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G32 Improving survival of those with cerebral palsy in England and Wales over the last 18 years

Archives of disease in childhood, 2020-10, Vol.105 (Suppl 1), p.A9-A9 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. ;2020 Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. ;ISSN: 0003-9888 ;EISSN: 1468-2044 ;DOI: 10.1136/archdischild-2020-rcpch.21

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  • Title:
    G32 Improving survival of those with cerebral palsy in England and Wales over the last 18 years
  • Author: Sanner, JRF ; Hurley, MN
  • Subjects: Age ; Cerebral palsy ; Death ; Mortality ; Paralysis ; Registration ; Statistics ; Survival ; Trends
  • Is Part Of: Archives of disease in childhood, 2020-10, Vol.105 (Suppl 1), p.A9-A9
  • Description: AimsTo assess the rate of change in median age of death over time, where cerebral palsy (CP) is documented as a cause of death, with reference to all-cause mortality in England and Wales.MethodsPublished death registration statistics for England and Wales for all-cause mortality as well as ICD 10 code ‘G80 – Cerebral Palsy’ were extracted from the WHO Causes of Death Query online for 2001–2016 and the Office for National Statistics for 2013–2018. This captures those who died, where cerebral palsy was documented in part 1 of the death certificate. Linear interpolation was used to calculate the median age of death for the different groups. Data was imported into SPSS and linear regression was used to assess trends.ResultsMedian age of death was significantly lower in the CP group compared to the general population, with the median age of death increasing from 22.5 in 2001 to 49.6 in 2018. The trends in median age of death from 2001–2018 in England and Wales are highlighted in table 1.Abstract G32 Table 1Change in median age of death (in life years per year) from 2001–2018 in England and Wales Cerebral Palsy All Causes Combined +1.59 (95%CI 1.19 to 1.99) +0.15 (95%CI 0.11 to 0.18) Male +1.61 (95%CI 1.23 to 1.99) +0.14 (95%CI 0.13 to 0.15) Female +1.46 (95%CI 0.88 to 2.04) +0.11 (95%CI 0.10 to 0.12) ConclusionThe increasing median age of deaths due to CP hints at improved survival due to improvements in care. The rate of this improvement is significantly greater than that of the general population.These death registration data cannot directly report improved survival. However, this finding is supported by the absolute numbers for registration of deaths due to CP remaining constant. Prolonged survival may therefore be inferred by the increasing median age of death.
  • Publisher: London: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 0003-9888
    EISSN: 1468-2044
    DOI: 10.1136/archdischild-2020-rcpch.21
  • Source: ProQuest Databases
    Alma/SFX Local Collection
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