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Tytuł:
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Language functions deserve more attention in follow-up of children born very preterm.
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Autorzy:
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Stipdonk LW; Department of Otorhinolaryngology at Erasmus Medical University Centre-Sophia Children's Hospital, Rotterdam, Netherlands. Electronic address: .
Dudink J; Division of Neonatology, Department of Pediatrics at Erasmus Medical University Centre-Sophia Children's Hospital, Rotterdam, Netherlands; Division of Neonatology, Department of Pediatrics at UMCU-Wilhelmina Children's Hospital, Utrecht, Netherlands.
Utens EMWJ; Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia Children's Hospital, Rotterdam, the Netherlands; Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, the Netherlands; Academic Center for Child Psychiatry the Bascule / Department of Child and Adolescent Psychiatry, Academic Medical Center, Amsterdam, the Netherlands.
Reiss IK; Division of Neonatology, Department of Pediatrics at Erasmus Medical University Centre-Sophia Children's Hospital, Rotterdam, Netherlands.
Franken MJP; Department of Otorhinolaryngology at Erasmus Medical University Centre-Sophia Children's Hospital, Rotterdam, Netherlands.
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Źródło:
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European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society [Eur J Paediatr Neurol] 2020 May; Vol. 26, pp. 75-81. Date of Electronic Publication: 2020 Feb 14.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London ; Philadelphia : Saunders, c1997-
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MeSH Terms:
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Infant, Extremely Premature*
Language*
Language Development Disorders/*etiology
Adolescent ; Child ; Europe ; Female ; Follow-Up Studies ; Gestational Age ; Humans ; Infant, Newborn ; Intelligence ; Intelligence Tests ; Language Development Disorders/diagnosis ; Language Development Disorders/epidemiology ; Language Tests ; Male ; Pregnancy
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Contributed Indexing:
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Keywords: Follow-up; Guidelines; Language; Neurodevelopment; Prematurity; School-age
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Entry Date(s):
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Date Created: 20200225 Date Completed: 20201015 Latest Revision: 20201015
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Update Code:
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20240105
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DOI:
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10.1016/j.ejpn.2020.02.004
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PMID:
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32089418
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Background: Language is a complex neurodevelopmental phenomenon. Approximately 45% of children born very preterm (VP) show mild-to-severe language problems throughout childhood. Nevertheless, in most hospitals in Europe language functions are not routinely assessed at follow-up.
Objective: To give clear indications for extensive language assessment in school-aged children born VP, based on routinely assessed intelligence and behavioral problems.
Method: Language functions of 63 10-year-old children born VP (<32 weeks' gestation) without major handicaps were compared to their intellectual and executive functions and behavioral problems. Using multiple linear regression analyses, the predictive value of perinatal factors and the association with neurodevelopmental factors of low language were measured.
Results: The mean language score was significantly lower than the verbal intelligent quotient (VIQ; mean difference = 6.4, p < .001, d=.48) and the mean vocabulary knowledge (mean difference = 9.3, p < .001, d=.70). Besides, VIQ (β = .649, p = .001) and performance IQ (PIQ; β = .260, p = .035) were significantly associated with language scores. Significant predictors of language scores were number of days of assisted ventilation (β = -.592, p = .015) and mother's vocabulary knowledge (β =.473, p = .014), rather than mother's educational level (β =.139, p = .956).
Conclusions: Children born VP had language problems that were not expected from their significantly higher VIQ and vocabulary knowledge. Clinicians assessing these children should be aware of possible language problems, which cannot be detected with a simple vocabulary task. Our findings provide evidence of the need for adequate language assessments by a speech-language pathologist in children born VP, especially in those with VIQ scores in the low average range.
Competing Interests: Declaration of competing interest The authors have no conflicts of interest relevant to this article to disclose.
(Copyright © 2020 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.)
