Year 2020, Volume 22 , Issue 1, Pages 36 - 40 2020-04-30

Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study
Özürlü Sağlık Kurulunda Değerlendirilen Çocuklarda Ağır ve Sürekli Özürlülüğün Yordayıcıları: Tek Merkezli Bir Çalışma

Gülen GÜLER AKSU [1] , Pelin DAĞ [2] , Meryem Özlem KÜTÜK [3] , Ali Evren TUFAN [4] , Fevziye TOROS [5] , Didem DERİCİ YILDIRIM [6] , Ali BİÇER [7]


Aim: The aim of this study is to determine the severe and permanent disability of the children evaluated in the disabled health boards and to evaluate the predictors of severe and permanent disability.
Material and Methods: Records of 1482 children who were referred to a university hospital health board for disability between the years 2013-2018 were screened retrospectively.
Results: More than half (52.2%) of the children had a single psychopathology. 83.5% of the cases were severely disabled and 66.5% were permanently disabled. Severely disabled children were significantly more likely to have psychiatric, pediatric, neurological, orthopedic and otorhinolaringologic disorders. Permanent disability was significantly more frequent among patients with pediatric, ophthalmologic and cardiac disorders while children with psychopathologies were significantly less likely to have permanent disability. Mental retardation/intellectual developmental disorder levels differed in rates of permanent disability with pair-wise comparisons revealing that severe mental retardation/intellectual developmental disorder was the main factor. Severe disability was significantly more common among children younger than 8 years while permanent disability was more common among children >3 years. Children with psychopathology were 4.1 times more likely to have severe disability and this further increased to 15.3 for those with mental retardation/intellectual developmental disorder.
Conclusion: This is the first study to evaluate the factors that affecting the decisions of permanent and severe disabilities in disability health boards. Comprehensive results have been achieved despite low generalizability. To provide consistent reports, further and multicenter studies on factors associated with severe and permanent disabilities in children are needed.
Amaç: Bu çalışmanın amacı özürlü sağlık kurullarında değerlendirilen çocuklarda ağır ve sürekli özürlüğü belirlemek ve ağır ve sürekli özürlülüğün yordayıcılarını değerlendirmektir.
Gereç ve Yöntemler: Bir üniversite hastanesinin özürlü sağlık kuruluna 2013-2018 yılları arasında başvuran 1482 çocuğa ait kayıt geriye dönük olarak değerlendirildi.
Bulgular: Çocukların yarısından fazlasında (%52,2) bir psikopatoloji saptandı. Olguların %83,5’i ağır özürlü ve %66,5’i ise sürekli özürlüydü. Ağır özürlü olan çocuklarda psikiyatrik, pediatrik, nörolojik, ortopedik bozukluklar ve kulak burun boğaz ile ilişkili bozukluklar görülme olasılığı anlamlı şekilde daha fazlaydı. Pediatrik, oftalmolojik ve kardiyak bozuklukları olan çocuklar arasında sürekli özürlülük anlamlı şekilde daha fazla iken, psikopatolojisi olan çocuklarda sürekli özürlülük görülme olasılığı anlamlı olarak daha düşüktü. Mental retardasyon/entelektüel gelişimsel bozukluk düzeylerinin sürekli özürlülük oranları açısından çift yönlü karşılaştırmalar ile farklılaşması ağır mental retardasyon/entelektüel gelişimsel bozukluğun ana faktör olduğunu ortaya koymuştur. Ağır özürlülük 8 yaşından küçük çocuklar arasında anlamlı şekilde daha yaygın iken sürekli özürlülük ise 3 yaşından büyük çocuklar arasında daha yaygındı. Psikopatolojisi olan çocuklarda ağır özürlülük görülme olasılığı 4,1 kat daha fazlaydı ve bu durum mental retardasyon/entelektüel gelişimsel bozukluğu olanlar için 15,3'e kadar yükselmiştir.
Sonuç: Bu çalışma özürlü sağlık kurullarında sürekli ve ağır özürlülük kararlarını etkileyen faktörleri değerlendiren ilk çalışmadır. Genellenebilirliği düşük olmasına rağmen kapsamlı sonuçlar elde edilmiştir. Çocuklarda sürekli ve ağır özürlülükle ilişkili faktörlerle ilgili tutarlı raporların verilebilmesi adına daha fazla ve çok merkezli çalışmalara ihtiyaç vardır.
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Primary Language en
Subjects Medicine
Journal Section Research Article
Authors

Orcid: 0000-0001-9555-3916
Author: Gülen GÜLER AKSU (Primary Author)
Institution: MERSIN UNIVERSITY
Country: Turkey


