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Academic performance of children born preterm : a meta-analysis and meta-regression
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Twilhaar, E. Sabrina, de Kieviet, Jorrit F., Aarnoudse-Moens, Cornelieke S. H., van Elburg, Ruurd M. and Oosterlaan, Jaap (2018) Academic performance of children born preterm : a meta-analysis and meta-regression. Archives of Disease in Childhood - Fetal and Neonatal Edition, 103 (4). F322-F330. doi:10.1136/archdischild-2017-312916 ISSN 1359-2998.
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WRAP-Academic-performance-of-children-born-preterm-a-meta-analysis-and-meta-regression-Twilhaar-2018.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons: Attribution-Noncommercial 4.0. Download (479Kb) | Preview |
Official URL: http://dx.doi.org/10.1136/archdischild-2017-312916
Abstract
Background: Advances in neonatal healthcare have resulted in decreased mortality after preterm birth but have not led to parallel decreases in morbidity. Academic performance provides insight in the outcomes and specific difficulties and needs of preterm children.
Objective: To study academic performance in preterm children born in the antenatal steroids and surfactant era and possible moderating effects of perinatal and demographic factors.
Design: PubMed, Web of Science and PsycINFO were searched for peer-reviewed articles. Cohort studies with a full-term control group reporting standardised academic performance scores of preterm children (<37 weeks of gestation) at age 5 years or older and born in the antenatal steroids and surfactant era were included. Academic test scores and special educational needs of preterm and full-term children were analysed using random effects meta-analysis. Random effects meta-regressions were performed to explore the predictive role of perinatal and demographic factors for between-study variance in effect sizes.
Results: The 17 eligible studies included 2390 preterm children and 1549 controls. Preterm children scored 0.71 SD below full-term peers on arithmetic (p<0.001), 0.44 and 0.52 SD lower on reading and spelling (p<0.001) and were 2.85 times more likely to receive special educational assistance (95% CI 2.12 to 3.84, p<0.001). Bronchopulmonary dysplasia explained 44% of the variance in academic performance (p=0.006).
Conclusion: Preterm children born in the antenatal steroids and surfactant era show considerable academic difficulties. Preterm children with bronchopulmonary dysplasia are at particular risk for poor academic outcome.
Item Type: | Journal Article | ||||||||
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Subjects: | H Social Sciences > HQ The family. Marriage. Woman L Education > LC Special aspects of education R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
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Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology | ||||||||
Library of Congress Subject Headings (LCSH): | Prematurely born children, Premature infants -- Development, Academic achievement, Birth weight, Low | ||||||||
Journal or Publication Title: | Archives of Disease in Childhood - Fetal and Neonatal Edition | ||||||||
Publisher: | B M J Group | ||||||||
ISSN: | 1359-2998 | ||||||||
Official Date: | 19 June 2018 | ||||||||
Dates: |
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Volume: | 103 | ||||||||
Number: | 4 | ||||||||
Page Range: | F322-F330 | ||||||||
DOI: | 10.1136/archdischild-2017-312916 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 28 October 2022 | ||||||||
Date of first compliant Open Access: | 31 October 2022 |
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