Risk factors and prediction of physical problems in children induced by nervous system diseases

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UDC: 
616.831-053.2-036.86-037
DOI: 
10.21668/health.risk/2016.4.06.eng
Authors: 

E.A. Vorobieva, O.M. Filkina, N.V. Dolotova

Organization: 

Ivanovo Research Institute of Maternity and Childhood named after V.N. Gorodkova, 109 Shuvandina Str., Ivanovo, 153045, Russian Federation

Abstract: 

It was shown that in the conditions of intensive development of resuscitation techniques, newborn care and infant mortality reduction, including born with extremely low birth weight, one of the consequences of the process is the growing number of children with disabilities. In Russia, the disability of children under 4 years due to diseases of the nervous system consistently takes second place as on prevalence, as on the share in the structure of disability in this age. The purpose of the study was to identify risk factors and the development of prognostic tables for the most common early childhood disorders of physical health of children with disabilities due to diseases of the nervous system. A clinical examination of 178 children with disabilities due to diseases of the nervous system (with spastic forms of cerebral palsy) at the age of 1–3 years was carried out. To identify the risk factors and to draft the expectancy table, the method of sequential mathematical analysis of Wald has been used. It is shown that the priority kinds of physical health disorders of studied children with disabilities are frequent acute respiratory infections, deficient anemia, malnutrition, atopic dermatitis. It was found that during the formation of the frequent incidence of disabled children with acute respiratory diseases and atopic dermatitis neonatal and post-neonatal factors in the formation of deficiency anemia and malnutrition – antenatal and neonatal risk factors are of the greatest importance. Tables of health disorders suitable for practical use of these predictions were designed. Pediatricians recommended to include children with poor prognosis in the risk group for the formation of these health problems and prescribe preventive measures that reduce the likelihood of risk realization.

