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.
CITATION STYLE
Hu, N., Fardell, J., Wakefield, C. E., Marshall, G. M., Bell, J. C., Nassar, N., & Lingam, R. (2022). School academic performance of children hospitalised with a chronic condition. Archives of Disease in Childhood, 107(3), 289–296. https://doi.org/10.1136/archdischild-2020-321285
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