Early sucking and swallowing problems as predictors of neurodevelopmental outcome in children with neonatal brain injury: a systematic review

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 th...

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Veröffentlicht in:Developmental medicine and child neurology 2012-09, Vol.54 (9), p.796-806
Hauptverfasser: SLATTERY, JUSTINE, MORGAN, ANGELA, DOUGLAS, JACINTA
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container_title Developmental medicine and child neurology
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creator SLATTERY, JUSTINE
MORGAN, ANGELA
DOUGLAS, JACINTA
description 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 (
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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 (&lt;32wks) with very low birthweight (&lt;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 s 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.</description><identifier>ISSN: 0012-1622</identifier><identifier>EISSN: 1469-8749</identifier><identifier>DOI: 10.1111/j.1469-8749.2012.04318.x</identifier><identifier>PMID: 22607330</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Asphyxia Neonatorum - diagnosis ; Asphyxia Neonatorum - physiopathology ; Brain Damage, Chronic - diagnosis ; Brain Damage, Chronic - physiopathology ; Deglutition - physiology ; Deglutition Disorders - diagnosis ; Deglutition Disorders - physiopathology ; Developmental Disabilities - diagnosis ; Developmental Disabilities - physiopathology ; Humans ; Infant, Extremely Low Birth Weight ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature, Diseases - diagnosis ; Infant, Premature, Diseases - physiopathology ; Neurologic Examination ; Prognosis ; Risk Factors ; Statistics as Topic ; Sucking Behavior - physiology</subject><ispartof>Developmental medicine and child neurology, 2012-09, Vol.54 (9), p.796-806</ispartof><rights>The Authors. 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Developmental Medicine &amp; Child Neurology © 2012 Mac Keith Press.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4588-ea7138f8214a08f5efe808f843d5aa01015df4302c30ce6bd64f27eefa24fd953</citedby><cites>FETCH-LOGICAL-c4588-ea7138f8214a08f5efe808f843d5aa01015df4302c30ce6bd64f27eefa24fd953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1469-8749.2012.04318.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1469-8749.2012.04318.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27903,27904,45553,45554,46387,46811</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22607330$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SLATTERY, JUSTINE</creatorcontrib><creatorcontrib>MORGAN, ANGELA</creatorcontrib><creatorcontrib>DOUGLAS, JACINTA</creatorcontrib><title>Early sucking and swallowing problems as predictors of neurodevelopmental outcome in children with neonatal brain injury: a systematic review</title><title>Developmental medicine and child neurology</title><addtitle>Dev Med Child Neurol</addtitle><description>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 (&lt;32wks) with very low birthweight (&lt;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 s 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.</description><subject>Asphyxia Neonatorum - diagnosis</subject><subject>Asphyxia Neonatorum - physiopathology</subject><subject>Brain Damage, Chronic - diagnosis</subject><subject>Brain Damage, Chronic - physiopathology</subject><subject>Deglutition - physiology</subject><subject>Deglutition Disorders - diagnosis</subject><subject>Deglutition Disorders - physiopathology</subject><subject>Developmental Disabilities - diagnosis</subject><subject>Developmental Disabilities - physiopathology</subject><subject>Humans</subject><subject>Infant, Extremely Low Birth Weight</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature, Diseases - diagnosis</subject><subject>Infant, Premature, Diseases - physiopathology</subject><subject>Neurologic Examination</subject><subject>Prognosis</subject><subject>Risk Factors</subject><subject>Statistics as Topic</subject><subject>Sucking Behavior - physiology</subject><issn>0012-1622</issn><issn>1469-8749</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc9u1DAQxi0EokvhFZCPXBL8L4mXAxJaSgtqlwsIqRfL64ypt0682Emz-xC8Mw5b9owvM9b85hv7G4QwJSXN5-22pKJeFrIRy5IRykoiOJXl_glanApP0YLkUkFrxs7Qi5S2hBBeV-I5OmOsJg3nZIF-X-joDziN5t71P7HuW5wm7X2Y5usuho2HLmGdcg6tM0OICQeLexhjaOEBfNh10A_a4zAOJnSAXY_NnfNthB5PbrjLbOj1TGyizkXXb8d4eIc1Toc0QKcHZ3CEBwfTS_TMap_g1WM8R98_XXxbXRXXXy8_rz5cF0ZUUhagG8qllYwKTaStwILMUQreVloTSmjVWsEJM5wYqDdtLSxrAKxmwrbLip-jN0fd_MFfI6RBdS4Z8F7nt45JUcK5qFjDlhmVR9TEkFIEq3bRdToeMqTmZaitmj1Xs-dqXob6uwy1z62vH6eMmw7aU-M_9zPw_ghMzsPhv4XVx5vVek6zQHEUcNnI_UlAx3tVN7yp1I_1pVqL9e3q6uZWfeF_AJSHq7M</recordid><startdate>201209</startdate><enddate>201209</enddate><creator>SLATTERY, JUSTINE</creator><creator>MORGAN, ANGELA</creator><creator>DOUGLAS, JACINTA</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201209</creationdate><title>Early sucking and swallowing problems as predictors of neurodevelopmental outcome in children with neonatal brain injury: a systematic review</title><author>SLATTERY, JUSTINE ; MORGAN, ANGELA ; DOUGLAS, JACINTA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4588-ea7138f8214a08f5efe808f843d5aa01015df4302c30ce6bd64f27eefa24fd953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Asphyxia Neonatorum - diagnosis</topic><topic>Asphyxia Neonatorum - physiopathology</topic><topic>Brain Damage, Chronic - diagnosis</topic><topic>Brain Damage, Chronic - physiopathology</topic><topic>Deglutition - physiology</topic><topic>Deglutition Disorders - diagnosis</topic><topic>Deglutition Disorders - physiopathology</topic><topic>Developmental Disabilities - diagnosis</topic><topic>Developmental Disabilities - physiopathology</topic><topic>Humans</topic><topic>Infant, Extremely Low Birth Weight</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Premature, Diseases - diagnosis</topic><topic>Infant, Premature, Diseases - physiopathology</topic><topic>Neurologic Examination</topic><topic>Prognosis</topic><topic>Risk Factors</topic><topic>Statistics as Topic</topic><topic>Sucking Behavior - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SLATTERY, JUSTINE</creatorcontrib><creatorcontrib>MORGAN, ANGELA</creatorcontrib><creatorcontrib>DOUGLAS, JACINTA</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Developmental medicine and child neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SLATTERY, JUSTINE</au><au>MORGAN, ANGELA</au><au>DOUGLAS, JACINTA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early sucking and swallowing problems as predictors of neurodevelopmental outcome in children with neonatal brain injury: a systematic review</atitle><jtitle>Developmental medicine and child neurology</jtitle><addtitle>Dev Med Child Neurol</addtitle><date>2012-09</date><risdate>2012</risdate><volume>54</volume><issue>9</issue><spage>796</spage><epage>806</epage><pages>796-806</pages><issn>0012-1622</issn><eissn>1469-8749</eissn><abstract>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 (&lt;32wks) with very low birthweight (&lt;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 s 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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22607330</pmid><doi>10.1111/j.1469-8749.2012.04318.x</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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ispartof Developmental medicine and child neurology, 2012-09, Vol.54 (9), p.796-806
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subjects Asphyxia Neonatorum - diagnosis
Asphyxia Neonatorum - physiopathology
Brain Damage, Chronic - diagnosis
Brain Damage, Chronic - physiopathology
Deglutition - physiology
Deglutition Disorders - diagnosis
Deglutition Disorders - physiopathology
Developmental Disabilities - diagnosis
Developmental Disabilities - physiopathology
Humans
Infant, Extremely Low Birth Weight
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature, Diseases - diagnosis
Infant, Premature, Diseases - physiopathology
Neurologic Examination
Prognosis
Risk Factors
Statistics as Topic
Sucking Behavior - physiology
title Early sucking and swallowing problems as predictors of neurodevelopmental outcome in children with neonatal brain injury: a systematic review
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