Keywords: 
risk factors, prognosis of health problems, children with disabilities, cerebral palsy
Vorobieva E.A., Filkina O.M., Dolotova N.V. Risk factors and prediction of physical problems in children in-duced by nervous system diseases. Health Risk Analysis, 2016, no. 4, pp. 46–53. DOI: 10.21668/health.risk/2016.4.06.eng
References: 
  1. Baibarina E.N., Degtyarev D.N. Perinatal'naja medicina: ot teorii k praktike [Perinatal medicine: from theory to practice]. Rossijskij vestnik perinatologii i pediatrii, 2013, no. 5, pp. 4–7 (in Russian).
  2. Baranov A.A. Profilakticheskaya pediatrija: rukovodstvo dlya vrachej [Preventive pediatrics: a guide for physicians]. Moscow, Sojuz pediatrov Rossii Publ., 2012, 692 p. (in Russian).
  3. Baranov A.A., Il'in A.G. Aktual'nye problemy sohranenija i ukreplenija zdorov'ja detej v Rossijskoj Fede-racii [Children's health preservation and promotion in the Russian Federation: Topical problems]. Rossijskij pediatricheskij zhurnal, 2011, no. 4, pp. 7–12 (in Russian).
  4. Bocharova E.A., Sidorov P.I., Solov'ev A.G. Mediko-biologicheskie faktory riska formirovanija psihore-chevoj patologii v detskom vozraste [Speech and mental pathology forming in children – medical and biologic risk factors]. Pediatriya, 2002, no. 1, pp. 91–93 (in Russian).
  5. Val'd A. Posledovatel'nyj statisticheskij analiz [Sequential Statistical Analysis]. Moscow, Fizmatlit Publ., 1960, 328 p. (in Russian).
  6. Gubler E.V. Vychislitel'nye metody analiza i raspoznavanija patologicheskih processov [Computational methods of analysis and detection of pathological processes]. Leningrad, Medicina Publ., 1978, 94 p. (in Russian).
  7. Nemkova S.A., Namazova-Baranova L.S., Maslova O.I., Zavadenko N.N. [et al]. Detskij cerebral'nyj paralich: diagnostika i korrekcija kognitivnyh narushenij [Infantile cerebral palsy: Diagnosis and correction of cog-nitive impairment]. Moscow: Sojuz pediatrov Rossii, 2012, 60 p. (in Russian).
  8. Doncov D.V., Romanova E.B., Ambalov Ju.M. Metod al'ternativnogo analiza Val'da kak sposob prognoza progressirovanija zabolevanija u bol'nyh hronicheskim gepatitom C [The method of alternative analysis wald for prognosis progression of disease in patients with chronic hepatitis С]. Kubanskij nauchnyj medicinskij vestnik, 2011, no. 4 (127), pp. 69–72 (in Russian).
  9. Zelinskaya D.I. Detskaya invalidnost' kak problema zdravoohranenija [Childhood disability as a problem of public heath care]. Zdravoohranenie Rossijskoj Federacii, 2008, no. 2, pp. 23–26 (in Russian).
  10. Dolotova N.V., Fil'kina O.M., Vorob'eva E.A., Malyshkina A.I., Slabinskaja T.V., Malysheva T.M. Inva-lidnost' detej 0–4 let i struktura po zabolevaniju ejo obuslovivshemu v 2005–2014 g.g. po Ivanovskoj oblasti [Disability in children 0–4 years and its structure by disease in 2005–2014 in the Ivanovo Region]. Social'nye aspekty zdorov'ja naselenija, 2016, no. 1 (47). DOI: 10.21045/2071-5021-2016-47-1-7. Available at: http://vestnik.mednet.ru/content/view/734/30/lang,ru/ (15.10.2016) (in Russian).
  11. Baranov A.A., Al'bickiy V.Ju., Zelinskaya D.I., Terleckaya R.N. Invalidnost' detskogo naselenija Rossii [России Disability of Russian child population]. Moscow, Centr mezhsektoral'nyh programm Publ., 2008, 240 p. (in Russian).
  12. Snopkov V.N., Kisljuk G.I., Poshibajlova A.V., Kirichenko S.O. Ispol'zovanie metoda al'ternativnogo analiza Val'da dlja prognoza tugouhosti u novorozhdennyh detej [Using alternative analysis wald for prediction hearing loss in newborns]. Izvestija Jugo-Zapadnogo gosudarstvennogo universiteta. Serija Upravlenie, vychisli-tel'naja tehnika, informatika, 2014, no. 3, pp. 41–45 (in Russian).
  13. Lavrova D.I. Dinamika invalidnosti detskogo naselenija Rossijskoj Federacii [Child disability dynamics in the Russian Federation]. Nauka i mir, 2015, vol. 25, no. 9, pp. 113–114 (in Russian).
  14. Lazurenko S.B. Analiz struktury patologicheskih sostojanij novorozhdennyh detej, privodjashhih k invalidizacii, i ih otdalennye posledstvija [Analysis of the pattern of neonatal morbidities resulting in disability and their late sequels]. Rossijskij pediatricheskij zhurnal, 2009, no. 1, pp. 49–51 (in Russian).
  15. Lil'in E.T., Doskin V.A. Detskaya reabilitologiya [Children rehabilitology]. Moscow, Medkniga Publ., 2008, 291 p. (in Russian).
  16. Tkachenko E.S., Goleva O.P., Shherbakov D.V., Korzhov I.S. Mediko-social'nye aspekty detskogo cere-bral'nogo paralicha [Medical and social aspects of infantile cerebral palsy]. Social'nye aspekty zdorov'ja naselenija, 2016, vol. 47, no. 1, pp. 8 (in Russian).
  17. Stupak V.S., Podvornaja E.V., Fil'kina O.M., Pyhtina L.A. Rezul'taty issledovanija social'no-biologicheskih faktorov riska razvitija perinatal'noj patologii u detej pervyh treh let zhizni [Results of the study of social and biological risk factors for perin]. Jakutskij medicinskij zhurnal, 2013, no. 4, pp. 41–44 (in Russian).
  18. Rumyancev A.M., Timakova M.V., Chechel'nickaya S.M. Nabljudenie za razvitiem i sostojaniem zdo-rov'ja detej: rukovodstvo dlja vrachej [Monitoring the development and health of children: a guide for physicians]. Moscow, Medpraktika Publ., 2004, 388 p. (in Russian).
  19. Saharova E.S., Keshishjan E.S., Aljamovskaja G.A. Nevrologicheskie ishody u nedonoshennyh detej k trehletnemu vozrastu (nabljudavshiesja v specializirovannom centre) [Neurological outcomes in preterm infants by age three (observed in a specialized center)]. Medicinskij sovet, 2015, no. 1, pp. 50–53 (in Russian).
  20. Baranov A.A., Al'bickiy V.Ju., Ivanova A.A., Terleckaya R.N., Kosova S.A. Tendencii zabolevaemosti i sostojanie zdorov'ja detskogo naselenija Rossijskoj Federacii [Trends and the health status of the child population of the Russian Federation]. Rossijskij pediatricheskij zhurnal, 2012, no. 6, pp. 4–9 (in Russian).
  21. Tonkova-Jampol'skaja R.V. Sostojanie zdorov'ja detej s uchetom faktorov ante- i postnatal'nogo riska [Health status of children, taking into account factors of the ante- and postnatal risk]. Rossijskij pediatricheskij zhurnal, 2002, no. 1, pp. 61–62 (in Russian).
  22. Fil'kina O.M., Vorob'eva E.A., Dolotova N.V., Matveeva E.A., Malyshkina A.I., Gadzhimuradova N.D. Faktory riska i algoritm prognozirovanija narushenij zdorov'ja k godu zhizni u detej, rodivshihsja s ochen' nizkoj i jekstremal'no nizkoj massoj tela [Risk factors and prediction chart of violations of health of the one-year-olds born with very low and extremely low birth weight]. Analiz riska zdorov'ju, 2016, no. 1, pp. 68–75
    (in Russian).
  23. Fil'kina O.M., Pyhtina L.A., Vorob'eva E.A., Kocherova O.Ju., Dolotova N.V., Shanina T.G. Faktory riska otklonenij fizicheskogo razvitija u detej rannego vozrasta s perinatal'nymi porazhenijami central'noj nervnoj sis-temy [The risk factors of dapartures in physical development in children of early age with perinatal affection of central nervous system]. Lechenie i profilaktika, 2015, no. 1, pp. 16–19 (in Russian).
  24. Tsibul'skaya I.S. Mediko-social'nye aspekty formirovanija zdorov'ja detej. – [Medical and social as-pects of the formation of children's health]. Tver', Tverskaja gorodskaja tipografija Publ., 2013, 290 p. (in Russian).

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