Feeding problems in children with neonatal arterial ischemic stroke

Monica Barkat-Masih, Chandan Saha, Deborah K. Hamby, Susan Ofner, Meredith R. Golomb

Research output: Contribution to journalArticle

8 Scopus citations

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 childrens hospital. Both ‡2 tests and Fishers 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.

Original languageEnglish (US)
Pages (from-to)867-872
Number of pages6
JournalJournal of Child Neurology
Volume25
Issue number7
DOIs
StatePublished - Jul 2010

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Keywords

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

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

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