Faculty of Medical Sciences, Anton de Kom Universiteit van Suriname, Paramaribo, Suriname.
CSF Global, Dhaka, Bangladesh.
Dev Med Child Neurol. 2024 Nov;66(11):1485-1495. doi: 10.1111/dmcn.15897. Epub 2024 Mar 25.
To describe the aetiological risk factors, clinical characteristics, access to rehabilitation, and educational status of children with cerebral palsy (CP) in Suriname.
Hospital-based surveillance of children with CP aged younger than 18 years was conducted at the Academic Hospital Paramaribo, Suriname (known as the Suriname CP Register [SUR-CPR]). Data were collected on sociodemographic characteristics, aetiological risk factors, clinical characteristics, rehabilitation, and educational status. Registry data on aetiological risk factors were compared with available national prevalence rates in Suriname. Descriptive statistics were reported.
Between August 2018 and March 2020, 82 children with CP (mean [SD] age 5 years 10 months [3 years 10 months]) attending the Academic Hospital Paramaribo were registered in the SUR-CPR. The mean (SD) age at diagnosis was 5 years 5 months (4 years 1 month). Spastic CP was predominant in 90.8% of children and 58.8% were classified in Gross Motor Function Classification System levels III to V. Overall, 43.9% had preterm birth compared with 13.9% reported nationally (p < 0.001) and 61.6% had birth-related complications compared with 15% reported nationally (p < 0.001). Additionally, 39.1% had birth asphyxia and 23.2% had early feeding difficulties. Sixty-two percent were admitted to the neonatal intensive care unit, 54.0% of whom required ventilation. Most children (82.5%) had CP acquired pre- or perinatally and 17.5% had CP acquired postneonatally. Seventeen percent had never received any rehabilitation services, and 31.9% of the school-aged children were not enrolled in any education system.
The high burden of known aetiological risk factors, delayed diagnosis, and severe functional impairment among children with CP registered at the Academic Hospital Paramaribo is concerning. Public health interventions targeting early diagnosis and early intervention could improve the functional outcome of children with CP in Suriname.
Almost half of the children with cerebral palsy (CP) had preterm birth, low birthweight, and signs of birth asphyxia. Most of the children were diagnosed after 5 years of age. Overall, 52.5% of children had severe forms of CP of whom only 36.6% received any assistive devices.
描述苏里南脑瘫（CP）患儿的病因风险因素、临床特征、康复途径和教育状况。
在苏里南帕拉马里博学术医院（称为苏里南 CP 登记处[SUR-CPR]）对年龄小于 18 岁的 CP 患儿进行了基于医院的监测。收集了社会人口学特征、病因风险因素、临床特征、康复和教育状况的数据。对登记处病因风险因素的数据进行了与苏里南现有全国流行率的比较。报告了描述性统计数据。
2018 年 8 月至 2020 年 3 月期间，82 名在帕拉马里博学术医院就诊的 CP 患儿（平均[标准差]年龄 5 岁 10 个月[3 岁 10 个月]）在 SUR-CPR 中登记。平均（标准差）诊断年龄为 5 岁 5 个月（4 岁 1 个月）。痉挛型 CP 在患儿中占 90.8%，58.8%的患儿被归类为粗大运动功能分级系统（GMFCS）的 III 至 V 级。总体而言，43.9%的患儿有早产，而全国报告的早产率为 13.9%（p<0.001），61.6%的患儿有分娩相关并发症，而全国报告的这一比例为 15%（p<0.001）。此外，39.1%的患儿有出生窒息，23.2%的患儿有早期喂养困难。62%的患儿入住新生儿重症监护病房，其中 54.0%需要通气。大多数患儿（82.5%）的 CP 是在产前或围产期获得的，17.5%的患儿是在新生儿期后获得的。17%的患儿从未接受过任何康复服务，31.9%的学龄儿童未入任何教育系统。
学术医院 Paramaribo 登记的 CP 患儿存在大量已知病因风险因素、诊断延迟和严重功能障碍，令人担忧。针对早期诊断和早期干预的公共卫生干预措施可以改善苏里南 CP 患儿的功能结局。
几乎一半的脑瘫（CP）患儿有早产、低出生体重和出生窒息的迹象。大多数患儿在 5 岁后才被诊断。总体而言，52.5%的患儿为严重 CP 类型，其中只有 36.6%的患儿接受过任何辅助设备治疗。
