Prevalence of hip dislocation among children with cerebral palsy in regions with and without a surveillance programme: a cross sectional study in Sweden and Norway.
Prevalence of hip dislocation among children with cerebral palsy in regions with and without a surveillance programme: a cross sectional study in Sweden and Norway.
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DOI：
10.1186/1471-2474-12-284
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发表时间：
2011-12-16
影响因子：
2.3
通讯作者：
Vik T
中科院分区：
文献类型：
--
作者：
Elkamil AI;Andersen GL;Hägglund G;Lamvik T;Skranes J;Vik T
髋关节脱位是儿童脑瘫（CP）的严重并发症。本研究的目的是比较在提供常规护理的地区和提供髋关节监测服务的地区患有CP的儿童髋关节脱位的患病率。这是一项横断面研究，在7个提供常规护理的挪威县和一个瑞典医疗保健地区进行，该地区于1994年引入了髋关节监测计划。数据由挪威脑瘫登记处和瑞典南部CP登记处提供。1996 - 2003年出生的患有中度至重度CP的儿童，定义为大运动分类系统（GMFCS） III - V级。总共有119名挪威儿童和136名瑞典儿童符合标准。在挪威，有关髋关节手术和髋关节x线片的数据是从医疗记录中收集的，而这些数据是在瑞典的登记册中常规收集的。通过近期x线片测量髋关节移动百分比。髋关节脱位被定义为移位率为100%。GMFCS III - V级儿童的比例在挪威为34%，在瑞典为38%。在挪威人群中，18名儿童被诊断为髋关节脱位（15.1%,CI: 9.8 - 22.6），而在瑞典南部，只有1名儿童被诊断为髋关节脱位（0.7%,95% CI: 0.01 - 4.0） （p = < 0.001）。53名挪威儿童（44.5%）和43名瑞典儿童（32%）进行了髋关节手术（p = 0.03）。髋关节手术的总数在挪威为65例，在瑞典为63例。挪威儿童首次手术的平均年龄为7.6岁（SD: 2.9），而瑞典为5.7岁（SD: 2.3） （p = 0.001）。监测项目减少了髋关节脱位的数量，接受髋关节手术的儿童比例也降低了。然而，根据监测方案，第一次手术是在较年轻的年龄进行的。我们的研究结果有力地支持了一项专门设计的预防CP儿童髋关节脱位的随访计划的有效性。
Hip dislocation is a serious complication among children with cerebral palsy (CP). The aim of this study was to compare the prevalence of hip dislocation among children with CP in an area providing regular care with an area providing hip surveillance services. This is a cross-sectional study in seven Norwegian counties providing regular care and one Swedish healthcare region where a hip surveillance programme was introduced in 1994. Data were provided by the Norwegian Cerebral Palsy Register and the CP Register in Southern Sweden. Children born 1996 - 2003 with moderate to severe CP, defined as Gross Motor Classification System (GMFCS) levels III - V, were included. In all, 119 Norwegian and 136 Swedish children fulfilled the criteria. In Norway, data on hip operations and radiographs of the hips were collected from medical records, while these data are collected routinely in the Swedish register. The hip migration percentage was measured on the recent radiographs. Hip dislocation was defined as a migration percent of 100%. The proportion of children at GMFCS levels III - V was 34% in the Norwegian and 38% in the Swedish population. In the Norwegian population, hip dislocation was diagnosed in 18 children (15.1%; CI: 9.8 - 22.6) compared with only one child (0.7%; 95% CI: 0.01 - 4.0) in Southern Sweden (p = < 0.001). Hip surgery was performed in 53 (44.5%) of the Norwegian children and in 43 (32%) of the Swedish children (p = 0.03). The total number of hip operations was 65 in Norway and 63 in Sweden. Norwegian children were first operated at a mean age of 7.6 years (SD: 2.9) compared with 5.7 years (SD: 2.3) in Sweden (p = 0.001). The surveillance programme reduced the number of hip dislocations and the proportion of children undergoing hip surgery was lower. However, with the surveillance programme the first operation was performed at a younger age. Our results strongly support the effectiveness of a specifically designed follow-up programme for the prevention of hip dislocation in children with CP.
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影响因子：
1.7
作者：
KOMAN, LA;MOONEY, JF;MULVANEY, T
通讯作者：
MULVANEY, T
DOI：
10.1302/0301-620x.71b3.2722938
发表时间：
1989-05-01
影响因子：
--
作者：
COOKE, PH;COLE, WG;CAREY, RPL
通讯作者：
CAREY, RPL
影响因子：
1.7
作者：
LONSTEIN, JE;BECK, K
通讯作者：
BECK, K
影响因子：
11.4
作者：
Gustafsson, G;Schmiegelow, K;Saarinen-Pihkala, UM
通讯作者：
Saarinen-Pihkala, UM
影响因子：
5.3
作者：
Presedo, A;Oh, CW;Miller, F
通讯作者：
Miller, F