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Abstract

Feeding disorders and the association of neonatal feeding disorders with other outcomes were assessed in a cohort of 84 children with neonatal arterial ischemic stroke at a tertiary children’s hospital. Both χ² tests and Fisher’s exact test were used to test associations. Forty-one of 84 children (48.8%) had feeding difficulties. Infarcted vascular territory (unilateral vs bilateral, P = .24) and neonatal seizures (P = .39) were not associated with feeding problems. Children with at least 1 perinatal comorbidity (P = .002, odds ratio = 4.27; 95% confidence interval: 1.65-11.03) and specifically respiratory problems (P = .004, odds ratio = 3.85; 95% confidence interval: 1.49-9.93) were significantly more likely to have feeding problems. Neonatal feeding problems were predictive of feeding problems at 12 to 24 months of age (P = .026, odds ratio = 3.33; 95% confidence interval: 1.12-9.90) but did not predict speech delay (P = .97) or cerebral palsy (P = .70). Feeding problems are important sequelae of neonatal stroke, but neonatal feeding problems in this group do not predict speech delay or cerebral palsy.

Keywords

neonatal stroke perinatal cerebral palsy feeding dysphagia reflux gastrostomy tube aspiration failure to thrive swallow choking suck speech delay desaturation seizures

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References

Gregory K. Update on nutrition for preterm and full-term infants. J Obstet Gynecol Neonatal Nurs. 2005;34(1):98-108.

Golomb MR , Saha C. , Garg BP , Azzouz F. , Williams LS Association of cerebral palsy with other disabilities in children with perinatal arterial ischemic stroke. Pediatr Neurol. 2007;37(4): 245-249.

Golomb MR , Garg BP , Saha C. , Azzouz F. , Williams LS Cerebral palsy after perinatal arterial ischemic stroke. J Child Neurol. 2008; 23(3):279-286.

Hamdy S. , Rothwell JC , Aziz Q. , Thompson DG Organization and reorganization of human swallowing motor cortex: implications for recovery after stroke. Clin Sci ( Colch). 2000;99(2):151-157.

Hamdy S. , Aziz Q. , Thompson DG , Rothwell JC Physiology and pathophysiology of the swallowing area of human motor cortex . Neural Plast. 2001;8(1-2):91-97.

Hagg M. , Anniko M. Lip muscle training in stroke patients with dysphagia. Acta Otolaryngol (Stockh). 2008;128(9):1027-1033.

Golomb MR , Garg BP , Saha C. , Williams LS Accuracy and yield of ICD-9 codes for identifying children with ischemic stroke . Neurology. 2006;67(11):2053-2055.

Gangil A. , Patwari AK , Aneja S. , Ahuja S. , Anand VK Feeding problems in children with cerebral palsy. Indian Pediatr . 2001; 38(8):839-846.

Reilly S. Feeding problems in children with cerebral palsy. Curr Paediatr . 1993;3(4):209-213.

10.

Reilly S. , Skuse D. , Poblete X. Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: a community survey. J Pediatr. 1996;129(6):877-882.

11.

Sullivan PB , Lambert B. , Rose M. , Ford-Adams M. , Johnson A. , Griffiths P. Prevalence and severity of feeding and nutritional problems in children with neurological impairment: Oxford Feeding Study. Dev Med Child Neurol. 2000;42(10):674-680.

12.

Gangil A. , Patwari AK , Bajaj P. , Kashyap R. , Anand VK Gastroesophageal reflux disease in children with cerebral palsy. Indian Pediatr. 2001;38(7):766-770.

13.

Bozkurt M. , Tutuncuoglu S. , Serdaroglu G. , Tekgul H. , Aydogdu S. Gastroesophageal reflux in children with cerebral palsy: efficacy of cisapride . J Child Neurol. 2004;19(12):973-976.

14.

Han TR , Paik NJ , Park JW , Kwon BS The prediction of persistent dysphagia beyond six months after stroke. Dysphagia. 2008; 23(1):59-64.

15.

White GN , O’Rourke F. , Ong BS , Cordato DJ , Chan DK Dysphagia: causes, assessment, treatment, and management. Geriatrics. 2008;63(5):15-20.

16.

Singh S. , Hamdy S. Dysphagia in stroke patients. Postgrad Med J. 2006;82(968):383-391.

17.

Masiero S. , Pierobon R. , Previato C. , Gomiero E. Pneumonia in stroke patients with oropharyngeal dysphagia: a six-month follow-up study. Neurol Sci. 2008;29(3):139-145.

18.

Paciaroni M. , Mazzotta G. , Corea F. , et al. Dysphagia following Stroke. Eur Neurol. 2004;51(3):162-167.

19.

Kumral E. , Ozdemirkiran T. , Alper Y. Strokes in the subinsular territory: clinical, topographical, and etiological patterns. Neurology. 2004;63(12):2429-2432.

20.

Mizuno K. , Ueda A. Neonatal feeding performance as a predictor of neurodevelopmental outcome at 18 months. Dev Med Child Neurol. 2005;47(5):299-304.

21.

Motion S. , Northstone K. , Emond A. , Stucke S. , Golding J. Early feeding problems in children with cerebral palsy: weight and neurodevelopmental outcomes. Dev Med Child Neurol. 2002;44(1):40-43.

22.

Robbins J. , Kays SA , Gangnon RE , et al. The effects of lingual exercise in stroke patients with dysphagia . Arch Phys Med Rehabil. 2007;88(2):150-158.

Feeding Problems in Children With Neonatal Arterial Ischemic Stroke

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