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Academic performance of children born preterm: a meta-analysis and meta-regression
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 perfor...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047144/ https://www.ncbi.nlm.nih.gov/pubmed/28847871 http://dx.doi.org/10.1136/archdischild-2017-312916 |
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author | Twilhaar, E Sabrina de Kieviet, Jorrit F Aarnoudse-Moens, Cornelieke SH van Elburg, Ruurd M Oosterlaan, Jaap |
author_facet | Twilhaar, E Sabrina de Kieviet, Jorrit F Aarnoudse-Moens, Cornelieke SH van Elburg, Ruurd M Oosterlaan, Jaap |
author_sort | Twilhaar, E Sabrina |
collection | PubMed |
description | 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). Bronchopulmonarydysplasia 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 bronchopulmonarydysplasia are at particular risk for poor academic outcome. |
format | Online Article Text |
id | pubmed-6047144 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-60471442018-07-18 Academic performance of children born preterm: a meta-analysis and meta-regression Twilhaar, E Sabrina de Kieviet, Jorrit F Aarnoudse-Moens, Cornelieke SH van Elburg, Ruurd M Oosterlaan, Jaap Arch Dis Child Fetal Neonatal Ed Original Article 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). Bronchopulmonarydysplasia 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 bronchopulmonarydysplasia are at particular risk for poor academic outcome. BMJ Publishing Group 2018-07 2018-06-18 /pmc/articles/PMC6047144/ /pubmed/28847871 http://dx.doi.org/10.1136/archdischild-2017-312916 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Original Article Twilhaar, E Sabrina de Kieviet, Jorrit F Aarnoudse-Moens, Cornelieke SH van Elburg, Ruurd M Oosterlaan, Jaap Academic performance of children born preterm: a meta-analysis and meta-regression |
title | Academic performance of children born preterm: a meta-analysis and meta-regression |
title_full | Academic performance of children born preterm: a meta-analysis and meta-regression |
title_fullStr | Academic performance of children born preterm: a meta-analysis and meta-regression |
title_full_unstemmed | Academic performance of children born preterm: a meta-analysis and meta-regression |
title_short | Academic performance of children born preterm: a meta-analysis and meta-regression |
title_sort | academic performance of children born preterm: a meta-analysis and meta-regression |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047144/ https://www.ncbi.nlm.nih.gov/pubmed/28847871 http://dx.doi.org/10.1136/archdischild-2017-312916 |
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