Language assessment of children with severe liver disease in a public service in Brazil.

Clinics (Sao Paulo)

Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.

Published: June 2017

AI Article Synopsis

  • The research examined and compared the language development skills of children awaiting liver transplantation (Group 1) to those who have already received the transplant (Group 2) and a control group of healthy children.
  • Results showed that children in Group 1 had significantly poorer language performance compared to both Group 2 and the control group, while Group 2's performance was lower than the control group's but still within normal limits.
  • The study found age and family income as key risk factors influencing language deficits, indicating that chronic liver disease can delay language development, though transplanted children were largely within normal language performance ranges.

Article Abstract

Objective:: The aim of this research was to compare language development (expressive and receptive skills) in children awaiting liver transplantation with that of children who have already undergone the surgical procedure.

Methods:: An observational, descriptive, cross-sectional study was conducted with 76 children divided into groups, as follows: 31 children who were candidates for liver transplantation (Group 1; G1), 45 children who had already undergone liver transplantation (Group 2; G2), and a control group (CG) of 60 healthy, normally developing children. Health status information was gathered, and the Test of Early Language Development (TELD)-3 was used to assess language skills. Family household monthly income data were also gathered using a specific questionnaire.

Results:: G1 had poorer language performance compared with G2 and the CG. G2 had lower language performance when compared with the CG. However, when considering the TELD-3 standard scores, G2 had scores within normal limits. The regression analysis indicated age as a risk factor for language deficits in Group 1 and family income as a risk factor for language deficits in G2.

Conclusions:: The results suggested that children with chronic liver disease have delays in language development. Transplanted children have linguistic performance within normal limits, but their scores tended to be lower than the CG.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5463267PMC
http://dx.doi.org/10.6061/clinics/2017(06)04DOI Listing

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