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. 2023 Oct;65(10):1387-1394.
doi: 10.1111/dmcn.15589. Epub 2023 Mar 27.

Children in Denmark with cerebral palsy rarely complete elementary school

Signe V Pedersen  1 , Rikke Wiingreen  2   3   4 , Bo M Hansen  3 , Gorm Greisen  2   4 , Mads L Larsen  1   2 , Christina E Hoei-Hansen  1   2
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Free article

Children in Denmark with cerebral palsy rarely complete elementary school

Signe V Pedersen et al. Dev Med Child Neurol. 2023 Oct.
Free article

Abstract

Aim: To investigate how children with cerebral palsy (CP) perform in the Danish school system and which factors are associated with school performance.

Method: This was a population-based cohort study including 463 126 children born from 1997 to 2003. Data were extracted from seven national registries. The study encompassed 818 children with CP (483 [59.0%] males, 335 [41.0%] females) and 417 731 without CP (214 535 [51.4%] males, 203 196 [48.6%] females). We evaluated two primary outcomes: not completing 10 years of elementary school, defined as attending fewer than eight final mandatory exams; and grade point averages (GPAs). Mann-Whitney U tests were used to analyse differences in GPAs and logistic regressions were used to calculate odds ratios (ORs).

Results: Among children with and without CP, 62.6% and 12.4% did not complete elementary school respectively (OR = 11.85 [10.28-13.66]). Additionally, children with CP who attended all final exams achieved lower overall GPAs than children without CP (6.6 vs 7.3, p = 0.001). In children with CP, comorbidities, maternal education, severity of motor impairments, and intellectual deficits were associated with increased odds of not completing elementary school. Notably, one-third of children with CP with apparent normal intelligence did not complete school, despite special educational measures.

Interpretation: Danish children with CP rarely complete elementary school despite initiatives for a more supportive educational system. The complexity of individual needs in children with CP may be challenging for an inclusive school environment.

What this paper adds: Children with cerebral palsy (CP) have a high risk of not completing elementary school. Children with CP achieve lower overall grades than children without CP. Motor impairment, comorbidities, and maternal education are associated with poor school performance. Intellectual impairment is the most important predictor of poor school performance.

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References

REFERENCES

    1. Cans C. Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Dev Med Child Neurol 2000; 42: 816-24.
    1. Larsen ML, Rackauskaite G, Greisen G, Laursen B, Uldall P, Krebs L, et al. Continuing decline in the prevalence of cerebral palsy in Denmark for birth years 2008-2013. Eur J Paediatr Neurol 2021; 30: 155-61.
    1. Socialstyrelsen. Børn og unge med komplekse følger af cerebral parese : Aldersgruppe 0-18 år. Odense, 2019.
    1. Rasmussen HM, Nordbye-Nielsen K, Møller-Madsen B, Johansen M, Ellitsgaard N, Pedersen CR, et al. The Danish Cerebral Palsy Follow-up Program. Clin Epidemiol 2016; 8: 457-60.
    1. Michelsen SI, Uldall P, Kejs AMT, Madsen M. Education and employment prospects in cerebral palsy. Dev Med Child Neurol 2005; 47: 511-7.

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