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PREDICT-CP: study protocol of implementation of comprehensive surveillance to predict outcomes for school-aged children with cerebral palsy

journal contribution
posted on 23.05.2018, 00:00 by RN Boyd, PSW Davies, J Ziviani, S Trost, Lee BarberLee Barber, R Ware, S Rose, K Whittingham, L Sakzewski, K Bell
Objectives Cerebral palsy (CP) remains the world’s most common childhood physical disability with total annual costs of care and lost well-being of $A3.87b. The PREDICT-CP (NHMRC 1077257 Partnership Project: Comprehensive surveillance to PREDICT outcomes for school age children with CP) study will investigate the influence of brain structure, body composition, dietary intake, oropharyngeal function, habitual physical activity, musculoskeletal development (hip status, bone health) and muscle performance on motor attainment, cognition, executive function, communication, participation, quality of life and related health resource use costs. The PREDICTCP cohort provides further follow-up at 8–12 years of two overlapping preschool-age cohorts examined from 1.5 to 5 years (NHMRC 465128 motor and brain development; NHMRC 569605 growth, nutrition and physical activity). Methods and analyses This population-based cohort study undertakes state-wide surveillance of 245 children with CP born in Queensland (birth years 2006–2009). Children will be classified for Gross Motor Function Classification System; Manual Ability Classification System, Communication Function Classification System and Eating and Drinking Ability Classification System. Outcomes include gross motor function, musculoskeletal development (hip displacement, spasticity, muscle contracture), upper limb function, communication difficulties, oropharyngeal dysphagia, dietary intake and body composition, participation, parent-reported and child-reported quality of life and medical and allied health resource use. These detailed phenotypical data will be compared with brain macrostructure and microstructure using 3 Tesla MRI (3T MRI). Relationships between brain lesion severity and outcomes will be analysed using multilevel mixed-effects models. Ethics and dissemination The PREDICT-CP protocol is a prospectively registered and ethically accepted study protocol. The study combines data at 1.5–5 then 8–12 years of direct clinical assessment to enable prediction of outcomes and healthcare needs essential for tailoring interventions (eg, rehabilitation, orthopaedic surgery and nutritional supplements) and the projected healthcare utilisation.

Funding

Category 1 - Australian Competitive Grants (this includes ARC, NHMRC)

History

Volume

7

Issue

7

Start Page

1

End Page

19

Number of Pages

19

eISSN

2044-6055

Publisher

B M J Group, UK

Additional Rights

CC BY 4.0

Peer Reviewed

Yes

Open Access

Yes

Acceptance Date

27/04/2017

External Author Affiliations

University of East Anglia, UK; The Mater Health Services, Brisbane; Instituto Di Ricovero E Cura A Carattere Scientifico (IRCCS), Italy; Gold Coast Health, Brisbane; Royal Brisbane and Women’s Hospital; CSIRO Australian e-Health Research Centre; The University of Queensland; Lady Cilento Children's Hospital; Queensland University of Technology; Griffith University;

Era Eligible

Yes

Journal

BMJ Open