Comparison of risk factors for cerebral palsy in twins and singletons
The aim of this study was to investigate the difference in rates of cerebral palsy (CP) between singletons and twins by considering factors that may be predictive of CP. Data were taken from the Scottish Register of Children with a Motor Deficit of Central Origin and the Scottish Morbidity Record se...
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Veröffentlicht in: | Developmental medicine and child neurology 2005-09, Vol.47 (9), p.587-591 |
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description | The aim of this study was to investigate the difference in rates of cerebral palsy (CP) between singletons and twins by considering factors that may be predictive of CP. Data were taken from the Scottish Register of Children with a Motor Deficit of Central Origin and the Scottish Morbidity Record series. All children born in Scotland between 1984 and 1990 inclusive comprised the cohort. There were 646 children with CP (370 males, 276 females) of whom 57 were from twin pregnancies. Prevalence of CP was higher in twins than in singletons. Also, for singleton and twin births, the prevalence of CP was higher for infants who had low birthweight for gestational age (GA), were preterm, and who were male. Prevalence of CP by GA followed a different pattern for twins than for singletons, being lower for twins in the middle range of GAs than for singletons. After allowing for GA and birthweight, twins appeared to be at increased risk for CP compared with singletons. The type of CP in singletons and twins also differed with 64.9% of twins having spastic bilateral CP compared with 48.5% for singletons. The aetiology of CP in twins and singletons may differ. |
doi_str_mv | 10.1017/S0012162205001167 |
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Data were taken from the Scottish Register of Children with a Motor Deficit of Central Origin and the Scottish Morbidity Record series. All children born in Scotland between 1984 and 1990 inclusive comprised the cohort. There were 646 children with CP (370 males, 276 females) of whom 57 were from twin pregnancies. Prevalence of CP was higher in twins than in singletons. Also, for singleton and twin births, the prevalence of CP was higher for infants who had low birthweight for gestational age (GA), were preterm, and who were male. Prevalence of CP by GA followed a different pattern for twins than for singletons, being lower for twins in the middle range of GAs than for singletons. After allowing for GA and birthweight, twins appeared to be at increased risk for CP compared with singletons. The type of CP in singletons and twins also differed with 64.9% of twins having spastic bilateral CP compared with 48.5% for singletons. The aetiology of CP in twins and singletons may differ.</description><identifier>ISSN: 0012-1622</identifier><identifier>EISSN: 1469-8749</identifier><identifier>DOI: 10.1017/S0012162205001167</identifier><identifier>PMID: 16138664</identifier><identifier>CODEN: DMCNAW</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Birth Weight ; Cerebral Palsy ; Cerebral Palsy - epidemiology ; Cerebral Palsy - etiology ; Child, Preschool ; Cross-Sectional Studies ; Diseases in Twins - epidemiology ; Diseases in Twins - etiology ; Female ; Gestational Age ; Humans ; Infant ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature, Diseases - epidemiology ; Infant, Small for Gestational Age ; Male ; Original Articles ; Registries - statistics & numerical data ; Risk Factors ; Scotland ; Twins ; Twins, Dizygotic ; Twins, Monozygotic ; Voluntary Agencies ; Young Children</subject><ispartof>Developmental medicine and child neurology, 2005-09, Vol.47 (9), p.587-591</ispartof><rights>2005 Mac Keith Press</rights><rights>Copyright Mac Keith Press Sep 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-3a0127e4da4319893bd48de59202bf97835b8f1139c1538f746043b98c1cb703</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16138664$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bonellie, SR</creatorcontrib><creatorcontrib>Currie, D</creatorcontrib><creatorcontrib>Chalmers, J</creatorcontrib><title>Comparison of risk factors for cerebral palsy in twins and singletons</title><title>Developmental medicine and child neurology</title><addtitle>Dev. med. child neurol</addtitle><description>The aim of this study was to investigate the difference in rates of cerebral palsy (CP) between singletons and twins by considering factors that may be predictive of CP. Data were taken from the Scottish Register of Children with a Motor Deficit of Central Origin and the Scottish Morbidity Record series. All children born in Scotland between 1984 and 1990 inclusive comprised the cohort. There were 646 children with CP (370 males, 276 females) of whom 57 were from twin pregnancies. Prevalence of CP was higher in twins than in singletons. Also, for singleton and twin births, the prevalence of CP was higher for infants who had low birthweight for gestational age (GA), were preterm, and who were male. Prevalence of CP by GA followed a different pattern for twins than for singletons, being lower for twins in the middle range of GAs than for singletons. After allowing for GA and birthweight, twins appeared to be at increased risk for CP compared with singletons. The type of CP in singletons and twins also differed with 64.9% of twins having spastic bilateral CP compared with 48.5% for singletons. The aetiology of CP in twins and singletons may differ.