Causes, functional outcomes and healthcare utilisation of people with cerebral palsy in Singapore.
10.47102/annals-acadmedsg.2020489
- Author:
Zhi Min NG
1
;
Jeremy B LIN
;
Poh Choo KHOO
;
Victor Samuel RAJADURAI
;
Derrick W S CHAN
;
Hian Tat ONG
;
Janice WONG
;
Chew Thye CHOONG
;
Kim Whee LIM
;
Kevin B L LIM
;
Tong Hong YEO
Author Information
1. Department of Paediatrics, KK Women's and Children's Hospital, Singapore.
- Publication Type:Journal Article
- From:Annals of the Academy of Medicine, Singapore
2021;50(2):111-118
- CountrySingapore
- Language:English
-
Abstract:
INTRODUCTION:A voluntary cerebral palsy (CP) registry was established in 2017 to describe the clinical characteristics and functional outcomes of CP in Singapore.
METHODS:People with CP born after 1994 were recruited through KK Women's and Children's Hospital, National University Hospital and Cerebral Palsy Alliance Singapore. Patient-reported basic demographics, service utilisation and quality of life measures were collected with standardised questionnaires. Clinical information was obtained through hospital medical records.
RESULTS:Between 1 September 2017 and 31 March 2020, 151 participants were recruited. A majority (n=135, 89%) acquired CP in the pre/perinatal period, where prematurity (n=102, 76%) and the need for emergency caesarean section (n=68, 50%) were leading risk factors. Sixteen (11%) of the total participants had post-neonatally acquired CP. For predominant CP motor types, 109 (72%) had a spastic motor type; 32% with spastic mono/hemiplegia, 41% diplegia, 6% triplegia and 21% quadriplegia. The remaining (42, 27.8%) had dyskinetic CP. Sixty-eight (45.0%) participants suffered significant functional impairment (Gross Motor Functional Classification System levels IV-V). Most participants (n=102, 67.5%) required frequent medical follow-up (≥4 times a year).
CONCLUSION:Optimisation of pre- and perinatal care to prevent and manage prematurity could reduce the burden of CP and their overall healthcare utilisation.
