Child Development Clinic, Department of Pediatrics, Maulana Azad Medical College and associated Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi 110002, India.
Indian J Pediatr. 2012 May;79(5):602-5. doi: 10.1007/s12098-011-0525-7. Epub 2011 Jul 20.
To delineate the demographic and clinical profile of children referred to a Child Development Clinic (CDC) of a tertiary care public hospital in India.
A retrospective review of medical records of all the cases referred to CDC in the year 2009 was conducted.
Out of the 792 children referred to CDC, complete medical records were available in 641 cases, which comprised the study population. 66% were males and mean age at referral was 54.06 ± 44.4 months. 68.64% children had global developmental delay or mental retardation, majority (51.1%) of them having severe or profound retardation. 168 (26.2%) patients had various forms of cerebral palsy, with 39.3% being quadriplegics and 121 (18.9%) patients had pervasive developmental disorders. Only, 1.2% of cases had isolated motor delay and 2.9% had developmental language disorder.
This study shows that in developing countries the proportion of children referred to CDC with severe disabling conditions is high and a significant proportion of these children have pervasive developmental disorders. This study provides baseline data for further planning of services for these children in the authors' region.
描绘在印度一家三级公立医院的儿童发育诊所（CDC）就诊的儿童的人口统计学和临床特征。
对 2009 年转诊至 CDC 的所有病例的病历进行回顾性审查。
在转诊至 CDC 的 792 名儿童中，有 641 名儿童的完整病历可用，这些儿童构成了研究人群。66%为男性，转诊时的平均年龄为 54.06±44.4 个月。68.64%的儿童有全面发育迟缓或智力低下，其中大多数（51.1%）为严重或极重度智力低下。168 名（26.2%）患儿有各种形式的脑瘫，其中 39.3%为四肢瘫，121 名（18.9%）患儿有多发性发育障碍。仅有 1.2%的病例存在单纯运动迟缓，2.9%存在发育性语言障碍。
本研究表明，在发展中国家，转诊至 CDC 的儿童中患有严重致残疾病的比例较高，其中相当一部分儿童有多发性发育障碍。本研究为作者所在地区进一步规划这些儿童的服务提供了基线数据。
Zotero 插件