Serebral Palsili Yetişkin Hastalara Göğüs Hastalıkları Kliniğinde Yaklaşım: 4 Olgu ile Birlikte

Year 2024, , 480 - 488, 27.05.2024

Nergiz Ayan Sibel Naycı Şükrü Hakan Kaleağası Eylem Sercan Özgür

https://doi.org/10.20515/otd.1397991

Abstract

Serebral palsi günümüzde iyileşen bakım olanaklarıyla birlikte yetişkin yaşlarda karşımıza çıkabilmektedir. Bunun sonucu olarak göğüs hastalıkları kliniğinde daha sık olarak serebral palsili yetişkin hasta takibi yapılmaktadır. Solunum sistemi hastalıkları hastane yatışı ve mortaliteyi etkileyen önemli bir unsurdur. Bu duruma hazırlayıcı risk faktörlerinin tanımlanması ve yönetimi, serebral palsili yetişkin bireylerin takip ve tedavilerinin etkin yapılabilmesi bakımından önemlidir. Göğüs hastalıkları pratiğinde serebral palsili yetişkin hastalar özellikle aspirasyon açısından dikkatle değerlendirilmelidir. Meydana gelen solunum sistemi hastalıklarının tedavisinin yanı sıra önlenmesine yönelik planlamalar da her hasta özelinde yapılmalıdır. Bu olgu serisinde solunum sistemi hastalıklarına yol açan risk faktörleri ve yönetimi 4 olguyla birlikte gözden geçirilmiştir.

Keywords

Aspirasyon, Disfaji, Gastroözofageal reflü, Serebral palsi, Solunum yetmezliği

Ethical Statement

Etik Bilgiler Aydınlatılmış Onam: Yazarlar retrospektif bir çalışma olduğu için olgulardan imzalı onam almadıklarını beyan etmişlerdir. Telif Hakkı Devir Formu: Tüm yazarlar tarafından Telif Hakkı Devir Formu imzalanmıştır. Yazar Katkı Oranları: Fikir/kavram: NA, ESÖ, SN. Tasarım: NA, ESÖ, ŞHK. Veri Toplama veya İşleme: NA, ESÖ, SN. Analiz veya Yorum: NA, ESÖ, ŞHK, SN. Literatür Taraması: NA, ESÖ, ŞHK, SN. Yazma: NA, ESÖ. Çıkar Çatışması Bildirimi: Yazarlar çıkar çatışması olmadığını beyan etmişlerdir. Destek ve Teşekkür Beyanı: Yazarlar bu çalışma için finansal destek almadıklarını beyan etmişlerdir.

The Approach to Adult Patients with Cerebral Palsy in The Chest Diseases Clinic: with 4 Cases

Abstract

Nowadays, cerebral palsy can be seen in adults with improved care facilities. As a result, adult patients with cerebral palsy are more frequently followed up in the pulmonology clinic. Respiratory diseases are an important factor affecting hospitalization and mortality. Identification and management of predisposing risk factors is important for effective follow-up and treatment of adults with cerebral palsy. In pulmonology practice, adult patients with cerebral palsy should be carefully evaluated especially in terms of aspiration. In addition to the treatment of respiratory system diseases that occur, plans for prevention should be made specifically for each patient.In this case series, risk factors which leading to respiratory system diseases and their management are reviewed with 4 cases.

Keywords

Aspiration, Cerebral palsy, Dysphagia, Gastroesophageal reflux, Respiratory failure

