Cognitive and educational outcome of very‐low‐birthweight children in early adolescence
Cognitive and educational outcome of very‐low‐birthweight children in early adolescence
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极低出生体重儿童青春期早期的认知和教育结果
DOI：
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发表时间：
1998
影响因子：
3.8
通讯作者：
N. Marlow
中科院分区：
文献类型：
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作者：
N. Botting;A. Powls;R. Cooke;N. Marlow
对138名12岁极低出生体重（VLBW）儿童和匹配的对照儿童进行了客观认知和教育测量评估。学校表现由教师和儿童自己评定。与对照组儿童相比，极低出生体重儿童的智商分数较低，所有客观教育措施的分数较差。控制智商差异后，极低出生体重儿童的数学和阅读-理解分数仍然显著较低。教师对极低出生体重儿童在所有课程领域的评分都较低。显着更多的VLBW儿童被发现是“失败”在一个或多个科目和比例增加，与对照组儿童接受了补救教育。VLBW组在6至12岁之间没有表现出“追赶”的证据。多元回归分析用于识别认知和教育结果的预测因子。新生儿期机械通气的持续时间与预后呈负相关。6岁时的全量表智商、6岁时的运动技能评分和12岁时的头围都预测了12岁时的结局，母亲的教育程度、家庭收入和规模也是如此。个别而言，许多极低出生体重儿童表现令人满意，但作为一个群体，极低出生体重儿童似乎在认知和教育表现方面长期处于不利地位。
A cohort of 138 very‐low‐birthweight (VLBW) 12‐year‐old children and matched control children were assessed on objective cognitive and educational measures. School performance was rated by teachers and by the children themselves. VLBW children were shown to have lower IQ scores, and poorer scores on all objective educational measures compared with control children. Controlling for IQ differences, mathematics and reading‐comprehension scores remained significantly lower for VLBW children. Teachers rated VLBW children lower in all curriculum areas. Significantly more VLBW children were found to be ‘failing’ in one or more subject and an increased proportion compared with the control children had received remedial education. The VLBW group showed no evidence of ‘catch up’ between 6 and 12 years of age. Multiple regression analyses were used to identify predictors of cognitive and educational outcome. The duration of mechanical ventilation in the neonatal period was inversely related to outcome. Full‐Scale IQ at 6 years, motor‐skills score at 6 years, and head circumference at 12 years all predicted outcome at 12 years, as did maternal education, family income and size. Individually, many VLBW children perform satisfactorily, but as a group VLBW children appear to be at a long‐term disadvantage to peers in the areas of cognitive and educational performance.
8 岁和 11 岁极低出生体重婴儿：新生儿疾病和家庭状况的作用。
影响因子：
8
作者：
Hunt,JV;Cooper,BA;Tooley,WH
通讯作者：
Tooley,WH