There was little evidence that the association between resuscitation and receiving an educational statement differed by maternal education (pinteraction=0.787) or maternal socioeconomic group (pinteraction=0.240).
The teacher, Chance Nalley, rarely wastes an instructional opportunity but said that, in this particular instance, he wasn't trying to make an educational statement.
In the UK, children with neurological impairment often have educational statementing for Special Educational Needs (SEN) and the statement should detail all health care and support needs to ensure the child's needs are met during school life.
However, there was evidence that the association between birth condition and receiving an educational statement differed by gender (pinteraction=0.007).
Consistent with the wider literature, male infants were more likely to have an educational statement than females (4.3% vs 1.7%, p<0.001).
However, there was evidence that the effect may have differed by gender, with limited evidence that poor birth condition was associated with educational statementing in males.
This is also in keeping with the teachers' reports that 39% of the PROGRAMS group was receiving special educational support and 15% had an educational statement of needs in the 1st year of schooling.
Infants who developed encephalopathy also had substantially increased risk of having an educational statement (OR 6.24 (1.52 to 26.43)) or being reported to have SEN by their teacher (OR 3.10 (1.19 to 8.07)).
Repeating the analysis with a fully imputed dataset produced slightly weaker associations between resuscitation status and the need for an educational statement (asymptomatic infants, OR 1.37 (0.76 to 2.45), p=0.290; encephalopathic infants, OR 7.17 (0.93 to 55.12), p=0.058).
When the analysis was repeated excluding infants who developed CP the association between birth condition and an educational statement weakened considerably (asymptomatic, OR 1.24 (0.65 to 2.38), p=0.511; encephalopathic OR 2.14 (0.24 to 19.15), p=0.495).
Risk of a low score in the comprehension test (p<0.001) and the provision of an educational statement (p=0.006) differed by birth condition, while there was weak evidence that the proportion of infants identified as having SEN depending on their birth condition (p=0.099).
