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Risk factors for ce...
Risk factors for cerebral palsy and movement difficulties in 5-year-old children born extremely preterm
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- Aubert, Adrien (författare)
- Univ Paris Cite, France
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- Costa, Raquel (författare)
- Univ Porto, Portugal; Lab Invest Integrat & Translac Saude Populac ITR, Portugal
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- Johnson, Samantha (författare)
- Univ Leicester, England
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- Ådén, Ulrika, 1972- (författare)
- Karolinska Institutet,Linköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus,Karolinska Inst, Sweden
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- Cuttini, Marina (författare)
- Bambino Gesu Pediat Hosp, Italy
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- Koopman-Esseboom, Corine (författare)
- Univ Med Ctr, Netherlands
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- Lebeer, Jo (författare)
- Univ Antwerp, Belgium
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- Varendi, Heili (författare)
- Univ Tartu, Estonia
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- Zemlin, Michael (författare)
- Saarland Univ Hosp, Germany
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- Pierrat, Veronique (författare)
- Univ Paris Cite, France; Dept Neonatol, France
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- Zeitlin, Jennifer (författare)
- Univ Paris Cite, France
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(creator_code:org_t)
- 2023-01-24
- 2023
- Engelska.
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Ingår i: Pediatric Research. - : SPRINGERNATURE. - 0031-3998 .- 1530-0447. ; 94:2, s. 771-780
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
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- BackgroundMotor impairment is common after extremely preterm (EPT, <28 weeks gestational age (GA)) birth, with cerebral palsy (CP) affecting about 10% of children and non-CP movement difficulties (MD) up to 50%. This study investigated the sociodemographic, perinatal and neonatal risk factors for CP and non-CP MD.MethodsData come from a European population-based cohort of children born EPT in 2011-2012 in 11 countries. We used multinomial logistic regression to assess risk factors for CP and non-CP MD (Movement Assessment Battery for Children - 2nd edition <= 5th percentile) compared to no MD (>15th percentile) among 5-year-old children.ResultsCompared to children without MD (n = 366), young maternal age, male sex and bronchopulmonary dysplasia were similarly associated with CP (n = 100) and non-CP MD (n = 224) with relative risk ratios (RRR) ranging from 2.3 to 3.6. CP was strongly related to severe brain lesions (RRR >10), other neonatal morbidities, congenital anomalies and low Apgar score (RRR: 2.4-3.3), while non-CP MD was associated with primiparity, maternal education, small for GA (RRR: 1.6-2.6) and severe brain lesions, but at a much lower order of magnitude.ConclusionCP and non-CP MD have different risk factor profiles, with fewer clinical but more sociodemographic risk factors for non-CP MD.ImpactYoung maternal age, male sex and bronchopulmonary dysplasia similarly increased risks of both cerebral palsy and non-cerebral palsy movement difficulties.Cerebral palsy was strongly related to clinical risk factors including severe brain lesions and other neonatal morbidities, while non-cerebral palsy movement difficulties were more associated with sociodemographic risk factors.These results on the similarities and differences in risk profiles of children with cerebral palsy and non-cerebral palsy movement difficulties raise questions for etiological research and provide a basis for improving the identification of children who may benefit from follow-up and early intervention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
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Aubert, Adrien
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Costa, Raquel
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Johnson, Samanth ...
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Ådén, Ulrika, 19 ...
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Cuttini, Marina
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Koopman-Esseboom ...
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visa fler...
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Lebeer, Jo
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Varendi, Heili
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Zemlin, Michael
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Pierrat, Veroniq ...
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Zeitlin, Jennife ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Pediatrik
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Pediatric Resear ...
- Av lärosätet
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Linköpings universitet
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Karolinska Institutet