Healthcare use by children and young adults with cerebral palsy

Carter, Bethan, Bennett, C. Verity ORCID: https://orcid.org/0000-0002-9311-4124, Jones, Hywel ORCID: https://orcid.org/0000-0001-8308-2002, Bethel, Jackie, Perra, Oliver, Wang, Tring and Kemp, Alison ORCID: https://orcid.org/0000-0002-1359-7948 2021. Healthcare use by children and young adults with cerebral palsy. Developmental Medicine and Child Neurology 63 (1) , pp. 75-80. 10.1111/dmcn.14536

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Abstract

Aim To link routinely collected health data to a cerebral palsy (CP) register in order to enable analysis of healthcare use by severity of CP. Method The Northern Ireland Cerebral Palsy Register was linked to hospital data. Data for those on the CP register born between 1st January 1981 and 31st December 2009 and alive in 2004 were extracted, forming a CP cohort (n=1684; 57% males, 43% females; aged 0–24y). Frequencies of healthcare events, and the reasons for them, were reported according to CP severity and compared with those without CP who had had at least one hospital attendance in Northern Ireland within the study period. Results Cases of CP represented 0.3% of the Northern Ireland population aged 0 to 24 years but accounted for 1.6% of hospital admissions and 1.6% of outpatient appointments. They had higher rates of elective admissions and multi‐day hospital stays than the general population. Respiratory conditions were the most common reason for emergency admissions. Those with most severe CP were 10 times more likely to be admitted, and four times more likely to attend outpatients, than those with mild CP. Interpretation Linkage between a register and routinely collected healthcare data provided a confirmed cohort of cases of CP that was sufficiently detailed to analyse healthcare use by disease severity.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	Wiley
ISSN:	0012-1622
Date of First Compliant Deposit:	5 May 2020
Date of Acceptance:	11 March 2020
Last Modified:	12 Nov 2024 07:00
URI:	https://orca.cardiff.ac.uk/id/eprint/131456

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