Article

AIM: To monitor the trends in prevalence of cerebral palsy (CP) by birthweight in
Europe, 1980 to 2003. METHOD: Data were collated from 20 population-based
registers contributing to the Surveillance of Cerebral Palsy in Europe database.
Trend analyses were conducted in four birthweight groups: <1000g (extremely low
birthweight [ELBW]); 1000 to 1499g (very low birthweight [VLBW]); 1500 to 2499g
(moderately low birthweight [MLBW]); and >2499g (normal birthweight [NBW]).
RESULTS: The overall prevalence of CP decreased from 1.90 to 1.77 per 1000 live
births, p<0.001, with a mean annual fall of 0.7% (95% confidence interval [CI]
-0.3% to -1.0%). Prevalence in NBW children showed a non-significant trend from
1.17 to 0.89 per 1000 live births (p=0.22). Prevalence in MLBW children decreased
from 8.5 to 6.2 per 1000 live births (p<0.001), but not linearly. Prevalence in
VLBW children also declined from 70.9 to 35.9 per 1000 live births (p<0.001) with
a mean annual fall of 3.4% (95% CI -2.4% to -4.3%). Prevalence in ELBW children
remained stable, at a mean rate of 42.4 per 1000 live births. INTERPRETATION: The
decline in prevalence of CP in children of VLBW continues, and confirms that
previously reported. For the first time, there is also a significant decline
among those of MLBW, resulting in a significant overall decrease in the
prevalence of CP.
CI - (c) 2015 Mac Keith Press.

Langue : ANGLAIS