Abstract
Background.Children with infantile cerebral palsy (ICP) often have a physical developmental delay due to protein-energy malnutrition (PEM). The assessment of such abnormalities using different centile scales may lead to inconsistent results.Objective.Our aim was to study the consistency in assessing physical development of children with ICP using regional and specialized centile scales.Methods.The assessment of physical development with determination of the proportion of patients with PEM (weight-age and/or heightage values < 10th percentile) was carried out using regional centile scales and the Life Expectancy Project scales taking into account motor disorder levels (I–V) according to GMFCS. The assessment of motor disorders was performed by neurologists of healthcare organizations in 54 municipalities of the Sverdlovsk Region. The accounting period was from September 2016 to January 2017.Results.According to regional centile scales, PEM was identified in 272 (35.7%) children; according to the Life Expectancy Project scales — in 56 (7.4%) out of 761 children with ICP (McNemar's criterion, p < 0.001). Using regional scales the following results were registered: children with GMFCS I had PEM 5 times less than children with GMFCS V — 10 (12.5%) and 107 (66%) cases, respectively (ꭓ2criterion, p < 0.001). When assessing physical development of children with specialized scales, PEM occurred in 4 (5%) patients with GMFCS I and 18 (11.1%) with GMFCS V (p < 0.001).Conclusion.Specialized scales for assessing physical development less often indicate the presence of PEM in children with ICP. When using regional and to a much lesser extent specialized centile scales, the detection rate for PEM cases depends on the level of motor disorders.
Highlights
Children with infantile cerebral palsy (ICP) often have a physical developmental delay due to protein-energy malnutrition (PEM)
Our aim was to study the consistency in assessing physical development of children with ICP using regional and specialized centile scales
The assessment of physical development with determination of the proportion of patients with PEM was carried out using regional centile scales and the Life Expectancy Project scales taking into account motor disorder levels (I–V) according to GMFCS
Summary
Цель исследования — изучить согласованность оценки физического развития детей с ДЦП с использованием региональных и специализированных центильных шкал. А. Согласованность оценки физического развития детей с церебральным параличом по региональным и специализированным центильным шкалам: популяционное одномоментное исследование. Что масса тела детей, имеющих тяжелый уровень нарушений моторных функций (GMFCS V), была идентична при использовании специализированных шкал для детей с ДЦП и шкалы физического развития ВОЗ, применяемых в стране. Целью нашего исследования было изучение согласованности оценки физического развития у детей с ДЦП при использовании региональных и специализированных центильных шкал. Исходы исследования Основной исход исследования: согласованность оценки доли больных с белково-энергетической недостаточностью (БЭН) среди детей с ДЦП при использовании региональных и специализированных центильных шкал. Consistency in Assessing Physical Development of Children with Cerebral Palsy According to Regional and Specialized Centile Scales: A Population-Based Cross-Sectional Study
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