Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2019.60.414
Visual impairment in children with cerebral palsy: Croatian population-based study for birth years 2003-2008
Neda Striber
; Children’s Hospital Zagreb, Zagreb s Hospital Zagreb, Zagreb,Croatia
Katarina Vulin
; Children’s Hospital Zagreb, Zagreb s Hospital Zagreb, Zagreb, Croatia
Ivana Đaković
; Children’s Hospital Zagreb, Zagreb s Hospital Zagreb, Zagreb, Croatia
Iva Prvčić
; Children’s Hospital Zagreb, Zagreb s Hospital Zagreb, Zagreb, Croatia
Vlasta Đuranović
; Children’s Hospital Zagreb, Zagreb s Hospital Zagreb, Zagreb, Croatia
Branimir Cerovski
; University Hospital Center Zagreb, Zagreb, Croatia
Sanja Pejić Roško
; Children’s Hospital Zagreb, Zagreb s Hospital Zagreb, Zagreb, Croatia
Dunja Čokolić Petrović
; University Hospital Center Osijek, Osijek, Croatia
Sunčica Martinec
; Special Hospital for Medical Rehabilitation Krapinske Toplice,Krapinske Toplice, Croatia
Barbara Dawidowsky
; Children’s Hospital Zagreb, Zagreb s Hospital Zagreb, Zagreb, Croatia
Vlatka Mejaški Bošnjak
; Children’s Hospital Zagreb, Zagreb s Hospital Zagreb, Zagreb, Croatia
Sažetak
Aim To evaluate visual impairment (VI) in children with cerebral
palsy (CP).
Methods This population-based study included 419 children
from the Surveillance of Cerebral Palsy in Europe
(SCPE) C28 RCP-HR – Register of Cerebral Palsy of Croatia
born 2003-2008. Vision in children with CP (according to
SCPE) was classified as normal or impaired, with the subcategory
of severe VI. The proportion of children with VI
was assessed in groups with different CP type/subtype,
gross and fine motor function, and gestational age (GA).
Results A total of 266 children had some degree of VI
(266/400; 66.5%), 134 had normal vision, and data on VI
were unknown for 19 children. Severe VI was present in
44 children (44/400; 11%). The proportion of children with
VI and severe VI increased with the Gross Motor Function
Classification System and Bimanual Fine Motor Function
levels. Children with bilateral spastic CP had the highest
frequency of severe VI (14.9%). The percentage of severe VI
in children with bilateral spastic CP was 53.8% in the group
born <28 weeks of GA, 13.3% in the group born 28-31
weeks of GA, 11.1% in the group born 32-36 weeks of GA,
and 24.4% in the group born >36 weeks of GA (λ2 = 4.95;
df = 6; P < 0.001).Conclusion Children with CP have a high prevalence of
VI and severe VI, which is increasing with the level of motor
impairment. Severe VI is significantly more common
in children with bilateral spastic CP, especially among extremely
premature infants.
Ključne riječi
Hrčak ID:
240105
URI
Datum izdavanja:
15.10.2019.
Posjeta: 643 *