Paediatric cerebral palsy in South Africa: Prevention and care gaps at hospital level

African Journal of Disability, Journal Year: 2024, Volume and Issue: 13

Published: Oct. 30, 2024

Background: Population-based data show high proportions of severe cases cerebral palsy (CP) in resource-poor regions such as sub-Saharan Africa, where most children have potentially preventable risk factors (factors that may increase the likelihood CP occurrence but can be mitigated through medical interventions).Objectives: This study aimed to describe demographic and clinical profile living with accessing services at Tygerberg Hospital over a period 10 years (2010–2020), identify potential gaps care (proportion individuals country requiring not receiving suboptimal or inadequate care), comparison similar same centre two decades ago.Method: 10-year retrospective investigated causes morbidities CP, attending central hospital Western Cape, South Africa.Results: A total 613 were identified. Perinatal predominant, especially 57.7% (n = 354) cohort: perinatal asphyxia (41.1%) preterm birth (16.6%). Postnatal constituted 15.2% 93), which included tuberculous meningitis (3.6%) bacterial (3.6%). The common complications intellectual impairment (61.8%; n 379); epilepsy (30.8%; 189) visual (54.7%; 234). third cohort had classified Gross Motor Function Classification System IV V (38%).Conclusion: Most previously documented main drivers are still present implementation healthcare prevention strategies remains inadequate.Contribution: provides longitudinal evidence confirm African setting is associated burden causes.

Language: Английский

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DMCN 2024 highlights: Quality research, epidemiology, and parental perspective

Developmental Medicine & Child Neurology, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 17, 2024

Language: Английский

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