Orcid: 0000-0002-5051-3459
Author: Pelin DAĞ
Institution: Mersin City Training and Research Hospital
Country: Turkey


Orcid: 0000-0002-2918-7871
Author: Meryem Özlem KÜTÜK
Institution: Baskent University School of Medicine, Dr. Turgut Noyan Medical and Research Center
Country: Turkey


Orcid: 0000-0001-5207-6240
Author: Ali Evren TUFAN
Institution: Acıbadem University
Country: Turkey


Orcid: 0000-0001-5402-9157
Author: Fevziye TOROS
Institution: MERSIN UNIVERSITY
Country: Turkey


Orcid: 0000-0001-7709-6133
Author: Didem DERİCİ YILDIRIM
Institution: MERSIN UNIVERSITY
Country: Turkey


Orcid: 0000-0001-9783-0825
Author: Ali BİÇER
Institution: MERSIN UNIVERSITY
Country: Turkey


Dates

Publication Date : April 30, 2020

Bibtex @research article { dtfd651552, journal = {Duzce Medical Journal}, issn = {}, eissn = {1307-671X}, address = {}, publisher = {Duzce University}, year = {2020}, volume = {22}, pages = {36 - 40}, doi = {10.18678/dtfd.651552}, title = {Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study}, key = {cite}, author = {Güler Aksu, Gülen and Dağ, Pelin and Kütük, Meryem Özlem and Tufan, Ali Evren and Toros, Fevziye and Derici Yıldırım, Didem and Biçer, Ali} }
APA Güler Aksu, G , Dağ, P , Kütük, M , Tufan, A , Toros, F , Derici Yıldırım, D , Biçer, A . (2020). Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study . Duzce Medical Journal , 22 (1) , 36-40 . DOI: 10.18678/dtfd.651552
MLA Güler Aksu, G , Dağ, P , Kütük, M , Tufan, A , Toros, F , Derici Yıldırım, D , Biçer, A . "Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study" . Duzce Medical Journal 22 (2020 ): 36-40 <https://dergipark.org.tr/en/pub/dtfd/issue/53917/651552>
Chicago Güler Aksu, G , Dağ, P , Kütük, M , Tufan, A , Toros, F , Derici Yıldırım, D , Biçer, A . "Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study". Duzce Medical Journal 22 (2020 ): 36-40
RIS TY - JOUR T1 - Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study AU - Gülen Güler Aksu , Pelin Dağ , Meryem Özlem Kütük , Ali Evren Tufan , Fevziye Toros , Didem Derici Yıldırım , Ali Biçer Y1 - 2020 PY - 2020 N1 - doi: 10.18678/dtfd.651552 DO - 10.18678/dtfd.651552 T2 - Duzce Medical Journal JF - Journal JO - JOR SP - 36 EP - 40 VL - 22 IS - 1 SN - -1307-671X M3 - doi: 10.18678/dtfd.651552 UR - https://doi.org/10.18678/dtfd.651552 Y2 - 2020 ER -
EndNote %0 Düzce Tıp Fakültesi Dergisi Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study %A Gülen Güler Aksu , Pelin Dağ , Meryem Özlem Kütük , Ali Evren Tufan , Fevziye Toros , Didem Derici Yıldırım , Ali Biçer %T Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study %D 2020 %J Duzce Medical Journal %P -1307-671X %V 22 %N 1 %R doi: 10.18678/dtfd.651552 %U 10.18678/dtfd.651552
ISNAD Güler Aksu, Gülen , Dağ, Pelin , Kütük, Meryem Özlem , Tufan, Ali Evren , Toros, Fevziye , Derici Yıldırım, Didem , Biçer, Ali . "Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study". Duzce Medical Journal 22 / 1 (April 2020): 36-40 . https://doi.org/10.18678/dtfd.651552
AMA Güler Aksu G , Dağ P , Kütük M , Tufan A , Toros F , Derici Yıldırım D , Biçer A . Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study. Duzce Medical Journal. 2020; 22(1): 36-40.
Vancouver Güler Aksu G , Dağ P , Kütük M , Tufan A , Toros F , Derici Yıldırım D , Biçer A . Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study. Duzce Medical Journal. 2020; 22(1): 36-40.
IEEE G. Güler Aksu , P. Dağ , M. Kütük , A. Tufan , F. Toros , D. Derici Yıldırım and A. Biçer , "Predictors of Severe and Permanent Disability in Children Evaluated in Health Boards: A Single-Center Study", Duzce Medical Journal, vol. 22, no. 1, pp. 36-40, Apr. 2020, doi:10.18678/dtfd.651552