Document Detail

Early sucking and swallowing problems as predictors of neurodevelopmental outcome in children with neonatal brain injury: a systematic review.
MedLine Citation:
PMID:  22607330     Owner:  NLM     Status:  MEDLINE    
AIM: Early sucking and swallowing problems may be potential markers of neonatal brain injury and assist in identifying those infants at increased risk of adverse outcomes, but the relation between early sucking and swallowing problems and neonatal brain injury has not been established. The aim of the review was, therefore, to investigate the relation between early measures of sucking and swallowing and neurodevelopmental outcomes in infants diagnosed with neonatal brain injury and in infants born very preterm (<32wks) with very low birthweight (<1500g), at risk of neonatal brain injury.
METHOD: We conducted a systematic review of English-language articles using CINAHL, EMBASE, and MEDLINE OVID (from 1980 to May 2011). Additional studies were identified through manual searches of key journals and the works of expert authors. Extraction of data informed an assessment of the level of evidence and risk of bias for each study using a predefined set of quality indicators.
RESULTS: A total of 394 abstracts were generated by the search but only nine studies met the inclusion criterion. Early sucking and swallowing problems were present in a consistent proportion of infants and were predictive of neurodevelopmental outcome in infancy in five of the six studies reviewed.
LIMITATIONS: The methodological quality of studies was variable in terms of research design, level of evidence (National Health and Medical Research Council levels II, III, and IV), populations studied, assessments used and the nature and timing of neurodevelopmental follow-up.
CONCLUSIONS: Based upon the results of this review, there is currently insufficient evidence to clearly determine the relation between early sucking and swallowing problems and neonatal brain injury. Although early sucking and swallowing problems may be related to later neurodevelopmental outcomes, further research is required to delineate their value in predicting later motor outcomes and to establish reliable measures of early sucking and swallowing function.
Justine Slattery; Angela Morgan; Jacinta Douglas
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2012-05-19
Journal Detail:
Title:  Developmental medicine and child neurology     Volume:  54     ISSN:  1469-8749     ISO Abbreviation:  Dev Med Child Neurol     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-13     Completed Date:  2012-10-17     Revised Date:  2013-07-18    
Medline Journal Info:
Nlm Unique ID:  0006761     Medline TA:  Dev Med Child Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  796-806     Citation Subset:  IM    
Copyright Information:
© The Authors. Developmental Medicine & Child Neurology © 2012 Mac Keith Press.
School of Human Communication Sciences, La Trobe University, Melbourne, Victoria, Australia.
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MeSH Terms
Asphyxia Neonatorum / diagnosis*,  physiopathology*
Brain Damage, Chronic / diagnosis*,  physiopathology*
Deglutition / physiology
Deglutition Disorders / diagnosis*,  physiopathology
Developmental Disabilities / diagnosis*,  physiopathology*
Infant, Extremely Low Birth Weight*
Infant, Low Birth Weight*
Infant, Newborn
Infant, Premature, Diseases / diagnosis*,  physiopathology*
Neurologic Examination
Risk Factors
Statistics as Topic
Sucking Behavior / physiology*
Comment In:
Dysphagia. 2013 Jun;28(2):271-7   [PMID:  23397473 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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