Determinants of Cerebral Palsy in Pediatric Patients in Northern Ethiopia: A Hospital-Based Study.

IF 1.7 Q4 NEUROSCIENCES Neurology Research International Pub Date : 2021-12-20 eCollection Date: 2021-01-01 DOI:10.1155/2021/9993912
Peter E Ekanem, Anne C K Nyaga, Niguse Tsegay, Haftamu Ebuy, Elizabeth A Imbusi, Regina Ekanem, Nissi Peter
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引用次数: 1

Abstract

Introduction: Cerebral palsy is the most common neurologic disorder of childhood with lifelong implications in majority of patients. Knowledge of the determinants of cerebral palsy is important for accurate mobilization of resources in obstetric, perinatal, and infant care besides implementation of prevention systems. In Ethiopia, however, this knowledge gap exists as there are no published studies on determinants of cerebral palsy in the country.

Objective: To assess the determinants of cerebral palsy in pediatric patients attending Ayder Comprehensive Specialized Referral Hospital between April 2019 and August 2019.

Methods: An unmatched case-control study was conducted among 50 pediatric cerebral palsy patients and 100 controls, pediatric patients without cerebral palsy or other motor or central nervous system illnesses, attending Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia. The data were analyzed using SPSS version 27.

Results: Significant factors were operative vaginal delivery (AOR: 9.49, 95% CI: 1.31-68.88), central nervous system infections (AOR: 0.02, 95% CI: 0-0.58), neonatal admissions (AOR: 0.13, 95% CI: 0.03-0.61), and unknown maternal education status (AOR: 18.64, 95% CI: 2.15-161.73).

Conclusion: Operative vaginal delivery, central nervous system infections in infancy, neonatal hospital admissions, and unknown maternal education status were found to be significant determinants for cerebral palsy. This knowledge aids focused hospital and regional health bureau development and implementation of prevention strategies for cerebral palsy, besides improvement of obstetric and neonatal healthcare services, and provides baseline data to the scientific community for further research.

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埃塞俄比亚北部儿童脑瘫的决定因素:一项基于医院的研究
简介:脑瘫是儿童时期最常见的神经系统疾病,对大多数患者具有终身影响。除了实施预防系统外,了解脑瘫的决定因素对于准确调动产科、围产期和婴儿护理资源也很重要。然而,在埃塞俄比亚,由于该国没有发表关于脑瘫决定因素的研究,因此存在这种知识差距。目的:评估2019年4月至2019年8月在艾德尔综合专科转诊医院就诊的小儿脑瘫患者的决定因素。方法:对埃塞俄比亚Mekelle市Ayder综合专业医院的50例小儿脑瘫患者和100例无脑瘫或其他运动或中枢神经系统疾病的儿童患者进行病例对照研究。数据分析采用SPSS第27版。结果:术后阴道分娩(AOR: 9.49, 95% CI: 1.31 ~ 68.88)、中枢神经系统感染(AOR: 0.02, 95% CI: 0 ~ 0.58)、新生儿入院(AOR: 0.13, 95% CI: 0.03 ~ 0.61)、产妇教育程度未知(AOR: 18.64, 95% CI: 2.15 ~ 161.73)是影响产妇健康的重要因素。结论:手术阴道分娩、婴儿期中枢神经系统感染、新生儿住院情况和产妇教育程度不详是脑瘫发生的重要决定因素。这些知识有助于重点医院和地区卫生局制定和实施脑瘫预防战略,改善产科和新生儿保健服务,并为科学界提供基线数据,供进一步研究之用。
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来源期刊
CiteScore
3.50
自引率
0.00%
发文量
10
审稿时长
17 weeks
期刊介绍: Neurology Research International is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies focusing on diseases of the nervous system, as well as normal neurological functioning. The journal will consider basic, translational, and clinical research, including animal models and clinical trials.
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