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National Guideline Alliance (UK). Cerebral palsy in under 25s: assessment and management. London: National Institute for Health and Care Excellence (NICE); 2017 Jan. (NICE Guideline, No. 62.)

Cover of Cerebral palsy in under 25s: assessment and management

Cerebral palsy in under 25s: assessment and management.

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Table 38Prognostic indicators for talking

StudyPrognostic indicatorConfounders adjusted for:Effect sizeQuality
Chen 2013GMFCS levelsAge - all participants aged mean 3.8 years and followed up for 6 months.Language
Standardised coefficient (β) =-0.22
p=<0.001
Low
Parkes 2010 CP subtype (bilateral versus unilateral), GMFCS level, ‘intellectual impairment’: severe = IQ <50, moderate = IQ 50 to 70, none = IQ >70.CP subtype, GMFCS level, IQ (all participants assessed at 5 years).Speech impairment
Bilateral spastic CP versus unilateral spastic: OR 1.6 (95% CI: 1.1-2.4),
p<0.001
Non-spastic CP versus unilateral spastic
CP: OR 5.1 (95% CI: 2.8-9.1),
p<0.001
GMFCS I (reference)
GMFCS II: OR 2.1 (95% CI: 1.2-3.5)
GMFCS III: OR 2.5 (95% CI: 1.3-4.9)
GMFCS IV: OR 4.0 (95% CI: 1.9-8.4)
GMFCS V: OR 8.0 (95% CI: 4.1-15.6)
p< 0.001
IQ > 70 (reference)
IQ 50-70: OR 2.7 (95% CI: 1.8-4.0)
IQ < 50: OR 3.6 (95% CI: 1.8-4.0)
p 0.001
Moderate

CP cerebral palsy, GMFCS Gross Motor Function Classification System, IQ intelligence quotient, OR odds ratio.

From: 10, Prognosis for walking, talking and life expectancy

Copyright National Institute for Health and Care Excellence 2017.

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