Article

OBJECTIVE: To identify the most common reasons for acute care hospital admissions
among youth (age range, 13-17.9y) and young adults (age range, 23-32.9y) with
cerebral palsy (CP). DESIGN: We completed a secondary analysis of data from the
Canadian Institute for Health Information (CIHI) to determine the most frequently
observed reasons for admissions and the associated lengths of stay (LOS).
SETTING: Participants were identified from 6 children's treatment centers in
Ontario, Canada. PARTICIPANTS: Health records data from youth with CP (n=587) and
young adults with CP (n=477) contributed to this study. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: The most common reasons for hospital
admission, relative frequencies of admissions for each reason, and mean LOS were
reported. RESULTS: The analysis of CIHI records identified epilepsy and pneumonia
as the top 2 reasons for admissions in both age groups. Both age groups were
commonly admitted because of infections other than pneumonia and urinary tract
infections (UTIs), gastrointestinal (GI) problems such as malabsorption, and
mental illness. The reasons that were unique to youth included orthopedic and
joint-related issues, other respiratory problems, and scoliosis. In young adults,
mental illness was the third most common reason for admission, followed by lower
GI or constipation problems, malnutrition or dehydration, upper GI problems,
fractures, and UTIs. CONCLUSIONS: This article provides important clinical
information that can be used in the training of physicians and health care
providers, and to guide future planning of ambulatory care services to support
the clinical management of persons with CP over their lifespan.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS