Skip to main content Accessibility help
×
Home

The Prevalence of Cerebral Palsy in British Columbia, 1991-1995

  • Les Smith (a1), Karen D. Kelly (a2), Glenda Prkachin (a3) and Donald C. Voaklander (a4)

Abstract

Objective:

To quantify the prevalence of cerebral palsy (CP) in British Columbia within a four-year birth cohort.

Methods:

The study was a population-based record linkage study of a birth cohort of British Columbian children born between April 1, 1991 and March 31, 1995. Cases were identified by the presence of International Classification of Diseases, Version 9 (ICD-9) diagnostic code “343” recorded at three years of age or older or by having the ICD-9 diagnostic code “343” recorded prior to the third birthday with two confirmatory diagnoses within the first three years of life through a record search of the BC Medical Services Plan billing files for the fiscal years 1991 to 1995.

Results/Conclusion:

This research has provided an estimate of the prevalence of CP in the four-year birth cohort 1991 to 1995 in British Columbia. An aggregate prevalence rate of CP was measured as 2.68 per 1000 live births, and a congenital rate was measured at 2.57 for the same population. Birth weight and gestational age demonstrated a significant relationship with the development of CP. This study should lend credence to the establishment of a CP register in British Columbia.

<span class='bold'>RÉSUMÉ:</span> <span class='bold'> <span class='italic'>Objectif:</span> </span>

Le but de cette étude était d’évaluer la prévalence de la paralysie cérébrale (PC) en Colombie Britannique dans une cohorte de naissance de 4 ans.

<span class='bold'> <span class='italic'>Méthodes:</span> </span>

Il s’agit d’une étude de population effectuée au moyen d’une recherche de la banque de données de facturation du BC Medical Services Plan d’une cohorte de naissance d’enfants nés en Colombie-Britannique entre le 1er avril 1991 et le 31 mars 1995. Les cas étaient identifiés par la présence du code diagnostique ICD-9 « 343 » inscrit lorsque l’enfant avait trois ans ou plus ou, s’il était plus jeune, lorsque le code « 343 » était accompagné de deux diagnostics confirmant la PC dans les trois premières années de vie.

<span class='bold'> <span class='italic'>Résultats / Conclusion:</span> </span>

Le taux de prévalence global de la PC a été évalué à 2,68 par 1 000 naissances vivantes et le taux congénital à 2,57 dans la mème population. Il existait une relation significative entre la présence de la PC et le poids à la naissance et l’àge gestationnel. Cette étude ajoute foi à l'établissement d'un registre de la PC en Colombie-Britannique.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      The Prevalence of Cerebral Palsy in British Columbia, 1991-1995
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      The Prevalence of Cerebral Palsy in British Columbia, 1991-1995
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      The Prevalence of Cerebral Palsy in British Columbia, 1991-1995
      Available formats
      ×

