Health-related quality of life may deteriorate from adolescence to young adulthood after extremely preterm birth

Health-related quality of life may deteriorate from adolescence to young adulthood after extremely preterm birth
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DOI:
10.1111/apa.13069
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发表时间:
2015-09-01
期刊:
影响因子:
3.8
通讯作者:
Markestad, Trond
Markestad, Trond
中科院分区:
医学4区
文献类型:
--
作者:
Batsvik, Berit;Vederhus, Bente J.;Markestad, Trond

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AimThis study examined the development of health-related quality of life(HRQoL)and health from adolescence to adults after extremely preterm birth.MethodsWe assessed a population based cohort of extremely preterm born(EPB)infants(gestational age of 28 weeks or birthweight of 1000g)and term born(TB)controls at 17 and 24years of age.他们完成了儿童健康量表,儿童表格87在17岁,健康调查简表-36(SF-36)在24岁和健康行为在学龄儿童症状自评量表在两个age.ResultsOf的51个合格的EPB科目,46(90%)被列入和9个有严重的神经感觉残疾。总的来说,EPB和TB受试者的HRQoL和健康评级相似,但EPB受试者的残疾报告较差的身体功能在17和EPB受试者没有残疾的报告较低的分数在三个SF-36量表的社会功能和心理健康,并报告更多的心理健康投诉在24。在调整后的分析中仍存在差异。从17岁到24岁的变化是轻微的EPB科目disability.ConclusionOur EPB和TB科目在17岁和24岁的比较表明,心理社会HRQoL可能恶化的EPB科目,当他们进入成年。
AimThis study examined the development of health-related quality of life (HRQoL) and health from adolescence to adulthood after extremely preterm birth.MethodsWe assessed a population-based cohort of extremely preterm-born (EPB) infants (gestational age of 28weeks or birthweight of 1000grams) and term-born (TB) controls at 17 and 24years of age. They completed the Child Health Questionnaire-Child Form 87 at 17years of age, the Short Form Health Survey-36 (SF-36) at 24years of age and the Health Behaviour in School-aged Children-Symptom Checklist at both ages.ResultsOf the 51 eligible EPB subjects, 46 (90%) were included and nine had severe neurosensory disabilities. On the whole, EPB and TB subjects gave their HRQoL and health similar ratings, but EPB subjects with disabilities reported poorer physical functioning at 17 and EPB subjects without disabilities reported lower scores on three of the eight SF-36 scales for social functioning and mental health and reported more psychological health complaints at 24. Differences remained in adjusted analyses. Changes from 17 to 24years of age were minor in EPB subjects with disabilities.ConclusionOur comparison of EPB and TB subjects at the ages of 17 and 24 indicated that psychosocial HRQoL may deteriorate for EPB subjects when they enter adulthood.