患有先天性心脏病的儿童在小学中的表现:丹麦全国的队列研究
Chee Woon Lim1, Annette S Jensen1, Rebecca Lykkegaard Kambskard1
1Department of Cardiology, Copenhagen University Hospital, Rigshospitalet, Inge Lehmanns Vej 7, Copenhagen 2100, Denmark.
European heart journal. Quality of care & clinical outcomes
|September 1, 2025
概括
患有先天性心脏病 (CHD) 的儿童在所有严重程度上都表现出学业绩受损. 这凸显了对这些学生的加强学校支持和监督的需要.
科学领域:
- 儿童心脏病学
- 儿童发育医学
- 教育心理学
背景情况:
- 患有先天性心脏病 (CHD) 的儿童在疾病严重程度范围内的学业成绩尚未完全了解.
- 对于患有慢性疾病的儿童来说,早期发现和支持至关重要.
研究的目的:
- 与同龄人相比,全面评估患有心脏病的儿童的学业表现.
- 研究心血管疾病严重程度对教育成绩的影响.
主要方法:
- 全国范围的登记处确定了16岁以上的儿童患有心脏病,并与小学毕业考试的对照进行了匹配 (2001-2022年).
- 通过考试成绩排名和失败风险来评估学校的成绩.
- 统计分析包括比较平均分数和调整后的失败率.
主要成果:
- 与对照组相比,患有心脏病的儿童的平均考试成绩较低 (0. 47比0. 50),失败率较高 (27. 5%比19. 0%).
- 在轻度,中度和严重的冠状动脉疾病类别中观察到损伤,风险增加与严重程度相关.
- 诸如早产和先前干预等因素与较差的学业成绩有关. 随着时间的推移,CHD儿童的表现呈现下降趋势.
结论:
- 无论疾病的严重程度如何,儿童的学业成绩都显著下降.
- 调查结果强调需要改善监测和量身定制的学校支持, 以提高患有心血管疾病的儿童的教育成果.
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