Características epidemiológicas y clínicas de la parálisis cerebral, en el servicio de Hospitalización de Pediatría del Hospital Vicente Corral Moscoso. Enero 2014-Junio 2015

Abstract

Objective: to determinate the epidemiological and clinical characteristics of children with cerebral palsy who enter at Vicente Corral Moscoso Hospital pediatric’s service. Cuenca January 2014 to June 2015. Methodology: descriptive study of patients diagnosed with cerebral palsy who were admitted to the pediatric service of the Vicente Corral Moscoso Hospital´s of Cuenca. All children under 16 were included. Information taken from the patient's history, filling a questionnaire, based on the Latin American Center for Perinatology / Women's Health and Reproductive (CLAP) questionnaire. The information was processed in SPSS V15 and was obtained: frequency, percentage, mean and standard deviation. Results: it was found that 72 patients admitted 37 children (51.4%), the average age at enrollment was 6.2±4 years; middle-aged mother during pregnancy was 25.3±7.66 years; townhouse 61.1%; lower middle socioeconomic status 42.1%; 75% highly functional families. According to prenatal history: 83.3% prenatal controls; urinary infection in 36.1%; premature labor 22.2%; bleeding during pregnancy 15.3%; preeclampsia 12.5%. Native characteristics: 62.5% vaginal delivery; proper weight in 47.2%; Apgar above 7 in 34.7%; 38.9% received resuscitation; entered in neonatology at 54.2%. Postnatal characteristics: neuroinfection 6.9%; kernicterus 4.2%; traumatic brain injury 1.4%. Type of spastic cerebral palsy 84.7%. Comorbidities: epilepsy 80.6%; cognitive deficits 75%; malnutrition 62.5%; strabismus 31.9%. Cause of admission: 43.05% respiratory infections; seizures 23.61%; hip dysplasia 20.8%. Age means of diagnosis was 12.39±10.75 months. Hospitalizations during the study for 1 occasion in 76.9%