Excessive premature mortality among children with cerebral palsy in rural Uganda: a longitudinal, population-based study

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Creator/Principal investigator(s)

Hans Forssberg - Karolinska Institutet, Department for Women's and Children's Health orcid

Angelina Kakooza-Mwesige - Makerere University, Department of Pediatrics and Child Health orcid

Description

Background
Studies from high-income countries reported reduced life expectancy in children with cerebral palsy (CP), while no population-based study has evaluated mortality of children with CP in sub-Saharan Africa. This study aimed to estimate the mortality rate (MR) of children with CP in a rural region of Uganda and identify risk factors and causes of death (CODs).
Methods and Findings
This population-based, longitudinal cohort study was based on data from Iganga-Mayuge Health and Demographic Surveillance System in eastern Uganda. We identified 97 children (aged 2–17 years) with CP in 2015, whom we followed to 2019. They were compared with an age-matched cohort from the general population (n=41 319). MRs, MR ratios (MRRs), hazard ratios (HRs), and immediate CODs were determined.
MR was 3952 per 100 000 person years (95% CI 2212–6519) in children with CP and 137 per 100 000 person years (95% CI 117–159) in the general population. Standardized MRR was 25·3 in the CP cohort, compared with the general population. In children with CP, risk of death was higher in those with severe gross motor im

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Creator/Principal investigator(s)

Hans Forssberg - Karolinska Institutet, Department for Women's and Children's Health orcid

Angelina Kakooza-Mwesige - Makerere University, Department of Pediatrics and Child Health orcid

Contributor(s)

Lukia Namaganda - Makerere University, School of Public Health orcid

Identifiers

SND-ID: 2020-178

Description

Background
Studies from high-income countries reported reduced life expectancy in children with cerebral palsy (CP), while no population-based study has evaluated mortality of children with CP in sub-Saharan Africa. This study aimed to estimate the mortality rate (MR) of children with CP in a rural region of Uganda and identify risk factors and causes of death (CODs).
Methods and Findings
This population-based, longitudinal cohort study was based on data from Iganga-Mayuge Health and Demographic Surveillance System in eastern Uganda. We identified 97 children (aged 2–17 years) with CP in 2015, whom we followed to 2019. They were compared with an age-matched cohort from the general population (n=41 319). MRs, MR ratios (MRRs), hazard ratios (HRs), and immediate CODs were determined.
MR was 3952 per 100 000 person years (95% CI 2212–6519) in children with CP and 137 per 100 000 person years (95% CI 117–159) in the general population. Standardized MRR was 25·3 in the CP cohort, compared with the general population. In children with CP, risk of death was higher in those with severe gross motor im

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Language

English

Time period(s) investigated

2015-03-01 — 2019-12-15

Geographic spread

Geographic location: Uganda, Africa, Sub-Saharan Africa

Geographic description: Iganga, Uganda

Lowest geographic unit

Municipality

Highest geographic unit

Region

Unit of analysis

Population

Children and youth with cerebral palsy

Study design

Observational study

Description of study design

Longitudinal cohort study

Sampling procedure

Total universe/Complete enumeration

Data contains personal data

Yes

Ethics Review

Other — Ref. HS 2608 - Uganda National Council for Science and Technology

Funding

Funding agency: Swedish Research Council

Funding agency’s reference number: VR 2017-05474

Funding agency: Foundation Frimurare Barnhuset

Contact for questions about the data

Associated documentation

Download metadata

Publications

Namaganda LH, Almeida R, Kajungu D, Wabwire-Mangen F, Peterson S, Andrews C, Eliasson AC, Kakooza-Mwesige A, Forssberg H. Excessive premature mortality among children with cerebral palsy in rural Uganda: A longitudinal, population-based study. PLoS One. 2020 Dec 29;15(12):e0243948. doi: 10.1371/journal.pone.0243948.
DOI: https://doi.org/10.1371/journal.pone.0243948

If you have published anything based on these data, please notify us with a reference to your publication(s). If you are responsible for the catalogue entry, you can update the metadata/data description in DORIS.

Version 1

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Mortality data of population based CP cohort from Iganga/Mayuge, Uganda

Suggested citation

Hans Forssberg, Angelina Kakooza-Mwesige. Karolinska Institutet, Department for Women's and Children's Health (2021). <em>Mortality data of population based CP cohort from Iganga/Mayuge, Uganda</em>. Swedish National Data Service. Version 1. <a href="https://doi.org/10.5878/xr97-2a37">https://doi.org/10.5878/xr97-2a37</a>

Creator/Principal investigator(s)

Hans Forssberg - Karolinska Institutet, Department for Women's and Children's Health orcid

Angelina Kakooza-Mwesige - Makerere University, Department of Pediatrics and Child Health orcid

Description

The dataset contains of the following files:
- CP_cohort–Children_and_youth_at_the_IM-HDSS.csv
- CoD–General_population_of_children_and_youth_IM-HDSS.csv
- Variable_list.pdf

Details about the variables in the tables can be found in the variable list.

Data format / data structure

Numeric

Data collection

Mode of collection: Observation

Time period(s) for data collection: 2015-03-01 — 2019-12-15

Data collector: Makerere University

Source of the data: Research data, Population group

Time period(s) investigated

2015-03-01 — 2019-12-15

Variables

21

Number of individuals/objects

97

Response rate/participation rate

100

Published: 2021-01-26