Epidemiology of Cerebral Palsy Pediatric Patients in Sanprasitthiprasong Hospital Ubonratchatani
Abstract
Objective : To study the epidemiology of cerebral palsy patients in cerebral palsy clinic at rehabilitation department, Sanprasitthiprasong hospital between January 2010 - December 2015. Study design : Descriptive study Setting : Rehabilitation department of Sanprasitthiprasong hospital
Subjects : Cerebral palsy patients in cerebral palsy clinic at rehabilitation department, Sanprasitthiprasong hospital between January 2010 - December 2015.
Method : A retrospectively chart reviews from the medical record form of cerebral palsy in cerebral palsy clinic Sanpasittiprasong hospital between January 2010- December 2015
Results : There were 297 cases of cerebral palsy, only 246 were recorded in medical record form of cerebral palsy , 139 males (56.5%) and 107 females (43.5%). The physiologic form of cerebral palsy observed included spastic 92.7% and dyskinetic 7.3%. Distribution in Gross Motor Function Classification System Expanded and Revised (GMFCS E&R) level was I 7.7%, II 22.8%, III 32.9%, IV 20.3% and V 16.2%. Low birth weight was leading cause of cerebral palsy 24.19% followed by prematurity 23.8% and birth asphyxia 8.7%.The co-morbid conditions included spasticity 84.1%, speech impairment 59.4%, malnutrition 38.6%, sialorrhea 35.8%, cognition 28%, dental problem 21.5%, constipation 21.1% and strabismus 16.7%. The complication was found joint contracture 18.3%, hip dislocation 2.4% and scoliosis 2%
Conclusion : The cerebral palsy in cerebral palsy clinic at Sanprasitthiprasong hospital between January 2010 – December 2015 found the spasticity was common problem followed by speech and malnutrition. The most common complication was joint contracture.
Keywords : Cerebral palsy, Spasticity, GMFCS E&R
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