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Effectiveness of melatonin for sleep impairment post paediatric acquired brain injury: evidence from a systematic review.

Developmental neurorehabilitation
October 1, 2014
Lisa-Jane Keegan et al. (5 authors)
Journal ArticleReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to review existing literature on melatonin's effectiveness for treating sleep impairment in children with acquired brain injury (ABI).

Results Summary

The study found limited high-quality evidence supporting melatonin's use for sleep impairment post-pediatric ABI, with variability in dosage and outcome measures. Despite this, the evidence appears promising, indicating a need for further research.

Population

Children with acquired brain injury (ABI) experiencing sleep impairment.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (2)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin
decrease
post paediatric ABI sleep impairment
children following acquired brain injury (ABI)
-
appears promising
#1
melatonin
no change
sleep impairment post paediatric ABI
children following acquired brain injury (ABI)
-
paucity of high-quality evidence to support use
#2
Abstract

OBJECTIVE: To retrieve and review all the relevant literature describing the administration of melatonin to treat impaired sleep in children following acquired brain injury (ABI). METHODS: A systematic search and retrieval of the literature was conducted using advanced search techniques. The retrieval identified 589 papers, seven of which were relevant. Review/outcomes criteria were developed and study quality was determined. RESULTS: There is paucity of high-quality evidence to support use of melatonin for sleep impairment post paediatric ABI. Variation in dosage, screening and outcome measures, data reporting and a lack of impairment delineation and treatment stratification were recurrent themes. CONCLUSION: Retrieved evidence for the effectiveness of melatonin for post paediatric ABI sleep impairment appears promising. There is a clear need for further study in this area to inform clinical and research practices. Recommendations are given.

Medical Subject Headings (MeSH)
AdolescentBrain InjuriesCentral Nervous System DepressantsChildChild, PreschoolHumansMelatoninPediatricsSleep Wake DisordersTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality70/10
Citation Metrics
Total Citations5
Citations/Year0.5
Relative Citation Ratio0.23
NIH Percentile12%
Research Impact Scores
APT Score0.25
Weight Score1.36
Normalized Score0.60
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