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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Trends, perinatal characteristics, and medical conditions in pervasive developmental disorders
Pascale Guillem1, Christine Cans, Vincent Guinchat
1Register for Disabled Children and the Isère County Perinatal Survey, France. pascale.guillem@imag.fr
Insights
The prevalence of pervasive developmental disorders (PDD) significantly increased from 1980-1993. PDD showed associations with morphogenetic anomalies and higher neonatal hospitalization rates, warranting further investigation.
Area of Science:
- Developmental Pediatrics
- Epidemiology
- Child Neurology
Background:
- Pervasive developmental disorders (PDD) represent a spectrum of neurodevelopmental conditions.
- Understanding trends and risk factors for PDD is crucial for early intervention and public health planning.
Purpose of the Study:
- To investigate trends in PDD prevalence.
- To examine associations between PDD and morphogenetic anomalies.
- To assess the relationship between PDD and perinatal factors, including neonatal hospitalization.
Main Methods:
- Analysis of data from a French childhood disability register (1980-1993).
- Inclusion of 454 children diagnosed with PDD at age 7, residing in Isère county.
- Statistical analysis to determine prevalence, trends, and associations with risk factors.
Main Results:
- Overall PDD prevalence was 22.2 per 10,000 children.
- A significant increase in PDD prevalence was observed, rising from 14.7 to 30.8 per 10,000 during the study period.
- Morphogenetic anomalies were present in 12.1% of children with PDD.
- Neonatal hospitalization occurred in 22% of children with PDD, significantly higher than the general population.
Conclusions:
- PDD prevalence has significantly increased.
- Perinatal factors, including neonatal hospitalization, are associated with PDD.
- Further research is needed to understand the underlying mechanisms and causes of PDD increases and associated factors.
Abstract:
Our aim was to study trends in the prevalence of pervasive developmental disorders (PDD) and to quantify their association with morphogenetic anomalies and with perinatal characteristics such as gestational age, birthweight, and hospitalization in a neonatal care unit. Data from a French morbidity register of childhood disabilities with the use of consistent definitions over time within the same geographical area were analyzed. The data of a total of 454 children (312 males, 142 females) with PDD, born between 1980 and 1993 and residing in Isère county, were recorded at the age of 7 years. The overall prevalence of PDD was 22.2 out of every 10000. There was a significant increase, from 14.7 to 30.8 out of every 10 000, during the period of study. Among these children with PDD, morphogenetic anomalies were observed in 12.1% (95% confidence interval [CI] 9.3-15.5), and the hospitalization rate during the neonatal period was 22% (95% CI 17.0-27.5), which is significantly higher than the observed rates in the general population. The increase in the prevalence of PDD, the association with perinatal risk factors, and the high rate of neonatal hospitalization require further studies to investigate the reasons for and mechanisms of these developmental disorders.
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