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Irish Child Health Database - Peer Reviewed Papers

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  • Health status of children with cerebral palsy living in Europe: a multi-centre study

    Published in:

    Child: Care, Health & Development, Vol: 34, Page: 806-814

    Publication Date:

    2008

    Aims & Objectives:

    This aim of this study was to describe the health status of 8-12-year-old children with cerebral palsy of all severities in Europe using the Child Health Questionnaire

    Abstract:

    Aim The aim of this report is to describe the health status of 8-12-year-old children with cerebral palsy (CP) of all severities in Europe using the Child Health Questionnaire (CHQ). Method A total of 818 children with CP from nine centres in defined geographical areas participated. CP type, gross and fine motor function, additional impairments were classified and family data were obtained. The CHQ was used to measure the parent's perception of their child's physical (PHY) and psychosocial (PSY) health. Results PHY scores were lower than the reference samples with a median of 46. The severity of gross motor function influenced the CHQ scores significantly in the PHY scale with the lowest scores for children with least gross motor function. There were significant differences between the CP types in PHY with the higher scores for children with unilateral spastic and the lowest scores for children with bilateral spastic and dyskinetic CP type. Fine motor function severity significantly affected both the PHY and PSY scales. The severity of intellectual impairment was significantly associated with CHQ scores in most dimensions with higher scores for higher IQ level in PHY and PSY. Children with seizures during the last year had a significantly lower health compared with children without seizures. The results of the multivariate regression analyses (forward stepwise regression) of CHQ scores on CP subtype, gross and fine motor function, cognitive function, additional impairments, seizures, parental education and employment revealed gross motor function, cognitive level and type of school attended were significant prognostic factors. Conclusion This report is based on the largest sample to date of children with CP. Health status as measured using the CHQ was affected in all children and was highly variable. Gross motor function level correlates with health from the PHY well-being perspective but the PSY and emotional aspects do not appear to follow the same pattern. [ABSTRACT FROM AUTHOR] Copyright of Child: Care, Health & Development is the property of Blackwell Publishing Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

    Authors:

    E. Beckung; M. White-Koning; M. Marcelli; V. McManus; S. Michelsen; J. Parkes; K. Parkinson; U. Thyen; C. Arnaud; J. Fauconnier; A. Colver

    Study Type:

    Study Papers » Cross Sectional Study » Descriptive Studies - Without a comparision

    Notes:

    Article 03051862 Accession Number: 34909486; Beckung, E.; White-Koning, M. 1; Marcelli, M. 2; McManus, V. 3; Michelsen, S. 4; Parkes, J. 5; Parkinson, K. 6; Thyen, U. 7; Arnaud, C. 8; Fauconnier, J. 9; Colver, A. 10; Affiliations: 1: †INSERM U558 (National Institute of Health and Medical Research), University Paul Sabatier, University Hospital, Toulouse; Allées Jules Guesde, Toulouse Cedex, France 2: ‡UOC, Neuropsichiatria ASL Viterbo, Italy 3: §Enable Ireland Cork Services, Ballintemple, Cork, Ireland 4: ¶National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark 5: **School of Nursing & Midwifery, Queen's University Belfast, Belfast 6: ††Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK 7: ‡‡Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany 8: §§CHU Toulouse, Service d'Epidémiologie, Toulouse 9: ¶¶Université Joseph Fournier, SIIM-Pole Exploitation, Grenoble cedex, France, and 10: ***School of Clinical Medical Sciences, Newcastle University, Newcastle upon Tyne, UK Source Info: Nov2008, Vol. 34 Issue 6, p806; Thesaurus Term: HEALTH status indicators; Thesaurus Term: GROWTH; Thesaurus Term: DEVELOPMENTALLY disabled children; Thesaurus Term: CHILDREN with disabilities; Thesaurus Term: QUALITY of life; Subject Term: QUESTIONNAIRES; Subject Term: CEREBRAL palsied children; Subject Term: DEVELOPMENT; Author-Supplied Keyword: child; Author-Supplied Keyword: child health questionnaire; Author-Supplied Keyword: disability; Author-Supplied Keyword: well-being; Number of Pages: 9p. Document Type: Article

    Categories:

    health status; cerebral palsy

    International Classification:

    Diseases of the nervous system - Cerebral palsy and other paralytic syndromes - cerebral palsy

    Keywords:


    Geography:

    International (north England, west Sweden, Northern Ireland, souteast France southwest France southwest Ireland east Dennmark central Italy)