Author/Editor		Burja, Silva; Seme-Ciglenečki, Polona
Title		Novejši trendi v pojavnosti cerebralne paralize v mariborski regiji
Translated title		Newer trends in the incidence of cerebral palsy in the Maribor region
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 70, št. 1
Publication year		2001
Volume		str. 7-11
Language		slo
Abstract		Background. The results of changes in perinatal health care in Maribor show a significant improvement in the past decade. Between 1995 and 1999 the survival chances of neonates with birth weight < 1000 g increased as well. With the apperance of new generations of extremely low birth weight infants, the risk of a higher incidence-rate of various forms of neurosensory affection in the survivors increased. Methods. A retrospective analysis of epidemiologic characteristics of cerebral palsy in a 10-year population of children born and treated at the Maribor Teaching Hospital Department of Obstetrics, or treated at the neonatal ICU at the Department of Pediatrics and later undergoing developmental-neurologic treatment at the Centre for Children with Developmental Disturbances of Maribor Health Centre between 1.1. 1989 and 1.1. 1998. results. Among 20,791 children born between 1.1. 1989 and 1.1. 1998 at the Maribor Obstetrics Department, 111 (0.53%) have cerebral palsy (CP). 52 children with CP (46.8%) were born prematurely and 22 (42.3%) of these had a birth weight under 1500 g, 17 (32.7%) had a birth weight of 1500-2000g, 7 (13.5%) 2000-2500 g and 6 (11.5%) preterm infants had a birth weight over 2500 g. The average incidence of CP in this 10-year sample of children born at the Maribor Obstetrics Department was 4.7 per 1000 live-born infants, with a span of 4.5-6.1 per 1000 live-born (Tab.1). The prevalence of CP in the period discussed and in the same group of children was 5.3 per 1000 live-born children. Of 111 children with CP, 100 (90.1%) had the spastic form of CP and 79 (71.2%) of these had spastic diplegia, 11 (9.9%) hemiparesis and 10 (9%) tetraparesis. Two children (1.8%) had the ataxic form of CP, there was no case of dyskinetic form. The hypotonic form of CP was found in 9 (8.1%) children. (Abstract truncated at 2000 characters).
Summary		Izhodišča. Epidemiološke značilnosti cerebralne paralize so eden izmed pomembnih kazalnikov uspešnosti zdravstvene oskrbe novorojenčkov in nevrološkega zdravja otrok. Rezultati spremenjenega perinatalnega zdravstvenega varstva v Mariboru so se v zadnjem desetletju pomembno izboljšali, v letih od 1995-1999 pa se je povečala tudi možnost preživetja novorojenčkov s porodno težo manj kot 1000 g. S pojavom novih generacij otrok, ki so rojeni kot zelo nezreli, se je povečala nevarnost zvišanja stopnje pojavnosti raznih oblik nevrosenzorne prizadetosti pri preživelih. Metode. Analizirali smo epidemiološke podatke o otrocih s cerebralno paralizo, ki so se rodili v letih od 1.1. 1989 do 1.1. 1998 v mariborski porodnišnici in so bili dne 31.12. 1998 državljani Republike Slovenije. Podatke smo dobili v letnih poročilih Centra za otroke z motnjami v razvoju Dispanzerja za otroke Zdravstvenega doma v Mariboru. Z njim pri zbiranju podatkov sodelujejo pediatri Dispanzerja za otroke Zdravstvenega doma Maribor ter pedopsihiatri in klinični psihologi Dispanzerja za pedopsihiatrijo Zdravstvenega doma Maribor, pediatri Odseka za neonatologijo Kliničnega oddelka za ginekologijo in perinatologijo Splošne bolnišnice Maribor, pediatri Odseka za intenzivno nego in terapijo otrok in mladostnikov in pediatri Odseka za nevrologijo in pedopsihiatrijo Kliničnega oddelka za pediatrijo Splošne bolnišnice Maribor. Rezultati. Med 20.791 otroci, rojenimi v letih od 1.1. 1989 do 1.1. 1998 v mariborski porodnišnici, jih ima 111 (0,53%) cerebralno paralizo (CP). 52 otrok s CP (46,8%) je bilo nedonošenih in med temi je 22 (42,3%) otrok s porodno težo manj kot 1500 g, 17 (31,7%) otrok s porodno težo od 1500-2000 g, 7 (13,5%) s porodno težo 2000-2500 g in 6 (11,5%) nedonošenih otrok s porodno težo več kot 2500g. Pogostnost CP v obravnavanem 10-letnem vzorcu otrok, rojenih v mariborski porodnišnici, je bila v povprečju 4,7 na 1000 živorojenih. (Izvleček prekinjen pri 2000 znakih).
Descriptors		CEREBRAL PALSY INFANT, NEWBORN PERINATAL CARE NEONATAL SCREENING RISK ASSESSMENT INCIDENCE