Table 2.
N=77 | |
N (%) | |
Med (IQR) | |
1. Health status | |
Neurodevelopment status (months)* | |
Language | 5 (2–9) |
Posture-motor ability | 3 (2–10) |
Coordination | 6 (2–6) |
Sociability | 6 (2–9) |
Neurological handicaps | |
Severe dystonia | 5 (7.5) |
Global hypotonia | 38 (52.1) |
Extrapyramidal syndrome | 13 (19.1) |
Ataxia | 5 (7.5) |
Sensorial disorders | |
Visual impairment | 22 (28.9) |
Hearing impairment | 7 (9.2) |
Behavioural disorders† | 20 (27.0) |
Sleep disorders | |
Night wake up | 20 (26.7) |
Difficulties falling asleep | 12 (16.2) |
Short sleep | 3 (4.2) |
Inversion | 4 (5.4) |
Epilepsia | |
Presence of epilepsia | 40 (52.6) |
At least one crisis per day | 27 (67.5) |
Previous status epilepticus | 19 (24.7) |
Orthopaedic | |
Scoliosis | 31 (41.3) |
Limb deformation | 25 (34.2) |
Hip luxation | 11 (14.3) |
Arthrodesis, other surgery | 12 (15.8) |
Pulmonary | |
Aspiration syndrome | 18 (23.4) |
Recurrent pulmonary infections | 8 (10.4) |
Digestive | |
Drooling | 25 (32.5) |
Faecal impaction | 24 (31.2) |
Gastro-oesophageal reflux | 31 (40.3) |
Urinary | |
Recurrent urinary tract infections | 1 |
Urinal retention | 2 |
Cutaneous | |
Bedsores | 1 |
2. Treatments and rehabilitation | |
Medications | |
More than 3 | 35 (45.4) |
Total number | 3 (2–7) |
Laxatives | 42 (54.5) |
Anticonvulsants | 48 (62.3) |
Psychotropics | 7 (9.1) |
Osteoporosis prevention | 15 (19.5) |
Antispastics | 12 (15.6) |
Antidystonics | 8 (10.4) |
Devices‡ | |
No device | 54 (70.1) |
One device | 18 (23.4) |
Two devices | 4 (5.2) |
Four devices | 1 |
≥3 hours/day in a sitting device | 63 (81.8) |
Verticalisation device use | 15 (19.5) |
Air mattress | 11 (14.3) |
3. Health pathway | |
Previous emergency and/or ICU admission | 18 (23.4) |
Perception of referent physician | |
Medical care inadequacy | 7 (9.1) |
Educational care inadequacy | 12 (15.6) |
Request for an admission in institution§ | 21 (27.3) |
Life project structuration | 54 (70.1) |
Palliative condition | 3 (3.9) |
Med (IQR): median (IQR).
*Neurodevelopmental status levels range from 0 to 24 months.
†Behavioural disorders including intermittent screaming and/or agitation and/or stereotypies and/or intermittent crying and/or self-aggressivity and/or hetero-aggressivity.
‡Including gastrostomy, non-invasive mechanical ventilation, cerebrospinal fluid derivation, tracheotomia, permanent urinary probe, nasogastric tube, invasive mechanical ventilation and central venous catheter.
§Registered on a waiting list and/or official request made by the French Department for Persons with Disabilities.
ICU, intensive care unit.