LiU Electronic Press
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Author:
Gäddlin, Per-Olof (Linköping University, Department of Clinical and Experimental Medicine, Pediatrics ) (Linköping University, Faculty of Health Sciences)
Finnström, Orvar (Linköping University, Department of Clinical and Experimental Medicine, Pediatrics ) (Linköping University, Faculty of Health Sciences) (Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Paediatrics in Linköping)
Samuelsson, Stefan (Linköping University, Department of Behavioural Sciences and Learning) (Linköping University, Faculty of Arts and Sciences)
Wadsby, Marie (Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry ) (Linköping University, Faculty of Health Sciences)
Wang, Chen (Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden)
Leijon, Ingemar (Linköping University, Department of Clinical and Experimental Medicine, Pediatrics ) (Linköping University, Faculty of Health Sciences) (Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Paediatrics in Linköping)
Title:
Academic achievement, behavioural outcomes and MRI findings at 15 years of age in very low birthweight children
Department:
Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Paediatrics in Linköping
Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry
Linköping University, Faculty of Arts and Sciences
Linköping University, Faculty of Health Sciences
Linköping University, Department of Behavioural Sciences and Learning
Linköping University, Department of Clinical and Experimental Medicine, Pediatrics
Publication type:
Article in journal (Refereed)
Language:
English
Status:
Published
In:
Acta Paediatrica(ISSN 0803-5253)
Volume:
97
Issue:
10
Pages:
1426-1432
Year of publ.:
2008
URI:
urn:nbn:se:liu:diva-15486
Permanent link:
http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-15486
Subject category:
Pediatrics
SVEP category:
Paediatric medicine
Keywords(en) :
Cognitive function, MRI findings, Neonatal risk factors, School performance, Very low birthweight infants
Abstract(en) :

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.

Available from:
2008-12-04
Created:
2008-11-11
Last updated:
2009-08-18
Statistics:
61 hits