Copyright

References

Hide All
1. Surveillance of Cerebral Palsy in Europe. Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Dev Med Child Neurol. 2000;42:81624.
2. Rosenbaum, P, Paneth, N, Leviton, A, Goldstein, M, Bax, M, Damiano, D, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol. 2007;47 Suppl 109: 814.
3. Uldall, P, Michelsen, SI, Topp, M, Madsen, M. The Danish cerebral palsy registry. Dan Med Bull. 2001;48:1613.
4. Robertson, CMT, Svenson, LW, Joffres, MR. Prevalence of cerebral palsy in Alberta. Can J Neurol Sci. 1998;25:11722.
5. International Classification of Diseases. Manual of the international statistical classification of diseases, injuries and causes of death, 9th Revision; 1977.
6. Walstab, JE, Bell, RJ, Reddihough, DS, Brennecke, SP, Bessell, CK, Beischer, NA. Factors identified during the neonatal period associated with risk of cerebral palsy. Aust N Z J Obstet Gynaecol. 2004;44:3426.
7. British Columbia Vital Statistics Agency. Government of British Columbia Information Bulletin. 2002; Issue 042: Available from: http://os8150.pb.gov.bc.ca/4dcgi/nritem?5535
8. Kahn, HA, Sempos, CT. Statistical methods in epidemiology. Toronto: Oxford University Press; 1989.
9. SPSS, Inc. SPSS 12.0. Chicago: SPSS; 2003.
10. Mutch, L, Alberman, E, Hagberg, B, Kodama, K, Velickovic Perat, M. Cerebral palsy epidemiology: Where are we now and where are we going? Dev Med Child Neurol. 1992;34:54755.
11. Murphy, CC, Yeargin-Allsopp, M, Decoufle, P, Drews, CD. Prevalence of cerebral palsy among ten-year-old children in metropolitan Atlanta, 1985 through 1987. J Pediatr. 1993;123:S1320.
12. Hagberg, B, Hagberg, G, Olow, I. The changing panorama of cerebral palsy in Sweden. VI. Prevalence and origin during the birth year period 1983-1986. Acta Paediatr. 1993;82:38793.
13. Hagberg, B, Hagberg, G, Olow, I, Wendt, L. The changing panorama of cerebral palsy in Sweden. VII. Prevalence and origin in the birth year period 1987-90. Acta Paediatr. 1996;85:95460.
14. Colver, AF, Gibson, M, Hey, EN, Jarvis, SN, Mackie, PC, Richmond, S. Increasing rates of cerebral palsy across the severity spectrum in north-east England 1964-1993. Arch Dis Child Fetal Neonatal Ed. 2000;83:F712.
15. Hagberg, B, Hagberg, G, Beckung, E, Uvebrant, P. Changing panorama of cerebral palsy in Sweden. VIII. Prevalence and origin in the birth year period 1991-94. Acta Paediatr. 2001;90:2717.
16. Stanley, F, Blair, E, Alberman, E. Cerebral palsies: epidemiology & causal pathways. Clinics in developmental medicine No. 151. London: Mac Keith Press; 2000.
17. Krageloh-Mann, I, Hagberg, G, Meisner, C, Haas, G, Eeg-Olofsson, KE, Selbmann, HK, et al. Bilateral spastic cerebral palsy - a comparative study between south-west Germany and western Sweden. II: epidemiology. Dev Med Child Neurol. 1994;36: 47383.
18. MacGillivray, I, Campbell, DM. The changing pattern of cerebral palsy in Avon. Paediatr Perinat Epidemiol. 1995;9:14655.
19. Meberg, A, Broch, H. A changing pattern of cerebral palsy. Declining trend for incidence of cerebral palsy in the 20-year period 1970-89. J Perinat Med. 1995;23:395402.
20. Pharoah, POD, Cooke, T, Johnson, MA, King, R, Mutch, L. Epidemiology of cerebral palsy in England and Scotland, 1984-89. Arch Dis Child Fetal Neonatal Ed. 1998;79:F215.
21. Parkes, J, Dolk, H, Hill, N, Pattenden, S. Cerebral palsy in Northern Ireland: 1981-93. Paediatr Perinat Epidemiol. 2001;15:27886.
22. Topp, M, Uldall, P, Greisen, G. Cerebral palsy in eastern Denmark, 1987-90: implications for neonatal care. Paediatr Perinat Epidemiol. 2001;15:2717.
23. Platt, MJ, Cans, C, Johnson, A, Surman, G, Topp, M, Torrioli, MG, et al. Trends in cerebral palsy among infants of very low birth weight (<1500 g) or born prematurely (<32 weeks) in 16 European centres: a database study. Lancet. 2007;369:4350.
24. Stanley, FJ, Croft, ML, Gibbins, J, Read, AW. A population database for maternal and child health research in Western Australia using record linkage. Paediatr Perinat Epidemiol. 1994;8:43347.
25. Hu, W. Diagnostic codes in MSP claim data: Summary report. Program monitoring and information management branch, resource management division, Medical Services Plan; 1996.
26. Cans, C, Surman, G, McManus, V, Coghlan, D, Hensey, O, Johnson, A. Cerebral palsy registries. Semin Pediatr Neurol. 2004;11:1823.
27. Liptak, GS, Accardo, PJ. Health and social outcomes of children with cerebral palsy. J Pediatr. 2004;145:S3641.
28. Majnemer, A, Mazer, B. New directions in the outcome evaluation of children with cerebral palsy. Semin Pediatr Neurol. 2004;11: 1117.

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed