Academic achievement, behavioural outcomes and MRI findings at 15 years of age in very low birthweight children
2008 (English)In: Acta Paediatrica, ISSN 0803-5253, Vol. 97, no 10, 1426-1432Article in journal (Refereed) Published
Aim: To assess cognitive, academic, and behavioural functions in 15-year-old very low birthweight (VLBW) children and relate results to gender, neonatal risk factors, growth, and Magnetic Resonance Imaging (MRI) findings.
Methods: 61/86 VLBW children and 57/86 term controls born in the south-east region of Sweden were assessed regarding cognition (WISC III), school outcome, behaviour, and growth. VLBW children were examined using cerebral MRI.
Results: VLBW children performed significantly lower than their term controls on WISC III and 49% had IQ lower than 85. Ten VLBW children with IQ <70 had not been clinically identified earlier and a majority of these children attended mainstream school. VLBW girls had significantly lower total problems scores. Using MRI, white matter damage (WMD) was detected in 16 (27%) children. VLBW boys with WMD had significantly lower IQ than those without. Small occipito-frontal circumference correlated with low IQ. Mechanical ventilation and intraventricular haemorrhage (IVH) showed significant correlations with lower IQ and reading skills.
Conclusion: VLBW children achieved poorer results compared with their controls in cognitive tests. Mechanical ventilation and IVH were related to poorer academic outcome. Many of the children with low IQ had not been identified earlier. Therefore, we recommend that VLBW children undergo an IQ test before beginning school in order to receive adequate support.
Cognitive function, MRI findings, Neonatal risk factors, School performance, Very low birthweight infants
IdentifiersURN: urn:nbn:se:liu:diva-15486DOI: 10.1111/j.1651-2227.2008.00925.xOAI: oai:DiVA.org:liu-15486DiVA: diva2:117340