Evidence map›Paper›PMID 39641840›Full record

ArticleEuropean journal of pediatrics2024

Health problems in children with profound intellectual and multiple disabilities: a scoping review.

Lian M Zandbelt, Esther J Bakker-van Gijssel, Catelijne H Coppens, Jos M T Draaisma, Joyce M Geelen

Abstract readScoping Review
In one paragraph

Article in European journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Occurrence of healthcare-associated infections caused by the zoonotic bacterium Pasteurella multocida subsp. gallicida in patients with severe motor and intellectual disabilities in Japan.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lian M ZandbeltDepartment of Paediatrics, Radboud Institute for Health Sciences, Radboud University Medical Centre, Amalia Children's Hospital, Nijmegen, The Netherlands.ORCID http://orcid.org/0009-0006-0240-828X
Esther J Bakker-van GijsselDepartment of Paediatrics, Radboud Institute for Health Sciences, Radboud University Medical Centre, Amalia Children's Hospital, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-7194-8734
Catelijne H CoppensDepartment of Paediatrics, Radboud Institute for Health Sciences, Radboud University Medical Centre, Amalia Children's Hospital, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0001-6230-2598
Jos M T DraaismaDepartment of Paediatrics, Radboud Institute for Health Sciences, Radboud University Medical Centre, Amalia Children's Hospital, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0003-4829-6173
Joyce M GeelenDepartment of Paediatrics, Radboud Institute for Health Sciences, Radboud University Medical Centre, Amalia Children's Hospital, Nijmegen, The Netherlands. Joyce.Geelen@radboudumc.nl.ORCID http://orcid.org/0000-0001-6498-545X

Funding

ZonMw 08450012210015
6 · The paper itself

Abstract

This study aims to investigate and categorize health problems in children with profound intellectual and multiple disabilities (PIMD). We conducted a scoping review in five electronic databases (PubMed, Embase, Medline, PsychInfo, and Web of Science), including peer-reviewed studies that describe health problems in children with PIMD. Articles on PIMD were included when mentioning children with severe or profound intellectual disability (IQ/DQ < 35 or developmental age < 24 months) AND severe/profound motor impairment (GMFCS IV/V, non-ambulatory/not walking without support or gross motor function measure (GMFM-66) score < 40). Health problems were divided into 11 different categories based on literature and the experiences of the authors. Both health problems reported by caregivers and diagnosed by health professionals were included. A data extraction tool was developed using the JBI checklist recommendations. The review included 22 studies, with a total of 894 patients across all the articles. The most reported health problems in children with PIMD were epilepsy, respiratory infections, feeding difficulties, GERD, scoliosis, and visual impairment. There was no uniformity in the definition and terminology of PIMD.

conclusionThe studies in this review covered a wide range of health problems, with only a few focusing on the entire range. Given the lack of knowledge about children with PIMD, further research is required on the presence of health problems, the age of onset, and appropriate treatments. Awareness, early detection, and treatment of the health problems could optimize the medical care and quality of life of children with PIMD. WHAT IS KNOWN: • Children with profound intellectual and multiple disabilities (PIMD) have severe intellectual and motor disabilities and various comorbidities. • Children often visit the hospital and provided care is complex and fragmented. WHAT IS NEW: • Children with PIMD develop a wide range of health problems; most reported are epilepsy, respiratory infections, and feeding difficulties. • Little is known about treatment of health problems in children with PIMD.

Indexed as

Intellectual DisabilityChildChild, PreschoolChildren with DisabilitiesHumansInfantChildrenClinical conditionsHealth problemsProfound intellectual and multiple disabilitiesScoping review

Identifiers

PMID39641840
PMCPMC11624250

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.