</description><subject>Birth Weight</subject><subject>Cerebral Palsy</subject><subject>Cerebral Palsy - epidemiology</subject><subject>Cerebral Palsy - etiology</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Diseases in Twins - epidemiology</subject><subject>Diseases in Twins - etiology</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature, Diseases - epidemiology</subject><subject>Infant, Small for Gestational Age</subject><subject>Male</subject><subject>Original Articles</subject><subject>Registries - statistics & numerical data</subject><subject>Risk Factors</subject><subject>Scotland</subject><subject>Twins</subject><subject>Twins, Dizygotic</subject><subject>Twins, Monozygotic</subject><subject>Voluntary Agencies</subject><subject>Young Children</subject><issn>0012-1622</issn><issn>1469-8749</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kEtLw0AUhQdRbK3-ADcyuHAXnZt5L6XUBxRc2H2YJJOSmmTiTIL4753SgKK4uhfOd889HIQugdwCAXn3SgikINKU8LiBkEdoDkzoREmmj9F8Lyd7fYbOQtgRQqjg7BTNQABVQrA5Wi1d2xtfB9dhV-G4vOHKFIPzAVfO48J6m3vT4N404RPXHR4-6i5g05U41N22sYPrwjk6qaJuL6a5QJuH1Wb5lKxfHp-X9-ukoJIMCTUxkLSsNIyCVprmJVOl5TolaV5pqSjPVQVAdQGcqkoyQRjNtSqgyCWhC3RzsO29ex9tGLK2DoVtGtNZN4ZMKM6BMBnB61_gzo2-i9Ey0JxrLpiIEBygwrsQvK2y3tet8Z8ZkGzfb_an33hzNRmPeWvL74up0AjQydS0ua_Lrf3x-l_bL-ibgmc</recordid><startdate>200509</startdate><enddate>200509</enddate><creator>Bonellie, SR</creator><creator>Currie, D</creator><creator>Chalmers, J</creator><general>Cambridge University Press</general><general>Mac Keith Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>200509</creationdate><title>Comparison of risk factors for cerebral palsy in twins and singletons</title><author>Bonellie, SR ; Currie, D ; Chalmers, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-3a0127e4da4319893bd48de59202bf97835b8f1139c1538f746043b98c1cb703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Birth Weight</topic><topic>Cerebral Palsy</topic><topic>Cerebral Palsy - epidemiology</topic><topic>Cerebral Palsy - etiology</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Diseases in Twins - epidemiology</topic><topic>Diseases in Twins - etiology</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Premature, Diseases - epidemiology</topic><topic>Infant, Small for Gestational Age</topic><topic>Male</topic><topic>Original Articles</topic><topic>Registries - statistics & numerical data</topic><topic>Risk Factors</topic><topic>Scotland</topic><topic>Twins</topic><topic>Twins, Dizygotic</topic><topic>Twins, Monozygotic</topic><topic>Voluntary Agencies</topic><topic>Young Children</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bonellie, SR</creatorcontrib><creatorcontrib>Currie, D</creatorcontrib><creatorcontrib>Chalmers, J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Source</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database (ProQuest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>ProQuest Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Developmental medicine and child neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bonellie, SR</au><au>Currie, D</au><au>Chalmers, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of risk factors for cerebral palsy in twins and singletons</atitle><jtitle>Developmental medicine and child neurology</jtitle><addtitle>Dev. med. child neurol</addtitle><date>2005-09</date><risdate>2005</risdate><volume>47</volume><issue>9</issue><spage>587</spage><epage>591</epage><pages>587-591</pages><issn>0012-1622</issn><eissn>1469-8749</eissn><coden>DMCNAW</coden><abstract>The aim of this study was to investigate the difference in rates of cerebral palsy (CP) between singletons and twins by considering factors that may be predictive of CP. Data were taken from the Scottish Register of Children with a Motor Deficit of Central Origin and the Scottish Morbidity Record series. All children born in Scotland between 1984 and 1990 inclusive comprised the cohort. There were 646 children with CP (370 males, 276 females) of whom 57 were from twin pregnancies. Prevalence of CP was higher in twins than in singletons. Also, for singleton and twin births, the prevalence of CP was higher for infants who had low birthweight for gestational age (GA), were preterm, and who were male. Prevalence of CP by GA followed a different pattern for twins than for singletons, being lower for twins in the middle range of GAs than for singletons. After allowing for GA and birthweight, twins appeared to be at increased risk for CP compared with singletons. The type of CP in singletons and twins also differed with 64.9% of twins having spastic bilateral CP compared with 48.5% for singletons. The aetiology of CP in twins and singletons may differ.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>16138664</pmid><doi>10.1017/S0012162205001167</doi><tpages>5</tpages></addata></record> |
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subjects | Birth Weight Cerebral Palsy Cerebral Palsy - epidemiology Cerebral Palsy - etiology Child, Preschool Cross-Sectional Studies Diseases in Twins - epidemiology Diseases in Twins - etiology Female Gestational Age Humans Infant Infant, Low Birth Weight Infant, Newborn Infant, Premature, Diseases - epidemiology Infant, Small for Gestational Age Male Original Articles Registries - statistics & numerical data Risk Factors Scotland Twins Twins, Dizygotic Twins, Monozygotic Voluntary Agencies Young Children |
title | Comparison of risk factors for cerebral palsy in twins and singletons |
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