An Evaluation of Risk Factors for Cerebral Palsy in Children in Jos, Nigeria
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 21, Issue 4
Abstract
Aim: To evaluate the incidence of risk factors for cerebral palsy (CP) in children at Jos University Teaching Hospital, Jos, North-Central Nigeria. Study Design: This was a case control study. Place and Duration of Study: Pediatric neurology clinic, Jos University Teaching Hospital, Nigeria between January 2015 and October 2016. Methodology: We recruited consecutive children with CP attending the pediatric neurology clinic of Jos University Teaching Hospital as cases and children without CP attending the general pediatric out-patient clinic of the hospital as controls. We used structured questionnaires and hospital records to document all relevant information of the patients and their parents. We also conducted detailed physical examination for each patient and performed specialized examinations and investigations if necessary. Data obtained was analysed with Stata software version 14. Ethical approval for this study was obtained from the Health Research Ethical Committee of Jos University Teaching Hospital. Informed consent was obtained from the parent/guardian of each participant. Results: Majority of the study subjects were males (156, 55.8%) and aged 1-5 years (244, 87.2%). Risk factors that were significantly associated with cerebral palsy were home delivery, birth asphyxia, neonatal jaundice and central nervous system infections. Children with history of home delivery, birth asphyxia, neonatal jaundice and central nervous system infections were more likely than controls to develop CP: adjusted odds ratio (AOR)=3.26 (1.68-5.21), p<0.001; AOR=6.78 (3.52-13.37), p<0.001; AOR=1.87 (1.07-3.29), p=0.03 and AOR=2.69 (1.08-7.16), p=0.03 respectively. Conclusion: CP in the majority of children in our study was associated with potentially preventable risk factors. Improvement in basic healthcare especially maternal and newborn care will help reduce the incidence of CP.
Authors and Affiliations
Emeka U. Ejeliogu, Augustine O. Ebonyi, Collins John, Esther S. Yiltok, Bose O. Toma
Keywords
Related Articles
- EP ID EP311906
- DOI 10.9734/BJMMR/2017/33226
- Views 72
- Downloads 0
Congenital Clinodactyly of the Thumb
Aims: To present five patients with thumb clinodactyly and the results of surgical treatment in two patients who were followed till skeletal maturity. Case Presentation: Four patients (five thumbs) exhibited an ulnar int...
Suicide Attempt by Swallowing with 60 Formoterol Inhaler Capsules: A Case Report
Formoterol is a long-acting β2 agonist used in the management of asthma and chronic obstructive pulmonary disease (COPD). Oral ingestion of sympathomimetic aerosol preparations is unlikely to cause systemic toxicity as m...
Unintended Pregnancy among Married Antenatal Clinic Attendees in a Tertiary Institution in Nigeria
Aims: Unwanted and mistimed pregnancies commonly represent different life-choice considerations that affect married women of different ages. This study sought to explore the reasons for unintended pregnancies among marri...
Antioxidant Trace Metals among Roadside Petrol Dispensers in Gombe State, Nigeria
Background: The number of people found to be exposed to gasoline is of public health concern. In developed countries, unlike developing countries, measures are taken to dispense gasoline quickly and safely to reduce expo...
Serum Albumin and Selected Antioxidants Status in Children with Protein Energy Malnutrition in Sokoto, Nigeria
Aims: To assess the serum albumin and selected antioxidant status in 51 children with protein energy malnutrition (PEM) in Sokoto, Nigeria. Study Design: A cross-sectional study was performed comparing two groups of chil...