%0 Journal Article %1 Meberg2001 %A Meberg, A. %A Broch, H. %A Irgens, L. M. %D 2001 %J Tidsskr Nor Laegeforen %K Cerebral Palsy; Child, Preschool; Female; Follow-Up Studies; Humans; Infant; Infant Mortality; Infant, Low Birth Weight; Newborn; Intensive Care, Neonatal; Male; Norway; Perinatal Care; Prevalence; Prospective Quality Indicators, Health Retrospective Studies %N 25 %P 2917--2922 %T Cerebral palsy as indicator of quality of neonatal care %V 121 %X BACKGROUND: An investigation of the prevalence of cerebral palsy in relation to neonatal intensive care. MATERIAL AND METHODS: Population based study in live-born children with birthweight > or = 500 g in the Norwegian county of Vestfold over the 25-year period 1970-94 (n = 58,448). Retrospective and prospective control of cases (cases with a postneonatal origin of cerebral palsy excluded) with a minimum follow-up to four years of age. RESULTS: Cerebral palsy was diagnosed in 139 cases (2.4 per 1,000). The prevalence declined from 2.8 per 1,000 in the first five-year cohort born 1970-74, to 2.2 per 1,000 in children born in each of the three five-year cohorts born 1980-84, 1985-89, and 1990-94 (p = 0.24). The neonatal mortality rate declined significantly from 8.7 per 1,000 in the first to 2.8 per 1,000 in the last five-year cohort (p < 0.0001). The low birthweight (500-2,499 g) rate in live-born infants increased significantly in 1990-94 compared to 1985-89 (4.5\% vs 3.9\% respectively; p < 0.05). After a local ventilator treatment programme (operative from 1989) was established, transports of infants with severe respiratory distress syndrome to the regional hospital declined from 3 per 1,000 live-born infants to 1 per 1,000 (p < 0.0001). INTERPRETATION: A decentralised neonatal intensive care programme can be developed, with substantial decline in neonatal mortality without a corresponding increase in cerebral palsy prevalence.

@article{Meberg2001, abstract = {BACKGROUND: An investigation of the prevalence of cerebral palsy in relation to neonatal intensive care. MATERIAL AND METHODS: Population based study in live-born children with birthweight > or = 500 g in the Norwegian county of Vestfold over the 25-year period 1970-94 (n = 58,448). Retrospective and prospective control of cases (cases with a postneonatal origin of cerebral palsy excluded) with a minimum follow-up to four years of age. RESULTS: Cerebral palsy was diagnosed in 139 cases (2.4 per 1,000). The prevalence declined from 2.8 per 1,000 in the first five-year cohort born 1970-74, to 2.2 per 1,000 in children born in each of the three five-year cohorts born 1980-84, 1985-89, and 1990-94 (p = 0.24). The neonatal mortality rate declined significantly from 8.7 per 1,000 in the first to 2.8 per 1,000 in the last five-year cohort (p < 0.0001). The low birthweight (500-2,499 g) rate in live-born infants increased significantly in 1990-94 compared to 1985-89 (4.5\% vs 3.9\% respectively; p < 0.05). After a local ventilator treatment programme (operative from 1989) was established, transports of infants with severe respiratory distress syndrome to the regional hospital declined from 3 per 1,000 live-born infants to 1 per 1,000 (p < 0.0001). INTERPRETATION: A decentralised neonatal intensive care programme can be developed, with substantial decline in neonatal mortality without a corresponding increase in cerebral palsy prevalence.}, added-at = {2014-07-19T20:47:18.000+0200}, author = {Meberg, A. and Broch, H. and Irgens, L. M.}, biburl = {https://www.bibsonomy.org/bibtex/2956ad1e0e4e4e9f3be0be49793cb1b4a/ar0berts}, groups = {public}, interhash = {848968d8193ded6bd242ff625ac60054}, intrahash = {956ad1e0e4e4e9f3be0be49793cb1b4a}, journal = {Tidsskr Nor Laegeforen}, keywords = {Cerebral Palsy; Child, Preschool; Female; Follow-Up Studies; Humans; Infant; Infant Mortality; Infant, Low Birth Weight; Newborn; Intensive Care, Neonatal; Male; Norway; Perinatal Care; Prevalence; Prospective Quality Indicators, Health Retrospective Studies}, month = Oct, number = 25, pages = {2917--2922}, pmid = {11715773}, timestamp = {2014-07-19T20:47:18.000+0200}, title = {[Cerebral palsy as indicator of quality of neonatal care]}, username = {ar0berts}, volume = 121, year = 2001 }