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Rehabilitation status of children with cerebral palsy in Bangladesh: Findings from the Bangladesh Cerebral Palsy Register.
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- Author(s): Al Imam MH;Al Imam MH;Al Imam MH;Al Imam MH; Jahan I; Jahan I; Jahan I; Jahan I; Das MC; Das MC; Das MC; Muhit M; Muhit M; Muhit M; Smithers-Sheedy H; Smithers-Sheedy H; McIntyre S; McIntyre S; Badawi N; Badawi N; Badawi N; Khandaker G; Khandaker G; Khandaker G; Khandaker G; Khandaker G
- Source:
PloS one [PLoS One] 2021 May 03; Vol. 16 (5), pp. e0250640. Date of Electronic Publication: 2021 May 03 (Print Publication: 2021).- Publication Type:
Journal Article; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
- Publication Information: Original Publication: San Francisco, CA : Public Library of Science
- Subject Terms: Registries*; Cerebral Palsy/*rehabilitation; Adolescent ; Bangladesh ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Male
- Abstract: Objective: The objective of this study was to assess the rehabilitation status and factors associated with rehabilitation service utilisation among children with cerebral palsy (CP) in Bangladesh.
Materials and Methods: This is a population-based surveillance study conducted among children with CP registered in the Bangladesh CP Register (BCPR), the first population-based register of children with CP aged <18 years (y) in Bangladesh. Children with CP were identified from the community using the key informant method and underwent a detailed neurodevelopmental assessment. Socio-demographic, clinical and rehabilitation status were documented. Unadjusted and adjusted analyses with a 95% confidence interval (CI) were used to identify potential predictors of rehabilitation service uptake.
Results: Between January 2015 and December 2019, 2852 children with CP were registered in the BCPR (mean (standard deviation, SD) age: 7 y 8 months (mo) (4 y 7 mo), 38.5% female). Of these, 50.2% had received rehabilitation services; physiotherapy was the most common type of service (90.0%). The mean (SD) age at commencement of rehabilitation services was 3 y 10 mo (3 y 1 mo). The odds of not receiving rehabilitation was significantly higher among female children (adjusted odds ratio (aOR) 1.3 [95% CI: 1.0-1.7], children whose mothers were illiterate and primary level completed (aOR 2.1 [95% CI: 1.4-3.1] and aOR 1.5 [95% CI: 1.1-2.1], respectively), fathers were illiterate (aOR 1.9 [95% CI: 1.3-2.8]), had a monthly family income ~US$ 59-118 (aOR: 1.8 [95% CI: 1.2-2.6]), had hearing impairment (aOR: 2.3 [95% CI: 1.5-3.5]) and motor severity (i.e. Gross Motor Function Classification System level III (aOR: 0.6 [95% CI: 0.3-0.9]) and level V (aOR: 0.4 [95% CI: 0.2-0.7])).
Conclusions: Rehabilitation status was poor among the majority of the children with CP in the BCPR cohort, limiting their opportunities for functional improvement. A community-based rehabilitation model focusing on socio-demographic and clinical characteristics should be a public health priority in Bangladesh.
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BMC Pediatr. 2013 Jul 11;13:106. (PMID: 23845161) - Publication Date: Date Created: 20210503 Date Completed: 20211014 Latest Revision: 20211014
- Publication Date: 20240104
- Accession Number: PMC8092763
- Accession Number: 10.1371/journal.pone.0250640
- Accession Number: 33939721
- Source:
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