Article

The aim of this study was to describe trends in prevalence, subtypes, and
severity among children with cerebral palsy (CP) born moderately preterm (MPT;
(gestational age 32-36 wks) or at moderately low birthweight (MLBW; 1500-2499 g)
in Europe. METHOD: We conducted trend analyses of data from 903 children with CP
born between 1980 and 1998 who were MPT (gestational age 32-36 wks), taken from
11 registers in the Surveillance of Cerebral Palsy in Europe database and from
1835 children with CP who were born at moderately low birthweight (1500-2499 g),
taken from 14 registers in the Surveillance of Cerebral Palsy in Europe database.
RESULTS: The overall annual prevalence of CP in children born MPT varied between
12.2 (95% confidence interval [CI] 8.5-17.1) per 1000 live births in 1983 and 4.5
(95% CI 3.2-6.3) per 1000 in 1997. There was a significant decrease in the
prevalence over time adjusted for register, with an annual change in prevalence
of -3% (95% CI -5 to -2%). This was due to a decrease in the prevalence of
bilateral spastic CP (annual change -5%; 95% CI -7 to -3%). INTERPRETATION: There
was a trend towards a decrease in the prevalence of CP among children born MPT,
but no difference in prevalence among children born at MLBW. Both results may
represent an improvement in perinatal and neonatal care.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2011 Mac Keith
Press.

Langue : ANGLAIS