TY - JOUR PY - 2019// TI - Incidence of falls among adults with cerebral palsy: a cohort study using primary care data JO - Developmental medicine and child neurology A1 - Ryan, Jennifer M. A1 - Cameron, Michelle H. A1 - Liverani, Silvia A1 - Smith, Kimberley J. A1 - O'connell, Neil A1 - Peterson, Mark D. A1 - Anokye, Nana A1 - Victor, Christina R. A1 - Boland, Fiona SP - ePub EP - ePub VL - ePub IS - ePub N2 - AIM: To compare the rate of falls between adults with and without cerebral palsy (CP).

METHOD: We used primary care data on 1705 adults with CP and 5115 adults without CP matched for age, sex, and general practice attended. We compared odds of experiencing a fall between adults with and without CP using conditional logistic regression. We compared the rate of falls using a negative binomial model.

RESULTS: Participants were 3628 males (53%) and 3192 females (47%) (median age 29y, interquartile range 20-42y) at the start of follow-up. Follow-up was 14 617 person-years for adults with CP and 56 816 person-years for adults without CP. Of adults with CP, 15.3% experienced at least one fall compared to 5.7% of adults without CP. Adults with CP had 3.64 times (95% confidence interval [CI] 2.98-4.45) the odds of experiencing a fall compared to adults without CP. The rate of falls was 30.5 per 1000 person-years and 6.7 per 1000 person-years for adults with and without CP respectively (rate ratio 5.83, 95% CI 4.84-7.02) INTERPRETATION: Adults with CP are more likely to fall, and fall more often, than adults without CP. The causes and consequences of falls in adults with CP need examination.

© 2019 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press.

Language: en

LA - en SN - 0012-1622 UR - http://dx.doi.org/10.1111/dmcn.14444 ID - ref1 ER -