Experience in neuromuscular diseases in children and adolescents and their comorbidities in a tertiary hospital

Abstract Introduction Neuromuscular diseases include a large group of heterogeneous and rare pathologies that affect different components of the motor unit. It is essential to optimize resources to know the prevalence of comorbidities in the most frequent groups to establish an early multidisciplina...

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Autores principales: J. A. Gascón-Navarro, M. J. De La Torre-Aguilar, J. A. Fernández-Ramos, J. Torres-Borrego, J. L. Pérez-Navero
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Publicado: BMC 2021
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spelling oai:doaj.org-article:ff9969669f494452afbd90dba146223f2021-11-21T12:42:25ZExperience in neuromuscular diseases in children and adolescents and their comorbidities in a tertiary hospital10.1186/s13052-021-01176-41824-7288https://doaj.org/article/ff9969669f494452afbd90dba146223f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13052-021-01176-4https://doaj.org/toc/1824-7288Abstract Introduction Neuromuscular diseases include a large group of heterogeneous and rare pathologies that affect different components of the motor unit. It is essential to optimize resources to know the prevalence of comorbidities in the most frequent groups to establish an early multidisciplinary approach in a specialized setting. Patients and methods Retrospective descriptive study of pediatric and adolescent patients with neuromuscular diseases (NMDs). The Inclusion criteria were NMDs patients with motor neuron involvement divided into three groups, depending on the affected component of the motor unit. Group I: involvement of the motor neuron; Group II: peripheral neuropathies; Group III: myopathies. Demographic variables, association with comorbidities, need for respiratory support, and rehabilitative treatment were collected in each group. Results Ninety-six patients who met the inclusion criteria were studied. In group I, when compared to the other two groups, a higher incidence of scoliosis (68.3%, p = 0.011), deformity of the rib cage (31.3%, p = 0.0001), chronic respiratory insufficiency (62.5%, p = 0.001) and bronchial aspiration (12.5%, p = 0.03) was detected. In this group, 50%of the patients required non-invasive mechanical ventilation (p = 0.0001). The in-hospital requirement for respiratory physiotherapy was higher in group I (75%, p = 0.001). We observed a higher incidence of scoliosis in Group III compared to Group II. Conclusions Neuromuscular diseases with motor neuron involvement present more comorbidities and require an early approach after diagnosis to improve prognosis.J. A. Gascón-NavarroM. J. De La Torre-AguilarJ. A. Fernández-RamosJ. Torres-BorregoJ. L. Pérez-NaveroBMCarticlePediatricsRJ1-570ENItalian Journal of Pediatrics, Vol 47, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Pediatrics
RJ1-570
spellingShingle Pediatrics
RJ1-570
J. A. Gascón-Navarro
M. J. De La Torre-Aguilar
J. A. Fernández-Ramos
J. Torres-Borrego
J. L. Pérez-Navero
Experience in neuromuscular diseases in children and adolescents and their comorbidities in a tertiary hospital
description Abstract Introduction Neuromuscular diseases include a large group of heterogeneous and rare pathologies that affect different components of the motor unit. It is essential to optimize resources to know the prevalence of comorbidities in the most frequent groups to establish an early multidisciplinary approach in a specialized setting. Patients and methods Retrospective descriptive study of pediatric and adolescent patients with neuromuscular diseases (NMDs). The Inclusion criteria were NMDs patients with motor neuron involvement divided into three groups, depending on the affected component of the motor unit. Group I: involvement of the motor neuron; Group II: peripheral neuropathies; Group III: myopathies. Demographic variables, association with comorbidities, need for respiratory support, and rehabilitative treatment were collected in each group. Results Ninety-six patients who met the inclusion criteria were studied. In group I, when compared to the other two groups, a higher incidence of scoliosis (68.3%, p = 0.011), deformity of the rib cage (31.3%, p = 0.0001), chronic respiratory insufficiency (62.5%, p = 0.001) and bronchial aspiration (12.5%, p = 0.03) was detected. In this group, 50%of the patients required non-invasive mechanical ventilation (p = 0.0001). The in-hospital requirement for respiratory physiotherapy was higher in group I (75%, p = 0.001). We observed a higher incidence of scoliosis in Group III compared to Group II. Conclusions Neuromuscular diseases with motor neuron involvement present more comorbidities and require an early approach after diagnosis to improve prognosis.
format article
author J. A. Gascón-Navarro
M. J. De La Torre-Aguilar
J. A. Fernández-Ramos
J. Torres-Borrego
J. L. Pérez-Navero
author_facet J. A. Gascón-Navarro
M. J. De La Torre-Aguilar
J. A. Fernández-Ramos
J. Torres-Borrego
J. L. Pérez-Navero
author_sort J. A. Gascón-Navarro
title Experience in neuromuscular diseases in children and adolescents and their comorbidities in a tertiary hospital
title_short Experience in neuromuscular diseases in children and adolescents and their comorbidities in a tertiary hospital
title_full Experience in neuromuscular diseases in children and adolescents and their comorbidities in a tertiary hospital
title_fullStr Experience in neuromuscular diseases in children and adolescents and their comorbidities in a tertiary hospital
title_full_unstemmed Experience in neuromuscular diseases in children and adolescents and their comorbidities in a tertiary hospital
title_sort experience in neuromuscular diseases in children and adolescents and their comorbidities in a tertiary hospital
publisher BMC
publishDate 2021
url https://doaj.org/article/ff9969669f494452afbd90dba146223f
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