Category: Pediatric Rehabilitation; Measurement; Cross-Cutting
Objective : Characterize the population of new patients with PC attended in the period from January-2012 to December-2014.
Design : Retrospective cohort study.
Setting : The AACD is one of the referral rehabilitation institution in CP of Brazil. We attend patients referred by other health services (primary care, hospitals and others) or even by spontaneous demand.
Participants (or Animals, Specimens, Cadavers) : A total of 743 electronic medical records of patients attended in outpatient clinics were evaluated by the physiatry medical team and 614 were considered eligible.
Interventions : Not applicable.
Main Outcome Measure(s) : Classification of patients diagnosed with CP: 33.9% spastic diparesis, 13.4% hemiparetic spastic, 12.2% spastic tetraparesis, 0.5% Spastic triparasia, 0.5% spastic monoparesis, 5.9% dyskinetic or ataxic, 5.7% more than one classification, 1% hypotonic.
Results : Sex: female = 47.4%, male = 52.6%. Age in years: 29.5% under 2; 34% from 2 to 4; 15.5% from 4 to 6; 16.3% from 6 to 12; 4.6% 12 to 18; 0.2% ≥ 18 years. Natural and provenance: 55.4% and 62.7%, respectively, of the city of São Paulo (SP). At birth 50.7% were preterm and 45% term. Weight: 9.1% classified as extreme low weight, 16.8% very low weight, 21.8% low weight, 43.6% adequate weight, 2.3% macrosomic. Predominant type of delivery: cesarean section (56.5%). In 55.5% of the families did not receive any social disease aid. For 97.7% of the patients was the first time in consultation with a Physiatrist.
Conclusions : Most pregnant women were submitted to the appropriate number of prenatal consultations. Cesarean delivery predominated. Preterm births were slightly higher compared to term. The calssification of PC that predominated was the spastic diparetic, with GMFCS in the ranges from 1 to 5 equivalent. More than half of families didn’t have access to social benefits.
Carla Cristine Bezerra– POST GRADUATING MEDICINE DOCTOR, UNIFESP, Sao Paulo, Sao Paulo
Anny Binha– MD, STUDY CENTER COORDINATOR OF AACD - IBIRAPUERA, SP, AACD, Sao Paulo, Sao Paulo
Simone Carazzato– MD, COORDINATOR OF CP CLINICS AT AACD - IBIRAPUERA, SP, AACD, sao Paulo, Sao Paulo