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dc.contributor.authorGincota, Ecaterina
dc.contributor.authorAndersen, Guro Lillemoen
dc.contributor.authorVik, Torstein
dc.contributor.authorJahnsen, Reidun
dc.date.accessioned2019-04-23T13:33:49Z
dc.date.accessioned2019-04-24T12:07:09Z
dc.date.available2019-04-23T13:33:49Z
dc.date.available2019-04-24T12:07:09Z
dc.date.issued2018-10-19
dc.identifier.citationGincota, Andersen GL, Vik T, Jahnsen RB. Cerebral palsy in Moldova: subtypes, severity and associated impairments. BMC Pediatrics. 2018;18(1):1-9en
dc.identifier.issn1471-2431
dc.identifier.issn1471-2431
dc.identifier.urihttps://hdl.handle.net/10642/6975
dc.description.abstractBackground: Moldova is ranked as one of the countries in Europe with the lowest income per capita and with a relatively high infant and maternal mortality rate. Information on neurodisabilities in general is limited, and regarding cerebral palsy (CP) in particular, it is completely lacking. The aim of this study was therefore to make a crude estimate of the prevalence of CP and to describe subtypes and the severity of motor impairments and associated problems in this country. Methods: Children with CP born 2009–2010, attending the National Hospital Institute of Mother and Child, the reference hospital for ~75% of children in Moldova with neurological disabilities, were identified from medical records. Results: Among 207 children with CP (estimated prevalence 3.4 per 1000 live births), 185 (mean age 7.3 years; 36% girls) had detailed information. Thirty seven (20%) children had spastic unilateral, 113 (61%) spastic bilateral, 22 (12%) dyskinetic and 9 (5%) children had ataxic CP. The subtype was unclassified in four children. Among all children, 93 (51%) had epilepsy, 109 (59%) intellectual disability, 42 (23%) severe vision and 10 (5%) hearing impairments while 84 (45%) children had severe speech impairments. Fifty-two (28%) children were born prematurely, and 46 (25%) had Apgar scores below 7 at five minutes. Conclusion: Compared to other European studies, the distribution of CP subtypes was different in Moldova. Moreover, the estimated prevalence, the proportions with severe motor and associated impairments and of children born at term were higher in Moldova while the proportion with low Apgar did not differ. The findings may suggest different etiological pathways causing CP in Moldova than in other European countries. A national register is warranted for quality assurance and improvement.en
dc.description.sponsorshipThis study was supported by a student grant from the Ministry of Foreign Affairs of Norway and AHEAD-Moldova, Norway, within the PhD program at Oslo Metropolitan University, Faculty of Health Sciences, Oslo, Norway.en
dc.language.isoenen
dc.publisherBMCen
dc.relation.ispartofseriesBMC Pediatrics;18:332
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectCerebral palsyen
dc.subjectMoldovaen
dc.subjectEpidemiologyen
dc.subjectSubtypesen
dc.subjectSeveritiesen
dc.titleCerebral palsy in Moldova: subtypes, severity and associated impairmentsen
dc.typeJournal article
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2019-04-23T13:33:49Z
dc.description.versionpublishedVersionen
dc.identifier.doihttps://dx.doi.org/10.1186/s12887-018-1305-6
dc.identifier.cristin1622505
dc.source.journalBMC Pediatrics


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This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Except where otherwise noted, this item's license is described as This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.