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
Hauptverfasser: Bonellie, SR, Currie, D, Chalmers, J
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creator Bonellie, SR
Currie, D
Chalmers, J
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.
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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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