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Comorbidities in cerebral palsy: a patient registry study
Sandra J Hollung1,2, Inger J Bakken3,4, Torstein Vik2
1Cerebral Palsy Registry of Norway, Vestfold Hospital Trust, Tønsberg, Norway.
Developmental Medicine and Child Neurology
|July 6, 2019
Summary
Individuals with cerebral palsy (CP) experience a high burden of comorbidities, with nearly all patients having at least one additional disorder. These medical, neurological, and mental health conditions are significantly more prevalent than in the general population.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- Cerebral palsy (CP) is a complex condition affecting motor function.
- Understanding the full spectrum of health issues in individuals with CP is crucial for comprehensive care.
- Previous studies have not fully elucidated the total disease burden in the CP population.
Purpose of the Study:
- To quantify the overall disease burden in individuals with cerebral palsy (CP) in Norway.
- To compare the prevalence of various disorders in individuals with CP against the general population.
Main Methods:
- Utilized the Norwegian Patient Registry with ICD-10 codes for individuals aged 0-21 years (born 1996-2010, healthcare 2008-2017).
- Identified individuals with CP through a validation study with the Cerebral Palsy Registry of Norway.
- Calculated risk differences to compare disorder prevalence between individuals with CP and the general population.
Main Results:
- The study analyzed 966,760 individuals, with 2302 (0.24%) diagnosed with CP.
- 95.0% of individuals with CP had at least one comorbidity.
- Individuals with CP showed significantly higher risks for medical, neurological, and mental/behavioural disorders compared to the general population.
Conclusions:
- Individuals with CP face a substantially higher burden of medical, neurological, and mental/behavioural disorders.
- These comorbidities include conditions not directly caused by or complications of the initial brain injury.
- Nearly all individuals with CP present with comorbidities, highlighting the need for integrated healthcare approaches.
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