scholarly journals P0066 / #1083: DECLINE IN HEALTH-RELATED QUALITY OF LIFE AMONG CRITICALLY ILL PEDIATRIC PATIENTS EXPERIENCING UNCONTROLLED PAIN

2021 ◽  
Vol 22 (Supplement 1 3S) ◽  
pp. 66-66
Author(s):  
M. Smith ◽  
E. Killien ◽  
L. Dervan ◽  
R.S. Watson
2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Helene Werner ◽  
Phaedra Lehmann ◽  
Alina Rüegg ◽  
Silvia Hilfiker ◽  
Karin Steinmann ◽  
...  

Abstract Background Little is known about health-related quality of life (HRQoL) in pediatric patients with cardiac rhythm devices. This study aims to compare self- and proxy-reported HRQoL in patients with pacemaker (PM) and implantable cardioverter-defibrillator (ICD) to that in sex- and age-matched healthy controls and to examine predictors for generic and disease-specific HRQoL. Methods The study included 72 PM and ICD patients (39% females) and 72 sex- and age-matched healthy controls from 3 to 18 years of age. HRQoL data was obtained by the PedsQL 4.0 Generic Core Scales and Pediatric Cardiac Quality of Life Inventory. Medical data was collected retrospectively from medical records. Results Patients had significantly lower self- and proxy-reported generic overall HRQoL and lower physical health than healthy controls, and ICD patients also had lower psychosocial health. On multivariate analyses, generic overall HRQoL and physical health was significantly predicted by current cardiac medication (β = −.39, p = .02 for overall HRQoL, respectively β = −.44, p = .006 for physical health). Disease-specific overall HRQoL was only marginally predicted by child age, device type, and the presence of a structural congenital heart disease (p < .10). Conclusions This study shows that PM and ICD patients have lower HRQoL than healthy controls and that patients who need cardiac medication are seen by their parents at great risk for lower generic overall HRQoL. Our study also indicates a trend towards higher risk for low disease-specific HRQoL in younger patients, ICD patients, and patients with a structural congenital heart disease. Special attention should be given to these patients as they may benefit from a timely clinical evaluation in order to provide supportive interventions.


2009 ◽  
Vol 35 (7) ◽  
pp. 1308-1308
Author(s):  
Dominique M. Vandijck ◽  
Sandra G. Oeyen ◽  
Lieven Annemans ◽  
Johan M. Decruyenaere

2016 ◽  
Vol 138 (1) ◽  
pp. 175-187 ◽  
Author(s):  
Viridiana J. Tapia ◽  
Sherise Epstein ◽  
Oresta S. Tolmach ◽  
Abdul S. Hassan ◽  
Natalie N. Chung ◽  
...  

2008 ◽  
Vol 180 (5) ◽  
pp. 2171-2176 ◽  
Author(s):  
Amruta Dipen Parekh ◽  
John C. Thomas ◽  
Lisa Trusler ◽  
Donna P. Ankerst ◽  
Jayant K. Deshpande ◽  
...  

2012 ◽  
Vol 34 (2) ◽  
pp. 431-437 ◽  
Author(s):  
JonDavid Menteer ◽  
Virginia N. Beas ◽  
Jennifer C. Chang ◽  
Karen Reed ◽  
Jeffrey I. Gold

Author(s):  
Gianmaria F. Ferrazzano ◽  
Claudia Salerno ◽  
Giancarla Sangianantoni ◽  
Silvia Caruso ◽  
Aniello Ingenito ◽  
...  

Background: The effect of untreated dental caries and their treatment under general anesthesia (GA) on the quality of life, growth, and blood chemistry parameters in uncooperative pediatric patients has not been extensively elucidated. The aims are to evaluate the impact of dental treatment under GA on oral health-related quality of life (OHRQoL) in uncooperative pediatric patients with severe dental caries and to assess the effect of dental treatment under GA on children’s weight (Wt), height (Ht), Body Mass Index (BMI), and blood chemistry parameters. Methods: Forty-three uncooperative children aged 3–14 years were selected. OHRQoL, through ECOHIS (Early Childhood Oral Health Impact Scale) and COHRQoL (Child Oral Health-Related Quality of Life) questionnaires, Wt, Ht, BMI, and blood chemistry parameters were measured at baseline and eight months after dental treatment under GA. Results: At follow up, the reductions in the ECHOIS and the COHRQoL components were statistically significant (p < 0.0001), there was significant improvement in the anthropometric measures: 76.5% of children increased the percentile curves for weight, 68.6% for height, and 51.4% for BMI; for the blood chemistry parameters: ferritin improved in 68.6% of the samples, PCR in 65.7%, ESR in 68.6%, Vitamin D in 68.6%, and IGF-1 in 65.7%. Conclusions: Oral health status significantly influences OHRQoL, growth, and blood chemistry parameters in uncooperative pediatric patients.


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