Prevalence and aetiology of neurological impairment in extremely low birthweight infants

Waugh, Jason; O'Callaghan, MJ; Di, Tudehope; Ha, Mohay; Burns, YR; Gray, Peter H.; Rogers, Yvonne

doi:10.1111/j.1440-1754.1996.tb00907.x

Cited by 36 publications

(25 citation statements)

References 14 publications

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“…This is consistent with previous findings (Waugh et al, 1996;Lagunju et al, 2006;Hamzat and Fatudimu 2008;Boskabadi et al, 2010;Frank-Briggs and Alikor, 2011). However, this is at variance with the findings of Buljina et al (1999), who reported an insignificant gender difference in children with CP in their study.…”

Section: Demographic Characteristics Of the Participantssupporting

confidence: 93%

“…Various risk factors have been linked to the occurrence and types of CP (Waugh et al, 1996;Hutton and Pharaoh, 2002). Children of teenage mothers or fathers were reported to be at risk of CP, and a significantly higher prevalence of CP was also reported in children whose mothers were 40 years or older, especially if such children were high in parity (Cummins et al, 1993).…”

Section: Introductionmentioning

confidence: 99%

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Profile of children with cerebral palsy attending outpatient physiotherapy clinics in southwest Nigeria

Ayanniyi¹,

Abdulsalam²

2016

Af Jrl. Phys Rehab Sci

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SUMMARYCerebral palsy (CP) is a major cause of childhood disability. The objective of this study was to investigate the causes, types, severity, history of pregnancy, delivery, maternal care, demographic and clinical characteristics of children with CP and their parents as seen in outpatient physiotherapy clinics of the selected hospitals in Southwest Nigeria.A cross-sectional survey of children with CP and their parents was conducted in twelve hospitals in Southwest Nigeria. Information about the participants was obtained from hospital case records, physical examination and interviews. Data were summarized using descriptive and Chi-square tests with Alpha level put at 0. 05.Two hundred and thirteen children with CP were seen, aged 18 months to 12 years, and most of them were male (59.2%). The majority (41.0%) of the mothers were in the age range of 28 to 33 years. Jaundice (39.9%), asphyxia (26.8%) and infection (17.4%) were the leading causes of CP and spastic CP was the most common type (81.7%). Quadriplegic CP presentation was predominant (67.1%), and leading co-morbidities were mental retardation (31%) and speech impairment (26.3%). About 50% of the children severely affected by CP fell within Levels 4 and 5 of the Gross Motor Function Classification System (GMFCS) of CP severity.It was concluded that cerebral palsy in Southwest Nigeria is mainly associated with jaundice, asphyxia and infections. Spastic cerebral palsy was most common and quadriplegic affectation was predominant. It is recommended that factors promoting perinatal problems should be curtailed.

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Section: Demographic Characteristics Of the Participantssupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Profile of children with cerebral palsy attending outpatient physiotherapy clinics in southwest Nigeria

Ayanniyi¹,

Abdulsalam²

2016

Af Jrl. Phys Rehab Sci

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“…Those factors considered to be the most predictive, such as cerebral ultrasound studies [11] or neonatal EEG [12], are a consequence or a marker of a pre-or postnatal aggression rather than a risk factor. Some true risk factors such as male gender, label a particular susceptibility to injury [13]. Other events, such as ductus arteriosus, prolonged ventilation, blood transfusion [9], and bronchopulmonary dysplasia [6], are associated with extreme and complicated prematurity.…”

mentioning

confidence: 99%

Some Risk Factors for Cerebral Palsy in Very Premature Infants: Importance of Premature Rupture of Membranes and Monochorionic Twin Placentation

Burguet

Monnet²,

Pauchard³

et al. 1999

Neonatology

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Objective: To delineate the perinatal risk factors of neurodevelopmental disabilities in very preterm birth applying logistic regression analysis. Design: This prospective, geographically defined collaborative study was carried out in the Franche-Comté region of France. Subjects: From October 1, 1990 to September 30, 1992, perinatal and follow-up data were collected on 203 consecutive live-born singleton or twin non-malformed infants with strictly ascertained gestational ages of less than 33 weeks. Main Outcome Measure: The rate of cerebral palsy and/or severe mental retardation as diagnosed by a family physician or pediatrician with a screening-skill test performed at 2 years of age. Results: 167/171 (98%) survivors were evaluated. Twenty-two of the 167 examined infants (13%) showed signs of cerebral palsy, and 10 of these had severe cerebral palsy or mental retardation. Risk factors for disabilities were selected by a multivariate approach: premature rupture of membranes ≥48 h (OR 4.3, 95% CI 1.6–11.8); monochorionic twin placentation (OR 6.0, 95% CI 1.7–21.3), and respiratory distress syndrome (OR 2.8, 95% CI 1.1–7.1). Conclusion: This geographically defined prospective study gives epidemiological data and highly suggests that there is a link between prenatal events (premature rupture of membranes, monochorionic twin placentation), postnatal events (respiratory distress syndrome), and neurological disabilities in former preterm infants.

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“…Ventricular dilatation was associated with CP and even more strongly with intellectual impairment [Waugh et al, 1996]. Murphy et al [1996] recently reported that 16 of 18 preterm children with CP had cystic lesions of brain parenchyma noted on neonatal ultrasound examination.…”

Section: Neonatal Findings In Vlbw Infants and Risk Of Cpmentioning

confidence: 98%

Cerebral palsy in low-birthweight infants: Etiology and strategies for prevention

Nelson

Grether

1997

Ment. Retard. Dev. Disabil. Res. Rev.

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Prevalence and aetiology of neurological impairment in extremely low birthweight infants

Cited by 36 publications

References 14 publications

Profile of children with cerebral palsy attending outpatient physiotherapy clinics in southwest Nigeria

Profile of children with cerebral palsy attending outpatient physiotherapy clinics in southwest Nigeria

Some Risk Factors for Cerebral Palsy in Very Premature Infants: Importance of Premature Rupture of Membranes and Monochorionic Twin Placentation

Cerebral palsy in low-birthweight infants: Etiology and strategies for prevention

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