Early intervention and follow-up programs among children with cerebral palsy in Moldova: potential impact on impairments?
dc.contributor.author | Bufteac, Ecaterina Gincota | |
dc.contributor.author | Andersen, Guro Lillemoen | |
dc.contributor.author | Spinei, Larisa | |
dc.contributor.author | Jahnsen, Reidun Birgitta | |
dc.date.accessioned | 2020-02-14T14:05:32Z | |
dc.date.accessioned | 2020-02-17T12:14:01Z | |
dc.date.available | 2020-02-14T14:05:32Z | |
dc.date.available | 2020-02-17T12:14:01Z | |
dc.date.issued | 2020-01-16 | |
dc.identifier.citation | Bufteac, E.G., Andersen, G.L., Spinei, L., JahnsenR.B. Early intervention and follow-up programs among children with cerebral palsy in Moldova: potential impact on impairments?. BMC Pediatrics. 2020;20 | en |
dc.identifier.issn | 1471-2431 | |
dc.identifier.issn | 1471-2431 | |
dc.identifier.uri | https://hdl.handle.net/10642/8123 | |
dc.description.abstract | AIM: To study whether early intervention services (EI) and a follow-up program (FU) influence outcomes of children with cerebral palsy (CP) in Moldova. METHODS: Records from 351 children with CP in Moldova born during 2009 and 2010 were retrieved from hospital and orphanage archives between 1 July 2016 and 30 September 2017. We investigated the proportion enrolled in EI and FU at the Early Intervention Centre Voinicel and at the Institute of Mother and Child in 2009-2012. Logistic regression analyses were applied to calculate crude and adjusted odds ratios (OR) with 95% confidence intervals (CI) for outcomes in children enrolled and not enrolled. RESULTS: Among all children with CP, 166 (47%) were enrolled in EI and FU. Of the 51 children born extremely preterm (gestational age <= 31 weeks), 46 (90%) were enrolled, compared to 97 (39%) of the 250 children born at term. Among 110 non-walking children with CP, 82 (74%) were enrolled into EI and FU, compared to 84 (35%) of 241 able to walk. There was no difference in outcomes of cognition, communication, vision and hearing impairments between those enrolled or not enrolled in EI and FU. However, the subgroup analyses showed that the risk of contractures was 11 times higher among non-walking children who were not enrolled in EI and FU programs (OR = 10.931, 95% CI 2.328-51.328, p = 0.002). CONCLUSION: In Moldova, EI and FU seem to be offered mostly to extremely preterm and non-walking children with CP. The results indicate a decreased risk for contractures in these children. | en |
dc.description.sponsorship | This study was supported by a student grant from the Ministry of Foreign Affairs of Norway and the NGO, AHEAD-Moldova, Norway, within the PhD program at Oslo Metropolitan University, Faculty of Health Sciences, Oslo, Norway. | en |
dc.language.iso | en | en |
dc.publisher | BMC (part of Springer Nature) | en |
dc.relation.ispartofseries | BMC Pediatrics;20, Article number: 29 (2020) | |
dc.rights | © The Author(s). 2020 Open Access 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. | en |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Cerebral palsy | en |
dc.subject | Moldova | en |
dc.subject | Subtypes | en |
dc.subject | Severities | en |
dc.subject | Associated impairments | en |
dc.subject | Contractures | en |
dc.title | Early intervention and follow-up programs among children with cerebral palsy in Moldova: potential impact on impairments? | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2020-02-14T14:05:32Z | |
dc.description.version | publishedVersion | en |
dc.identifier.doi | https://dx.doi.org/10.1186/s12887-020-1931-7 | |
dc.identifier.cristin | 1786686 | |
dc.source.journal | BMC Pediatrics |
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HV - Institutt for sykepleie og helsefremmende arbeid [1386]
HV - Department of Nursing and Health Promotion
Med mindre annet er angitt, så er denne innførselen lisensiert som © The Author(s). 2020 Open Access 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.