School academic performance of children hospitalised with a chronic condition.

Autor: Nan Hu, Fardell, Joanna, Wakefield, Claire E., Marshall, Glenn M., Bell, Jane C., Nassar, Natasha, Lingam, Raghu, Hu, Nan
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Zdroj: Archives of Disease in Childhood; Mar2022, Vol. 107 Issue 3, p289-296, 8p
Abstrakt: Objective: To examine academic outcomes among children hospitalised with a chronic health condition.Design: Population-level birth cohort.Setting: New South Wales, Australia.Participants: 397 169 children born 2000-2006 followed up to 2014.Intervention/exposure: Hospitalisations with a chronic condition.Main Outcome Measures: Academic underperformance was identified as 'below the national minimum standard' (BNMS) in five literacy/numeracy domains using the national assessment (National Assessment Program-Literacy and Numeracy) data. Multivariable logistic regression assessed the adjusted ORs (aORs) of children performing BNMS in each domain at each grade (grades 3, 5 and 7, respectively).Results: Of children hospitalised with a chronic condition prior to National Assessment Program-Literacy and Numeracy (NAPLAN) (16%-18%), 9%-12% missed ≥1 test, with a maximum of 37% of those hospitalised ≥7 times, compared with 4%-5% of children not hospitalised. Excluding children who missed a NAPLAN test, more children hospitalised with a chronic condition performed BNMS across all domains and grades, compared with children not hospitalised (eg, for BNMS in reading at grade 3: n=2588, aOR 1.35 (95% CI 1.28 to 1.42); for BNMS in numeracy at grade 3: n=2619, aOR 1.51 (95% CI 1.43 to 1.59)). Increasing frequency and bed-days of hospitalisation were associated with 2-3 fold increased odds of performing BNMS across all domains and grades. Children hospitalised with mental health/behavioural conditions had the highest odds of performing BNMS across all domains at each grade.Conclusions: Children hospitalised with a chronic condition underperform academically across literacy/numeracy domains at each school grade. Health and educational supports are needed to improve these children's academic outcomes. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index