In the industrialized world, the
incidence of cerebral palsy is about 2 per 1000 live births.[75]
The incidence is higher in males than in females; the Surveillance of
Cerebral Palsy in Europe (SCPE) reports a M:F ratio of 1.33:1.[76]
Variances in reported rates of incidence across different geographical
areas in industrialised countries are thought to be caused primarily by
discrepancies in the criteria used for inclusion and exclusion. When
such discrepancies are taken into account in comparing two or more
registers of patients with cerebral palsy (for example, the extent to
which children with mild cerebral palsy are included), the incidence
rates converge toward the average rate of 2:1000.
In the United States, approximately 10,000 infants
and babies are diagnosed with CP each year, and 1200–1500 are diagnosed
at preschool age.[77]
Overall, advances in care of pregnant mothers and
their babies has not resulted in a noticeable decrease in CP. This is
generally attributed to medical advances in areas related to the care of
premature babies (which results in a greater survival rate). Only the
introduction of quality medical care to locations with
less-than-adequate medical care has shown any decreases. The incidence
of CP increases with premature or very low-weight babies regardless of
the quality of care.[citation
needed]
Prevalence of cerebral palsy is best calculated around the school
entry age of about six years, the prevalence in the U.S. is estimated to
be 2.4 out of 1000 children[78]
The SCPE reported the following incidence of comorbidities in children
with CP (the data are from 1980–1990 and included over 4,500 children
over age 4 whose CP was acquired during the prenatal or neonatal
period):
- Mental disadvantage (IQ < 50): 31%
- Active seizures: 21%
- Mental disadvantage (IQ < 50) and not walking: 20%
- Blindness: 11% [76]
The SCPE noted that the incidence of comorbidities is difficult to measure accurately, particularly across centers. For example, the actual rate of an intellectual impairment may be difficult to determine, as the physical and communicational limitations of people with CP would likely lower their scores on an IQ test if they were not given a correctly modified version.
Apgar scores
have sometimes been used as one factor to predict whether or not an
individual will develop CP.[79]
|