References

• 1. Barkoudah E, Aravamuthan B. Cerebral palsy: Epidemiology, etiology, and prevention. https://www.uptodate.com/contents/cerebral-palsy-epidemiology-etiology-and-prevention? search Erişim 05.10.2023.
• 2. Bromham N, Dworzynski K, Eunson P, Fairhurst C; Guideline Committee. Cerebral palsy in adults: summary of NICE guidance. BMJ. 2019;364:l806.
• 3. Mclntyre S, Goldsmith S, Webb A, et al. Global prevalence of cerebral palsy: A systematic analysis. Dev Med Child Neurol. 2022;64(12):1494–1506.
• 4. Serdaroğlu A, Cansu A, Özkan S, Tezcan S. Prevalence of cerebral palsy in Turkish children between the ages of 2 and 16 years. Dev Med Child Neurol. 2006;48(6):413–416.
• 5. Ashwal S, Russman BS, Blasco PA, et al. Practice parameter: diagnostic assessment of the child with cerebral palsy: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. Neurology. 2004;62(6):851-863.
• 6. Strauss D, Brooks J, Rosenbloom L, Shavelle R. Life Expectancy in Cerebral Palsy: an update. Dev Med Child Neurol. 2008;50(7):487-493.
• 7. Westbom L, Bergstrand L, Wagner P, Nordmark E. Survival at 19 years of age in a total population of children and young people with cerebral palsy. Dev Med Child Neurol. 2011;53(9):808-814.
• 8. Himmelmann K, Sundh V. Survival with cerebral palsy over five decades in western Sweden. Dev Med Child Neurol. 2015;57(8):762-767.
• 9. Dogruoz Karatekin B, İcagasioglu A, Sahin SN, Akbulut İH, Pasin O. Multimorbidities and quality of life in adult cerebral palsy over 40 years. Acta Neurol Belg. 2022;122(5):1261-1267.
• 10. Gibson N, Blackmore AM, Chang AB, et al. Prevention and management of respiratory disease in young people with cerebral palsy: consensus statement. Dev Med Child Neurol. 2021;63(2):172-182.
• 11. Boel L, Pernet K, Toussaint M, et al. Respiratory morbidity in children with cerebral palsy: an overview. Dev Med Child Neurol. 2019;61(6):646-653.
• 12. Seddon PC, Khan Y. Respiratory problems in children with neurological impairment. Arch Dis Child. 2003;88(1):75–78.
• 13. Kürtül Çakar M, Cinel G. The respiratory problems of patients with cerebral palsy requiring hospitalization: Reasons and solutions. Pediatr Pulmonol. 2021;56(6):1626-1634.
• 14. Young NL, McCormick AM, Gilbert T, et al. Reasons for hospital admissions among youth and young adults with cerebral palsy. Arch Phys Med Rehabil. 2011;92(1):46-50.
• 15. Stevens JD, Turk MA, Landes SD. Cause of death trends among adults with and without cerebral palsy in the United States, 2013-2017. Ann Phys Rehabil Med. 2022;65(2):101553.
• 16. Duruflé-Tapin A, Colin A, Nicolas B, Lebreton C, Dauvergne F, Gallien P. Analysis of the medical causes of death in cerebral palsy. Ann Phys Rehabil Med. 2014;57(1):24-37.
• 17. 17.Blackmore AM, Bear N, Langdon K, Moshovis L, Gibson N, Wilson A. Respiratory hospital admissions and emergency department visits in young people with cerebral palsy: 5-year follow-up. Arch Dis Child. 2020;105(11):1126-1127.
• 18. 18.Blackmore AM, Bear N, Blair E, et al. Factors associated with respiratory illness in children and young adults with cerebral palsy. J Pediatr. 2016;168:151–157.e1.
• 19. 19.Blackmore AM, Bear N, Blair E, et al. Predicting respiratory hospital admissions in young people with cerebral palsy. Arch Dis Child. 2018;103(12):1119–1124.
• 20. Barkoudah E. Aravamuthan B. Cerebral palsy: Clinical features and classification. https://www.uptodate.com/contents/cerebral-palsy-classification-and-clinical-features?search Erişim 05.10.2023.
• 21. Sullivan PB, Morrice JS, Vernon-Roberts A, Grant H, Eltumi M, Thomas AG. Does gastrostomy tube feeding in children with cerebral palsy increase the risk of respiratory morbidity?. Arch Dis Child. 2006;91(6):478-482.
• 22. Barkoudah E. Cerebral palsy: Overview of management and prognosis. https://www.uptodate.com/contents/cerebral-palsy-overview-of-management-and-prognosis?search Erişim 05.10.2023.
• 23. Lin JL, Van Haren K, Rigdon J, et al. Pneumonia prevention strategies for children with neurologic impairment. Pediatrics. 2019;144(4):e20190543.