Determinants of Cerebral Palsy in Pediatric Patients in Northern Ethiopia: A Hospital-Based Study
Table 4
Risk factors for CP among pediatric patients attending ACSH (April-August 2019).
COR (95% CI) value
AOR (95% CI) value
Patient age
<5 years
1
≥5 years
0.45 (0.22–0.93) 0.03
Maternal education
None
1
1
Primary
0.95 (0.3–3.06) 0.934
0.73 (0.16–3.36) 0.691
Secondary
3.03 (1.15–7.93) 0.024
1.14 (0.31–4.21) 0.843
Tertiary
0.44 (0.09–2.06) 0.295
0.59 (0.1–3.61) 0.567
Unknown
32.29 (4.79–217.73) <0.001
18.64 (2.15–161.73) 0.008
Mode of delivery
SVD
1
1
Cesarean section
0.81 (0.22–3.07) 0.762
0.42 (0.02–8.54) 0.571
Assisted breech
6.63 (0.07–622.16) 0.414
31.48 (0.29–3440.91) 0.15
Instrumental vacuum
5.75 (1.17–28.21) 0.031
9.49 (1.31–68.88) 0.026
Congenital anomaly
Yes
1
No
6.95 (0.3–158.24) 0.224
Birthweight
1.5–2.499 kg
1
2.5–3.9 kg
0.08 (0.01–0.53) 0.009
>=4 kg
0.04 (0–0.57) 0.017
Unknown
0.08 (0.01–0.53) 0.009
Gestational age at birth
Preterm
1
Term
0.21 (0.05–0.83) 0.026
Postterm
0.47 (0.02–10.1) 0.627
Duration of admission
≤7 days
1
1
>7 days
4.37 (0.82–23.18) 0.083
3.75 (0.61–23.11) 0.154
Not admitted
0.12 (0.03–0.44) 0.002
0.13 (0.03–0.61) 0.009
Infant cried immediately after birth
Yes
1
No
21.99 (6.48–74.68) <0.001
Lubchenco classification
SGA
1
AGA
0.03 (0–0.75) 0.033
LGA
0.03 (0–0.81) 0.038
Unknown
0.04 (0–0.96) 0.047
Neonatal illness without admission
Yes
1
No
0.2 (0.02–1.79) 0.151
Neonatal admission
Yes
1
No
0.04 (0.02–0.11) <0.001
CNS infection in infancy
Yes
1
1
No
0.02 (0–0.51) 0.017
0.02 (0–0.58) 0.023
EPI immunization
Yes
1
No
1.27 (0.12–13.51) 0.842
Unknown
14.83 (0.48–462.18) 0.124
CP: cerebral palsy; ACSH: Ayder Comprehensive Specialized Hospital; CNS: central nervous system; EPI: Expanded Program on Immunization; SGA: small for gestational age; AGA: appropriate for gestational age; LGA: large for gestational age; SVD: spontaneous vertex delivery.
