A simple screen performed at school entry can predict academic under-achievement at age seven in children born very preterm.
J Paediatr Child Health
; 52(7): 759-64, 2016 Jul.
Article
em En
| MEDLINE
| ID: mdl-27189705
ABSTRACT
AIM:
We aimed to compare the academic outcomes of a cohort of children born very preterm (VPT, <32 weeks of gestation) and children born at term at age 7 years and assess the ability of a pre-academic skill screen at age five to predict later academic impairment in children born VPT at age seven.METHODS:
One hundred ninety-four children born VPT (born with either gestational age <30 weeks or birthweight <1250 g) and 70 controls born at term from a prospective birth cohort were compared on academic outcomes (Wide Range Achievement Test, WRAT4) at age seven using regression analyses. Receiver-operating characteristic curves were used to determine whether pre-academic skills (Kaufman Survey of Early Academic and Language Skills, K-SEALS) at age five predicted academic impairment at age seven in 174 of the VPT cohort.RESULTS:
At the age of 7 years, children born VPT had lower mean word reading (-9.7, 95% CI -14.7 to -4.6), spelling (-8.3, 95% CI -13.3 to -3.3) and math computation (-10.9, 95% CI -15.3 to -6.5) scores (all P-values ≤0.001) compared with controls born at term, even after adjusting for social risk and time since school commencement. In terms of pre-academic screening, the Numbers, Letters and Words subtest of the K-SEALS had adequate sensitivity and specificity (70-80%) for predicting children with academic impairment at age seven.CONCLUSIONS:
Children born VPT underperformed in academic outcomes at age seven compared with controls born at term. A pre-academic screening tool used at school entry can predict children born VPT at risk of academic impairment at age seven who could benefit from targeted early intervention.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Testes de Aptidão
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Logro
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Estudantes
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Nascimento Prematuro
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Child
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article