When you spend all day engaged in patient care it can be difficult to
keep up with what’s happening in the research realm (and vice versa!).
When my time was 100% patient care, I used to wish for an article fairy –
someone who would be on the lookout for articles I’d love to read, and must
read to remain current. I just needed someone to let me know what was
exciting, relevant and available. (Google is very good at this of
course.)
Though I lack wings and magical powers, I’m going to be the article fairy
today.
If you’ve already read it, congrats! It was published in September of 2013 by
The Journal of Pediatrics. For copyright reasons I can only provide you
with the abstract below. I also included 3 links to that abstract so you may
pursue access to the full text through whatever system you use.
And if you find this helpful- having an article fairy- email us here and
let us know. If so, we’ll make sure we deliver this type of info on a regular
basis.
*Don’t just read the abstract and make generalizations. Read entire article so
you can educate your team!
Association between Feeding Difficulties and Language Delay in Preterm Infants
Using Bayley Scales of Infant Development-Third Edition
Ira Adams-Chapman, MD, MPHemail address, Carla M. Bann, PhD, Yvonne E. Vaucher,
MD, MPH, Barbara J. Stoll, MD, Eunice Kennedy Shriver National Institute of
Child Health and Human Development (NICHD) Neonatal Research Network (NRN)
Objective
To evaluate the relationship
between abnormal feeding patterns and language performance on the Bayley Scales
of Infant Development-Third Edition at 18-22 months adjusted age among a cohort
of extremely premature infants.
Study design
This is a descriptive analysis of
1477 preterm infants born ≥26 weeks gestation or enrolled in a clinical trial
between January 1, 2006 and March 18, 2008 at a National Institute of Child
Health and Human Development Neonatal Research Network center who completed the
18-month neurodevelopmental follow-up assessment. At 18-22 months adjusted age,
a comprehensive neurodevelopmental evaluation was performed by certified
examiners including the Receptive and Expressive Language Subscales of the
Bayley Scales of Infant Development-Third Edition and a standardized adjusted
age feeding behaviors and nutritional intake. Data were analyzed using
bivariate and multilevel linear and logistic regression modeling.
Results
Abnormal feeding behaviors were
reported in 193 (13%) of these infants at 18-22 months adjusted age. Abnormal
feeding patterns, days of mechanical ventilation, hearing impairment, and Gross Motor Functional Classification System level ≥2 each independently predicted
lower composite language scores.
Conclusions
At 18 months adjusted age,
premature infants with a history of feeding difficulties are more likely to
have language delay. Neuromotor impairment and days of mechanical ventilation
are both important risk factors associated with these outcomes.
http://www.jpeds.com/article/S0022-3476(13)00282-5/abstract
http://www.ncbi.nlm.nih.gov/pubmed/23582139
http://www.sciencedirect.com/science/article/pii/S0022347613002825
