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Journal of Child Neurology
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Article

Feeding Problems in Children With Neonatal Arterial Ischemic Stroke

Monica Barkat-Masih, MD, MBBS1, Chandan Saha, PhD2, Deborah K. Hamby, MD3, Susan Ofner, MSc2, and Meredith R. Golomb, MD, MSc1*

1 Division of Pediatric Neurology, Department of Neurology, Indiana University School of Medicine, Indianapolis, Indiana
2 Division of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana
3 Division of Developmental Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana

* To whom correspondence should be addressed. E-mail: mgolomb{at}iupui.edu.


  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 {chi}2 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.

First published on October 12, 2009
Journal of Child Neurology 2009, doi:10.1177/0883073809348354
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