ICNC Abstracts, ICNC 2018

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Wasting Syndrome – A predictor of early death in Cerebral Palsy
Mohammad Abdul Wahed

Last modified: 2018-09-09

Abstract


Background: Cerebral Palsy (CP) is a non-progressive disorder due to insult in the developing brain. This causes disorder in muscle tone, posture and movement. It is prevalent all over the world with a variation in incidence, prevalence and epidemiology. The children with CP usually suffer from feeding difficulty and weight loss. Among them many children become very wasted in spite of giving adequate feeding even by nagogastric tube. This has been termed as ‘wasting syndrome’ in our study. These children are not improved at all and their musculature becomes thin and very rigid. These children suffer from respiratory tract infection and other co-morbidities and usually die at early age.

Objectives: The objective of the study was to determine the possibility of death in wasting syndrome in CP.

Methodology: A prospective and cross-sectional study was conducted on 525 children of cerebral palsy registered in Disability Service and Training Center of Rangpur Mother and Children Hospital for rehabilitation service. These children were followed from 1.1.2016 to 30.04.2018. Regular anthropometry and other co-morbidities were recorded along with physiotherapy service.

Result: Out of these 525 children 42 (8.6%) children did not improve at all and gradually developed weight loss and become very thin with muscle rigidity. Among these 42 children 18 (42.9%) died within 2 years. The immediate cause was respiratory tract infection and fever.

Conclusion: Gradual weight loss and muscle thinning with is a predictor of early death in CP.

Choice of presentation: Free paper session.


Keywords


Cerebral palsy; Wasting syndrome

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