Health related quality of life after extremely preterm birth.
Background: The majority of infants born before the last trimester now grow up. However, knowledge on subsequent health related quality of life (HRQoL) is scarce. We therefore aimed to compare HRQoL in children born extremely preterm with control children born at term. Furthermore, we assessed HRQoL...
| Publicado en: | Neonatal Intensive Care Vol. 23; no. 7; pp. 35 - 41 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Goldstein & Associates
2010 Nov-Dec
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104982438&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104982438 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10622454 YWH jtl: Neonatal Intensive Care issn: 10622454 maglogo: N pubinfo: dt: 2010 Nov-Dec vid: 23 iid: 7 pid: 20459 pub: Goldstein & Associates place: Los Angeles, California artinfo: ui: 104982438 104982438 2010903660 104982438 ppf: 35 ppct: 6 formats: tig: atl: Health related quality of life after extremely preterm birth. aug: au: Vederhus, Bente J. Markestad, Trond Eide, Geir E. Graue, Marit Halvorsen, Thomas affil: Department of Paediatrics, Haukeland University Hospital, Bergen sug: subj: Health Status In Infancy and Childhood Infant, Premature Quality of Life Birth Weight Coefficient alpha Comparative Studies Confidence Intervals Data Analysis Software Demography Descriptive Statistics Forced Expiratory Volume Gestational Age Human Infant Mortality Infant, Newborn Intensive Care Units, Neonatal Internal Consistency McNemar's Test Medical Records Norway Odds Ratio Paired T-Tests Power Analysis Questionnaires Record Review Regression Scales Socioeconomic Factors Summated Rating Scaling Infant, Newborn: birth-1 month ab: Background: The majority of infants born before the last trimester now grow up. However, knowledge on subsequent health related quality of life (HRQoL) is scarce. We therefore aimed to compare HRQoL in children born extremely preterm with control children born at term. Furthermore, we assessed HRQoL in relation to perinatal and neonatal morbidity and to current clinical and sociodemographic characteristics. Method: The Child Health Questionnaire (CHQ-PF50) and a general questionnaire were applied in a population based cohort of 10 year old children born at gestational age < or = 28 weeks or with birth weight < or = 1000 grams in Western Norway in 1991-92 and in term-born controls, individually matched for gender and time of birth. The McNemar test and paired t-tests were used to explore group differences between preterms and matched controls. Paired regression models and analyses of interaction (SPSS mixed linear model) were used to explore potential effects of sociodemographic and clinical characteristics on HRQoL in the two groups. Results: All 35 eligible preterm children participated. None had major impairments. Learning and/or attention problems were present in 71% of preterms and 20% of controls (odds ratio (OR): 7.0; 95% confidence interval (CI): 2.2 to 27.6). Insufficient professional support was described by 36% of preterm vs. 3% of control parents (OR: infinite; CI: 2.7 to infinite). Preterms scored lower on eight CHQ-PF50 sub-scales and the two summary scores, boys accounting for most of the deficits in areas of behavior, psychosocial functioning and parental burden. HRQoL was associated with learning and/or attention problems in both preterm and control children, significantly more so in preterms in areas related to health and parental burden. Within the preterm group, HRQoL was mostly unrelated to perinatal and neonatal morbidity. Conclusions: HRQoL for children born extremely preterm, and particularly for boys, was described by parents to be inferior to that of children born at term, and sufficiently poor to affect the dally life of the children and their families. Learning and/or attention problems were reported for a majority of preterms, strongly influencing their HRQoL. pubtype: Periodical doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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