Medication, rehabilitation and health care consumption in adults with cerebral palsy: a population based study.

Abstract:

OBJECTIVE:To evaluate medication, rehabilitation and healthcare consumption in adults with CP as a function of Gross Motor Function Classification System (GMFCS) level. DESIGN:Questionnaire-based cross-sectional study. SETTING:Brittany, a French county. SUBJECTS:Adults with cerebral palsy. INTERVENTIONS:Questionnaires relating to drugs, orthotic devices, mobility aids, rehabilitation and medical input were sent to 435 members of a unique regional French network dedicated to adults with cerebral palsy. The questionnaire was completed by the participant or a helper if necessary. RESULTS:Of the 282 responders, 7.8% had a GMFCS level of I, 14.2% II, 17.7% III, 29.1% IV and 31.2% V. Participants consumed a large amount of healthcare. Almost three-quarters took orally administered drugs, of which antispastic and antiepileptic drugs were among the most frequent. Nearly all patients had at least one type of rehabilitation, 87.2% had physiotherapy, 78% used at least one mobility aid and 69.5% used at least one orthotic device. The frequency of numerous inputs increased with GMFCS level. Specificities were found for each GMFCS level, e.g. participants with GMFCS level IV and V had a high level of medical input and a greater use of trunk-supporting devices, antireflux and laxative. Profiles could be established based on GMFCS levels. CONCLUSIONS:Adults with cerebral palsy use a large amount of drugs, mobility aids, orthotic devices, rehabilitation and medical input. Healthcare is targeted at cerebral palsy-related issues. GMFCS is a determinant of healthcare consumption and thus a useful tool for clinical practice to target care appropriately.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Pons C,Brochard S,Gallien P,Nicolas B,Duruflé A,Roquet M,Rémy-Néris O,Garlantezec R

doi

10.1177/0269215516663286

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

957-965

issue

7

eissn

0269-2155

issn

1477-0873

pii

0269215516663286

journal_volume

31

pub_type

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