Special Care and School Outcome in Very Preterm Children: The Epipage Cohort Study
2011

School Difficulties in 8-Year-Old Very Preterm Children

Sample size: 1439 publication 10 minutes Evidence: moderate

Author Information

Author(s): Larroque Beatrice, Ancel Pierre-Yves, Marchand-Martin Laetitia, Cambonie Gilles, Fresson Jeanne, Pierrat Véronique, Rozé Jean-Christophe, Marpeau Loic, Thiriez Gerard, Alberge Corinne, Bréart Gérard, Kaminski Monique, Marret Stéphane, and the Epipage Study group

Primary Institution: INSERM, UMR S953, Paris, France

Hypothesis

What are the school difficulties, special care needs, and behavioral problems in 8-year-old very preterm children?

Conclusion

Most 8-year-old very preterm children are in mainstream schools, but they face a high risk of school difficulties and require additional support.

Supporting Evidence

  • 5% of VPT children were in specialized schools compared to 1% of the reference group.
  • 15% of VPT children received support at school versus 5% of the reference group.
  • 55% of VPT children received special care between ages 5 and 8 compared to 38% of the reference group.
  • VPT children had significantly lower scores in mathematics and French than the reference group.
  • 19% of VPT children repeated a grade compared to 5% of the reference group.

Takeaway

Kids born very early often have a tough time in school and need extra help to learn.

Methodology

Longitudinal population-based cohort study of very preterm children and a reference group, using questionnaires to assess school outcomes and behavioral problems.

Potential Biases

Parents provided data, which may not be fully reliable.

Limitations

High attrition bias due to families moving, potentially leading to underestimation of unfavorable outcomes.

Participant Demographics

Children born between 22 and 32 weeks of gestation, with a reference group of full-term children.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0021361

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