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Cerebral palsy in Moldova: subtypes, severity and associated impairments
BACKGROUND: Moldova is ranked as one of the countries in Europe with the lowest income per capita and with a relatively high infant and maternal mortality rate. Information on neurodisabilities in general is limited, and regarding cerebral palsy (CP) in particular, it is completely lacking. The aim...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195696/ https://www.ncbi.nlm.nih.gov/pubmed/30340478 http://dx.doi.org/10.1186/s12887-018-1305-6 |
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author | Gincota Bufteac, Ecaterina Andersen, Guro L. Torstein, Vik Jahnsen, Reidun |
author_facet | Gincota Bufteac, Ecaterina Andersen, Guro L. Torstein, Vik Jahnsen, Reidun |
author_sort | Gincota Bufteac, Ecaterina |
collection | PubMed |
description | BACKGROUND: Moldova is ranked as one of the countries in Europe with the lowest income per capita and with a relatively high infant and maternal mortality rate. Information on neurodisabilities in general is limited, and regarding cerebral palsy (CP) in particular, it is completely lacking. The aim of this study was therefore to make a crude estimate of the prevalence of CP and to describe subtypes and the severity of motor impairments and associated problems in this country. METHODS: Children with CP born 2009–2010, attending the National Hospital Institute of Mother and Child, the reference hospital for ~ 75% of children in Moldova with neurological disabilities, were identified from medical records. RESULTS: Among 207 children with CP (estimated prevalence 3.4 per 1000 live births), 185 (mean age 7.3 years; 36% girls) had detailed information. Thirty seven (20%) children had spastic unilateral, 113 (61%) spastic bilateral, 22 (12%) dyskinetic and 9 (5%) children had ataxic CP. The subtype was unclassified in four children. Among all children, 93 (51%) had epilepsy, 109 (59%) intellectual disability, 42 (23%) severe vision and 10 (5%) hearing impairments while 84 (45%) children had severe speech impairments. Fifty-two (28%) children were born prematurely, and 46 (25%) had Apgar scores below 7 at five minutes. CONCLUSION: Compared to other European studies, the distribution of CP subtypes was different in Moldova. Moreover, the estimated prevalence, the proportions with severe motor and associated impairments and of children born at term were higher in Moldova while the proportion with low Apgar did not differ. The findings may suggest different etiological pathways causing CP in Moldova than in other European countries. A national register is warranted for quality assurance and improvement. |
format | Online Article Text |
id | pubmed-6195696 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-61956962018-10-30 Cerebral palsy in Moldova: subtypes, severity and associated impairments Gincota Bufteac, Ecaterina Andersen, Guro L. Torstein, Vik Jahnsen, Reidun BMC Pediatr Research Article BACKGROUND: Moldova is ranked as one of the countries in Europe with the lowest income per capita and with a relatively high infant and maternal mortality rate. Information on neurodisabilities in general is limited, and regarding cerebral palsy (CP) in particular, it is completely lacking. The aim of this study was therefore to make a crude estimate of the prevalence of CP and to describe subtypes and the severity of motor impairments and associated problems in this country. METHODS: Children with CP born 2009–2010, attending the National Hospital Institute of Mother and Child, the reference hospital for ~ 75% of children in Moldova with neurological disabilities, were identified from medical records. RESULTS: Among 207 children with CP (estimated prevalence 3.4 per 1000 live births), 185 (mean age 7.3 years; 36% girls) had detailed information. Thirty seven (20%) children had spastic unilateral, 113 (61%) spastic bilateral, 22 (12%) dyskinetic and 9 (5%) children had ataxic CP. The subtype was unclassified in four children. Among all children, 93 (51%) had epilepsy, 109 (59%) intellectual disability, 42 (23%) severe vision and 10 (5%) hearing impairments while 84 (45%) children had severe speech impairments. Fifty-two (28%) children were born prematurely, and 46 (25%) had Apgar scores below 7 at five minutes. CONCLUSION: Compared to other European studies, the distribution of CP subtypes was different in Moldova. Moreover, the estimated prevalence, the proportions with severe motor and associated impairments and of children born at term were higher in Moldova while the proportion with low Apgar did not differ. The findings may suggest different etiological pathways causing CP in Moldova than in other European countries. A national register is warranted for quality assurance and improvement. BioMed Central 2018-10-19 /pmc/articles/PMC6195696/ /pubmed/30340478 http://dx.doi.org/10.1186/s12887-018-1305-6 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Gincota Bufteac, Ecaterina Andersen, Guro L. Torstein, Vik Jahnsen, Reidun Cerebral palsy in Moldova: subtypes, severity and associated impairments |
title | Cerebral palsy in Moldova: subtypes, severity and associated impairments |
title_full | Cerebral palsy in Moldova: subtypes, severity and associated impairments |
title_fullStr | Cerebral palsy in Moldova: subtypes, severity and associated impairments |
title_full_unstemmed | Cerebral palsy in Moldova: subtypes, severity and associated impairments |
title_short | Cerebral palsy in Moldova: subtypes, severity and associated impairments |
title_sort | cerebral palsy in moldova: subtypes, severity and associated impairments |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195696/ https://www.ncbi.nlm.nih.gov/pubmed/30340478 http://dx.doi.org/10.1186/s12887-018-1305-6 |
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