Affiliation:
1. Department of Pediatrics and Adolescent Medicine Copenhagen University Hospital‐Rigshospitalet Copenhagen Denmark
2. Department of Clinical Medicine University of Copenhagen Copenhagen Denmark
3. Department of Pediatrics and Adolescent Medicine Copenhagen University Hospital‐North Zealand Hilleroed Denmark
4. Department of Neonatology Copenhagen University Hospital‐Rigshospitalet Copenhagen Denmark
Abstract
AbstractAimTo investigate how children with cerebral palsy (CP) perform in the Danish school system and which factors are associated with school performance.MethodThis was a population‐based cohort study including 463 126 children born from 1997 to 2003. Data were extracted from seven national registries. The study encompassed 818 children with CP (483 [59.0%] males, 335 [41.0%] females) and 417 731 without CP (214 535 [51.4%] males, 203 196 [48.6%] females). We evaluated two primary outcomes: not completing 10 years of elementary school, defined as attending fewer than eight final mandatory exams; and grade point averages (GPAs). Mann–Whitney U tests were used to analyse differences in GPAs and logistic regressions were used to calculate odds ratios (ORs).ResultsAmong children with and without CP, 62.6% and 12.4% did not complete elementary school respectively (OR = 11.85 [10.28–13.66]). Additionally, children with CP who attended all final exams achieved lower overall GPAs than children without CP (6.6 vs 7.3, p = 0.001). In children with CP, comorbidities, maternal education, severity of motor impairments, and intellectual deficits were associated with increased odds of not completing elementary school. Notably, one‐third of children with CP with apparent normal intelligence did not complete school, despite special educational measures.InterpretationDanish children with CP rarely complete elementary school despite initiatives for a more supportive educational system. The complexity of individual needs in children with CP may be challenging for an inclusive school environment.What this paper adds
Children with cerebral palsy (CP) have a high risk of not completing elementary school.
Children with CP achieve lower overall grades than children without CP.
Motor impairment, comorbidities, and maternal education are associated with poor school performance.
Intellectual impairment is the most important predictor of poor school performance.
Subject
Neurology (clinical),Developmental Neuroscience,Pediatrics, Perinatology and Child Health
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献