Physical health conditions in young children with profound intellectual and multiple disabilities: The prevalence and associations between these conditions

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2024-03-23 DOI:10.1111/cch.13252

Anouk Mol-Bakker, Annette A. J. Van der Putten, Wim P. Krijnen, Aly Waninge

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Abstract

Background

It is thought that physical health conditions start at a young age in people with profound intellectual and multiple disabilities (PIMD). Knowledge regarding the prevalence, associations and development of these physical health conditions could be used for purposes of prevention as well as appropriate care and support but is currently lacking.

Objective

The aim of this study is to gain insight into the prevalence of physical health conditions and associations between these conditions in young children with PIMD.

Methods

The study used cross-sectional data related to the physical health conditions of children with PIMD (n = 51, aged between 12 and 61 months). Data were collected in Belgium and in the Netherlands through a checklist filled in by primary caregiver(s). Physical health conditions were classified into categories by the 10th revision of the International Classification of Diseases and Related Health Problems (ICD-10) system. The number of physical health conditions and associations between them were analysed. The analysis focused on prevalence rates and associations represented by odds ratios (p < 0.05). A graphical model was estimated to represent dependencies and conditional dependencies between physical health conditions.

Results

We found a mean of 3.8 (range 1–8, SD 1.9) physical health conditions per child. Most of the physical health conditions were found in the ICD-10 chapter ‘Nervous System’, with hypotonia as the most frequent at 70.6%. Five significant large associations were found between spasticity–contractures (OR 9.54); circulatory system–contractures (OR 7.50); scoliosis–contractures (OR 10.25); hearing impairments–skin problems (OR 58.20) and obstipation–hypotonia (OR 19.98).

Conclusion

This study shows that at a young age, multiple physical health conditions are present in children with PIMD. In addition, we found five associations between physical health conditions.

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深度智障和多重残疾幼儿的身体健康状况：这些病症的发病率和关联性

背景人们认为，深度智力障碍和多重残疾（PIMD）患者的身体健康状况始于年轻时。有关这些身体健康状况的流行、关联和发展的知识可用于预防以及适当的护理和支持，但目前还缺乏这方面的知识。本研究旨在深入了解智障幼儿身体健康状况的患病率以及这些状况之间的关联。方法该研究使用了与患有多发性骨髓增生异常综合症的儿童身体健康状况有关的横断面数据（n = 51，年龄在 12 到 61 个月之间）。数据是在比利时和荷兰通过由主要照顾者填写的检查表收集的。身体健康状况按照《国际疾病和相关健康问题分类》（ICD-10）第 10 次修订版进行分类。对身体健康状况的数量及其之间的关联进行了分析。分析的重点是患病率和以几率比（p < 0.05）表示的关联。我们估算了一个图形模型，以表示身体健康状况之间的依赖关系和条件依赖关系。结果我们发现每个儿童的平均身体健康状况为 3.8（范围 1-8，标准差 1.9）。大多数身体健康状况都出现在 ICD-10 的 "神经系统 "一章中，其中肌张力低下最为常见，占 70.6%。研究发现，痉挛-肌张力障碍（OR 9.54）、循环系统-肌张力障碍（OR 7.50）、脊柱侧弯-肌张力障碍（OR 10.25）、听力障碍-皮肤问题（OR 58.20）和便秘-肌张力障碍（OR 19.98）之间存在五种重大关联。结论本研究表明，患有多发性骨髓增生异常综合征的儿童在年幼时就存在多种身体健康问题。此外，我们还发现身体健康状况之间存在五种关联。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.