Unit of Clinical Psychology, Department of Neurological and Psychiatric Sciences, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Department of Neonatal Medicine and Surgery, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.
Int J Environ Res Public Health. 2020 Oct 19;17(20):7599. doi: 10.3390/ijerph17207599.
: Delays in learning skills have been extensively reported for very preterm children. However, few studies have examined academic achievement profiles in Italian preterm children as a function of their neonatal immaturity. A cross-sectional study was performed that included 82 healthy Italian children born very and extremely preterm (without major neurosensory outcomes; IQ ≥85). Children were evaluated for academic and neurocognitive performances at the second cycle of primary school. : Healthy preterm children showed on average academic and neurocognitive profiles that did not differ according to gestational age. Impairment was seen to one or more learning domains in 14.6% of the healthy preterm children. Conclusions: Italian children born very and extremely preterm without major neurosensory damage and/or cognitive delay showed on average learning and neurocognitive profiles within the normal range, regardless of gestational age. Nevertheless, they showed higher proportions of learning impairment than a normative Italian population during their final years of primary school. Healthcare providers should be aware of this result, and long-term surveillance should be organized to promptly identify those children who are in need of therapeutic intervention.
早产儿的学习技能延迟已经被广泛报道。然而,很少有研究检查过意大利早产儿的学术成就概况,也没有研究过他们的新生儿不成熟程度对学术成就概况的影响。本研究进行了一项横断面研究,纳入了 82 名出生时极早产(无重大神经感觉结局;智商≥85)且健康的意大利儿童。这些儿童在小学第二周期接受了学术和神经认知表现的评估。健康的早产儿平均表现出的学术和神经认知概况与胎龄无关。在 14.6%的健康早产儿中,一个或多个学习领域存在障碍。结论:意大利出生的极早产且无重大神经感觉损伤和/或认知延迟的儿童,无论胎龄大小,平均学习和神经认知概况均在正常范围内。然而,与意大利正常人群相比,他们在小学的最后几年中表现出更高比例的学习障碍。医疗保健提供者应该意识到这一结果,应组织长期监测,以便及时发现那些需要治疗干预的儿童。