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Master Thesis

PREMASCOL : étude de corrélation entre test de Brunet-Lezine à 24 mois et scolarité à 5 ans, étude monocentrique chez les prématurés ≤ 32SA+6J

Abstract : Aim: To study the correlation between the Brunet-Lézine test at age 2 and schooling at age 5, in premature infants born ≤32+6 weeks. To study the neurological outcome of this population. Methods: Two hundred and seventy children born ≤32+6 weeks, between 01.2010 and 01.2014, included in the “Naitre et Devenir” network, had the Brunet-Lézine Révisé test (BLR) at age 2 and evaluation of schooling at age 5. Two hundred and fifty-one children had an interpretable BLR test. Unassisted age appropriate schooling was defined as being in the appropriate classroom without any assistance (in or outside the school such as speech therapy). Results: A total of 171/251 children (68%) had unassisted age-appropriate schooling. The correlation between a BLR ≥100 and an unassisted age appropriate schooling was highly significant (p<0.0001), with a predictive value of 88%. In multivariate analysis, the factors influencing schooling were maternal education, bronchopulmonary dysplasia, and BLR. The association between BLR and schooling remained highly significant after adjusting for other factors. One hundred and fifty six (58%) children had no neurological, sensory or neurodevelopmental disorders. The most common disorders were language impairment (28%), visual impairment (28%), and dysgraphia (17%). Conclusion: The Brunet-Lézine test is a good predictive marker of a child's schooling. It seems to us therefore possible to lighten the follow-up of children presenting a BLR ≥100 for the benefit of other children.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02951908
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Submitted on : Tuesday, September 29, 2020 - 9:54:01 AM
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Laure Jacquez, Lauriane Hatton. PREMASCOL : étude de corrélation entre test de Brunet-Lezine à 24 mois et scolarité à 5 ans, étude monocentrique chez les prématurés ≤ 32SA+6J. Médecine humaine et pathologie. 2020. ⟨dumas-02951908⟩

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