Audiological findings in a group of neurologically compromised children: A retrospective study

Baillieu, K.; Khoza-Shangase, Katijah; Jacklin, Lorna

doi:10.7196/sajch.2016.v10i1.936

Cited by 2 publications

(2 citation statements)

References 18 publications

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Section: Resultsmentioning

confidence: 93%

“…The range of comorbidities reported in 33 studies was largely consistent across countries and included epilepsy, sensory impairment, communication disorders, feeding difficulties, intellectual disability, orthopaedic complications, malnutrition, and high risk of infections. 11,23,31,33,34,37,38,40,41,46,47,53,[60][61][62][63]70,[72][73][74][75][76][77][78][79][80][81][82][83][84][85][86][87][88] At least a third of children had more than one comorbidity: in a cross-sectional population-based study in Uganda, 31% had two or more associated comorbidities; 74 in a hospital-based study in Ethiopia, 100% of children with CP had two or more comorbidities. 46 Comorbidities differed according to clinical subtype (χ 2 = 21.51, df = 4, p < 0.001), GMFCS (χ 2 = 14.98, df = 2, p = 0.001), and fine motor function level (χ 2 = 25.60, df = 2, p < 0.001) in a cross-sectional study in Uganda, 19 and according to topography (p = 0.024) in a cross-sectional study in Nigeria.…”

Section: Comorbiditiesmentioning

confidence: 99%

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Cerebral palsy in African paediatric populations: A scoping review

Murugasen,

Springer,

Olusanya

et al. 2024

Develop Med Child Neuro

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AimTo review the epidemiology and outcomes of African children with cerebral palsy (CP) over a 21‐year period.MethodThe PubMed, Scopus, and Web of Science online databases were searched for original research on African children with CP aged 18 years and younger published from 2000 to 2021.ResultsA total of 1811 articles underwent review against explicit criteria; 93 articles were selected for inclusion in the scoping review. The reported prevalence of CP ranged from 0.8 to 10 per 1000 children. Almost half had perinatal risk factors, but up to 26% had no identifiable risk factor. At least one‐third of children with CP had one or more comorbidities, most commonly epilepsy, intellectual disability, and malnutrition. African children with CP demonstrated excess premature mortality approximately 25 times that of the general population, predominantly from infections. Hospital‐based and younger populations had larger proportions of children with severe impairments. African children with CP had inadequate access to care and education, yet showed functional improvements compared to controls for all evaluated interventions.InterpretationThe prevalence of CP in Africa remains uncertain. African children with CP have different risk profiles, greater premature mortality, and more severe functional impairments and comorbidities compared to the Global North. Several barriers prevent access to optimal care. Larger African studies on validated and effective interventions are needed.

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Section: Resultsmentioning

confidence: 93%

Section: Comorbiditiesmentioning

confidence: 99%

Cerebral palsy in African paediatric populations: A scoping review

Murugasen,

Springer,

Olusanya

et al. 2024

Develop Med Child Neuro

View full text Add to dashboard Cite

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Hearing Loss Diagnosis and Early Hearing-Related Interventions in Infants With or at High Risk for Cerebral Palsy: A Systematic Review

et al. 2021

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Aim: To synthesize published evidence regarding hearing impairment diagnosis and interventions in infants with or at high risk for cerebral palsy in the first year after birth. Method: Nine databases were searched for MeSH terms up to February 2020. Included studies were published in English, enrolled infants with or at high risk for cerebral palsy, and addressed hearing evaluation/rehabilitation within the first year after birth. Quality of evidence was evaluated using RTI Item Bank and QUADAS-2. Results: Eighteen articles met inclusion criteria. Quality of the evidence ranged from low to high, revealing variability in diagnostic assessment methodologies and adherence to diagnostic schedules. Concerns for bias included lack of recognition of cerebral palsy effects and etiologies on functional hearing assessment methods and results. Two interventions (hearing aid and cochlear implantation) were identified; however, reported use was inconsistent. Interpretation: Hearing screening in infants with or at high risk for cerebral palsy requires evaluation of the entire auditory pathway preferentially using comprehensive electrophysiological panels of assessments. For infants with perinatal neural insults, pediatric neurologists are uniquely positioned to recommend adherence to systematic surveillance and comprehensive audiology assessments, regardless of comorbidities and motor impairments.

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Audiological findings in a group of neurologically compromised children: A retrospective study

Cited by 2 publications

References 18 publications

Cerebral palsy in African paediatric populations: A scoping review

Cerebral palsy in African paediatric populations: A scoping review

Hearing Loss Diagnosis and Early Hearing-Related Interventions in Infants With or at High Risk for Cerebral Palsy: A Systematic Review

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