Hu N, Fardell J, Wakefield CE, Marshall GM, Bell JC, Nassar N, Lingam R. School academic performance of children hospitalised with a chronic condition.
Arch Dis Child 2022;
107:289-296. [PMID:
34475105 PMCID:
PMC8862027 DOI:
10.1136/archdischild-2020-321285]
[Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Accepted: 08/05/2021] [Indexed: 11/21/2022]
Abstract
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.
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