Victoria Sherman1,2, Elissa Greco1,2, Mahendranath Moharir3, Deryk Beal1,2,4, Kevin Thorpe5,6, Rosemary Martino1,2,7. 1. Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada. 2. Rehabilitation Science Institute, University of Toronto, Toronto, Ontario, Canada. 3. Pediatric Stroke Program, Division of Neurology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada. 4. Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada. 5. Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. 6. Applied Health Research Centre, St. Michael's Hospital, Toronto, Ontario, Canada. 7. Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.
Abstract
AIM: This systematic review targeted frequency estimates of dysphagia (feeding and swallowing problems), related health outcomes, and caregiver burden in children with stroke or unilateral cerebral palsy (CP). METHOD: Six electronic databases were searched from their inception to November 2017 along with a manual search of eight relevant journals. Two blinded raters assessed abstracts and full articles for eligibility. Discrepancies were resolved by consensus. Accepted articles were evaluated for quality. Data were extracted and analysed descriptively. RESULTS: Of 1660 abstracts, five met inclusion criteria, of which three focused on stroke and two unilateral CP. Across studies, operational definitions of feeding and swallowing varied. Insufficient details were provided on assessment methods and timing. Reported frequencies of dysphagia ranged from 24.2% to 88.6%. One study reported dysphagia-related health outcomes and none reported caregiver burden. INTERPRETATION: These results suggest that dysphagia is common in children with stroke and unilateral CP; however, its frequency is yet unknown as is its impact on health and caregiver burden. Availability of a standardized tool to identify dysphagia in these children accurately is a recommended first step to address this evidence gap. WHAT THIS PAPER ADDS: There is limited data on the incidence of dysphagia after childhood stroke and unilateral cerebral palsy. Available evidence shows reported dysphagia frequencies from 24.2% to 88.6%. Only one study reported on dysphagia-related health outcomes. No study reported on caregiver burden.
AIM: This systematic review targeted frequency estimates of dysphagia (feeding and swallowing problems), related health outcomes, and caregiver burden in children with stroke or unilateral cerebral palsy (CP). METHOD: Six electronic databases were searched from their inception to November 2017 along with a manual search of eight relevant journals. Two blinded raters assessed abstracts and full articles for eligibility. Discrepancies were resolved by consensus. Accepted articles were evaluated for quality. Data were extracted and analysed descriptively. RESULTS: Of 1660 abstracts, five met inclusion criteria, of which three focused on stroke and two unilateral CP. Across studies, operational definitions of feeding and swallowing varied. Insufficient details were provided on assessment methods and timing. Reported frequencies of dysphagia ranged from 24.2% to 88.6%. One study reported dysphagia-related health outcomes and none reported caregiver burden. INTERPRETATION: These results suggest that dysphagia is common in children with stroke and unilateral CP; however, its frequency is yet unknown as is its impact on health and caregiver burden. Availability of a standardized tool to identify dysphagia in these children accurately is a recommended first step to address this evidence gap. WHAT THIS PAPER ADDS: There is limited data on the incidence of dysphagia after childhood stroke and unilateral cerebral palsy. Available evidence shows reported dysphagia frequencies from 24.2% to 88.6%. Only one study reported on dysphagia-related health outcomes. No study reported on caregiver burden.
Authors: Victoria Sherman; Mahendranath Moharir; Deryk S Beal; Kevin E Thorpe; Rosemary Martino Journal: Dysphagia Date: 2022-06-14 Impact factor: 3.438
Authors: Cristiane G Rama; Fernanda B Bernardes; Maureen A Lefton-Greif; Deborah S Levy; Vera L Bosa Journal: Dysphagia Date: 2021-11-15 Impact factor: 2.733
Authors: Jonathan Gilleland; David Bayfield; Ann Bayliss; Karen Dryden-Palmer; Joelle Fawcett-Arsenault; Michelle Gordon; Dawn Hartfield; Anthony Iacolucci; Melissa Jones; Lisa Ladouceur; Martin McNamara; Kristen Middaugh; Gregory Moore; Sean Murray; Joanna Noble; Simran Singh; Jane Stuart-Minaret; Carla Williams; Christopher S Parshuram Journal: BMJ Open Qual Date: 2019-11-27