To the top

Page Manager: Webmaster
Last update: 9/11/2012 3:13 PM

Tell a friend about this page
Print version

Clinical predictors and p… - University of Gothenburg, Sweden Till startsida
Sitemap
To content Read more about how we use cookies on gu.se

Clinical predictors and prevalence of receiving special preschool/school support in children with repaired esophageal atresia

Journal article
Authors Michaela Dellenmark-Blom
L. Jonsson
V. Gatzinsky
Kate Abrahamsson
Published in Journal of Pediatric Surgery
Volume 53
Issue 10
Pages 1970-1975
ISSN 0022-3468
Publication year 2018
Published at Institute of Clinical Sciences, Department of Pediatrics
Pages 1970-1975
Language en
Links dx.doi.org/10.1016/j.jpedsurg.2017....
Keywords Esophageal atresia, Tracheoesophageal fistula, Psychosocial functioning, School support, Educational, quality-of-life, tracheoesophageal fistula, adolescents born, follow-up, morbidity, surgery, health
Subject categories Pediatric surgery

Abstract

Background/purpose: In a sparsely investigated field, we aimed to evaluate the use of special preschool/school support among children with repaired esophageal atresia (EA) and/or tracheoesophageal fistula (TEF), the predicting clinical factors for this support, and level of school absence. Methods: Data on 119 EA/TEF children 2-17 years old were collected through medical records and questionnaires (response rate 95%). Logistical regression analysis identified clinical predictors of special preschool/school support in the population without genetic disorders (n = 105). Nominal hypothesis testing was performed using Fisher's exact test (p < 0.05). Results: Of the 119 children, 35.3% received special preschool/school support; 26.8% educational support, 21.8% support with nutritional intake issues and 13.4% received both types of support. Educational support was independently predicted by birthweight < 2500 g (p = 0.026) and associated anomalies (p = 0.049), nutritional intake support by gastrostomy insertion (p = 0.0028), and both types of supports by major revisional surgery (p = 0.0081). School absence >= 1 month/year, present in 25.5% of the children, was more frequently reported in children receiving preschool/school support, in preschoolers and in those with persistent respiratory problems (p < 0.05). Conclusions: Special preschool/school support is provided for approximately one-third of EA/TEF children. In EA/TEF children without genetic disorders, use of this support is predicted by congenital and surgical factors, and related to frequent school absence. (C) 2017 Elsevier Inc. All rights reserved.

Page Manager: Webmaster|Last update: 9/11/2012
Share:

The University of Gothenburg uses cookies to provide you with the best possible user experience. By continuing on this website, you approve of our use of cookies.  What are cookies?