Evidence-Based Infant Assessment for Cerebral Palsy: Diagnosis Timelines and Intervention Access in a Newborn Follow-up Setting.

Autor:	Sutter EN; Waisman Center, University of Wisconsin-Madison, Madison, USA.; Department of Pediatrics, University of Wisconsin-Madison, Madison, USA.; Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, USA., Legare JM; Waisman Center, University of Wisconsin-Madison, Madison, USA.; Department of Pediatrics, University of Wisconsin-Madison, Madison, USA., Villegas MA; Waisman Center, University of Wisconsin-Madison, Madison, USA.; Department of Pediatrics, University of Wisconsin-Madison, Madison, USA., Collins KM; Waisman Center, University of Wisconsin-Madison, Madison, USA.; Department of Pediatrics, University of Wisconsin-Madison, Madison, USA., Eickhoff J; Department of Biostatistics and Informatics, University of Wisconsin-Madison, Madison, USA., Gillick BT; Waisman Center, University of Wisconsin-Madison, Madison, USA.; Department of Pediatrics, University of Wisconsin-Madison, Madison, USA.
Jazyk:	angličtina
Zdroj:	Journal of child neurology [J Child Neurol] 2024 Nov; Vol. 39 (13-14), pp. 461-469. Date of Electronic Publication: 2024 Sep 12.
DOI:	10.1177/08830738241279690
Abstrakt:	Evidence-based assessment pathways inform early detection of cerebral palsy and access to intervention. This study investigated the relationships between early evidence-based assessments, diagnosis timeline, and rehabilitation intervention access in a population of children with cerebral palsy who were seen between 2010 and 2022 at the University of Wisconsin Waisman Center Newborn Follow Up Clinic. Cerebral palsy-specific assessments were increasingly integrated after the publication of early detection guidelines by Novak et al. in 2017. Age at cerebral palsy first mention (high risk for cerebral palsy) decreased over time, although age at diagnosis remained similar. Infants who received multiple evidence-based assessments were diagnosed at a younger age. Ninety-nine percent of children were referred to rehabilitation therapies before diagnosis. Infant age at referral to outpatient therapies decreased over time. This study provides novel clinical data on diagnosis timelines and identifies remaining gaps related to implementation feasibility toward improved early diagnosis and intervention access. Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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