Hutton, Jane L. and Pharoah, Peter O. D. (2006) Life expectancy in severe cerebral palsy. Archives of Disease in Childhood, Vol.91 (No.3). pp. 254-258. ISSN 0003-9888

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Abstract

Cerebral palsy comprises an important component of paediatric and obstetric practice and has major medicolegal implications. The prognosis for survival in cerebral palsy determines the financial provision made in cases that come to litigation. Issues of data quality and estimation methods are critical. Estimating the probability of survival in cerebral palsy based on clinical experience is liable to serious error unless numerical data can be produced. Only an actuarial analysis based on a standard life table of cases of cerebral palsy will enable a valid estimate of survival. Construction of the table requires a total cohort of cases of cerebral palsy with their date of birth. Each case must conform to a specified definition of the syndrome. Notification of all those who die, with their date of death is mandatory. Estimating the probability of survival according to the severity of functional disability requires specific definitional criteria for each severity category and for those categories to be mutually exclusive. Survival is significantly poorer in those with severe disability. Severe cognitive, motor (manual and ambulatory), and visual disabilities have independent effects on the probability of survival. Severe hearing disability does not add additional information when the other four functional disability categories are included.

Item Type:	Journal Item
Subjects:	R Medicine > RJ Pediatrics
Divisions:	Faculty of Science > Statistics
Journal or Publication Title:	Archives of Disease in Childhood
Publisher:	BMJ Group
ISSN:	0003-9888
Date:	March 2006
Volume:	Vol.91
Number:	No.3
Number of Pages:	5
Page Range:	pp. 254-258
Identification Number:	10.1136/adc.2005.075002
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
URI:	http://wrap.warwick.ac.uk/id/eprint/33886

Data sourced from Thomson Reuters' Web of Knowledge

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