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Risk of hospital-treated injury in children with cerebral palsy: a population-based cohort study

Laura Määttänen1,2,3, Liisi Ripatti4, Päivi Rautava1,3

  • 1Department of Public Health, University of Turku, Turku, Finland.

Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention
|June 23, 2019
PubMed

Insights

Children with cerebral palsy (CP) face a higher risk of hospital-treated injuries. Girls with CP and those with comorbidities are particularly vulnerable, especially to traumatic brain injuries.

Area of Science:

  • Pediatrics
  • Neurology
  • Public Health

Background:

  • Cerebral palsy (CP) is a group of disorders affecting movement and posture, impacting children's development and potentially increasing their vulnerability.
  • Understanding injury risks in children with CP is crucial for targeted prevention and healthcare strategies.

Purpose of the Study:

  • To investigate if cerebral palsy (CP) elevates the risk of hospital-treated injuries in children up to 13 years of age.
  • To analyze the influence of CP type, gender, comorbidities, and injury type on injury risk.

Main Methods:

  • A population-based cohort study in Finland, including 328,903 children born between 2001 and 2006.
  • Nation-wide register data was used to track hospital-treated injuries until the end of 2014.
  • Injury rates were compared between children with and without CP, with adjustments for various factors.

Main Results:

  • Children with CP showed an increased risk of hospital-treated injuries (HR: 1.2).
  • Girls with CP had a significantly higher injury risk (HR: 1.4, p=0.01).
  • Comorbidities amplified injury risk (HR: 1.5, p=0.015), and children with CP were more prone to traumatic brain injuries (HR: 1.7, p=0.002).

Conclusions:

  • Girls with cerebral palsy (CP) exhibit the highest risk for hospital-treated injuries.
  • Children with CP are disproportionately affected by traumatic brain injuries, highlighting a critical area for intervention.
Abstract

Keywords:
childcohort studydisabilityinjury diagnosis

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