth period 1983-1986 with 3.0 per 1000 live births until the period 1995-1998 with 2.1 per 1000 live births. The overall decrease was seen in preterm infants (<31 weeks) as well as in term infants and despite a simultaneous fall in perinatal and early neonatal mortality in the preterm group. Analysing the subtypes of CP we found a significant increase in the numbers as well as the rate of unilateral CP with a simultaneous fall in the numbers as well as the rate of bilateral CP. The explanation of this rise is not obvious. A change from bilateral periventricular lesions to unilateral is a possibility, but no major change in the neonatal handling could be documented. Regarding associated impairments, developmental delay/learning disabilities as well as motor function assessed by ability to walk (unassisted/assisted), both have changed toward higher percentage of children with unassisted walking and in need of special education.
Authors:
Susanne Holst Ravn; Esben Meulengracht Flachs; Peter Uldall
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Publication Detail:
Type:  Journal Article     Date:  2009-06-28
Journal Detail:
Title:  European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society     Volume:  14     ISSN:  1532-2130     ISO Abbreviation:  Eur. J. Paediatr. Neurol.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-16     Completed Date:  2010-07-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715169     Medline TA:  Eur J Paediatr Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  214-8     Citation Subset:  IM    
Copyright Information:
Copyright 2009 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.
Affiliation:
The Danish Cerebral Registry, National Institute of Public Health, Copenhagen, Denmark. s.h.ravn@dadlnet.dk
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MeSH Terms
Descriptor/Qualifier:
Brain / physiopathology
Cerebral Palsy / classification,  epidemiology*,  physiopathology
Child, Preschool
Congenital Abnormalities / epidemiology*,  physiopathology
Denmark / epidemiology
Female
Functional Laterality / physiology
Gestational Age
Humans
Infant
Infant Mortality
Infant, Newborn
Infant, Premature, Diseases / epidemiology
Male
Pregnancy
Pregnancy Complications / epidemiology
Prevalence
Registries
Risk Factors
Severity of Illness Index
Stroke / epidemiology

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


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