Health-Related Quality of Life of Children with Vertigo: Retrospective Study at the German Center for Vertigo and Balance Disorders
Health-Related Quality of Life of Children with Vertigo: Retrospective Study at the German Center for Vertigo and Balance Disorders
复制标题
眩晕儿童的健康相关生活质量：德国眩晕和平衡障碍中心的回顾性研究
DOI：
10.1055/s-0035-1550698
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Simone Schröder
中科院分区：
文献类型：
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作者：
A. Deissler;L. Albers;R. Kries;T. Langhagen;F. Heinen;K. Jahn;Simone Schröder
目的：本研究的目的是评估眩晕对儿童健康相关生活质量（HrQoL）的影响，并询问眩晕对HrQoL的影响是否因年龄组、性别和眩晕诊断类型而异。对德国脊椎和平衡障碍中心（DSGZ）的儿童和青少年数据进行了回顾性分析，其中包括KIDSCREEN问卷（一种评估儿童HrQoL的通用、有效工具）。将测试分数转换为Z分数。对于每个量表，计算Z评分的平均值和95%置信区间（CI），并与标准样本的95%置信下限进行比较。使用非参数Kruskal-Wallis统计评估眩晕类型（前庭性偏头痛、躯体形式眩晕和其他眩晕）之间的差异。为了评估眩晕对生活质量的性别和年龄特异性影响，使用Wilcoxon符号秩检验计算中间值和95%CI。10个KIDSCREEN量表中3个的平均值（“身体"、“心理健康”和“自主性”），眩晕患者的总体HRQoL指数显著低于正常人（平均值的95% CI与标准样本平均值的95%置信限不重叠）。“身体健康”似乎受眩晕影响最大：眩晕患者报告的身体健康平均比正常样本低1.62个标准差（95%CI =-2.00;-1.24）。对于三个眩晕类型组，在所有KIDSCREEN量表中没有观察到显著差异。
Aims: The aim of this study is to assess the impact of vertigo in children on their health-related quality of life (HrQoL) and to ask the question if the impact on HrQoL varies by age group, gender, and type of vertigo diagnoses.Methods: A retrospective analysis was performed on data of children and adolescents referred to the German Center of Vertigo and Balance Disorders (DSGZ), which included the KIDSCREEN questionnaire (a generic, validated instrument to assess HrQoL in children). Test scores were transformed into Z-scores. For each scale means of the Z-scores with 95% confidence intervals (CIs) were calculated and compared with the lower 95% confidence limit of the norm sample. Differences between vertigo types (vestibular migraine, somatoform vertigo, and other vertigo) were assessed using the nonparametric Kruskal–Wallis statistics. To assess the gender-and age-specific impact of vertigo on quality of life, medium values with 95% CIs were calculated using the Wilcoxon signed-rank test.Results: The means of 3 of 10 KIDSCREEN scales (“physical,”“psychological Well-being,” and “autonomy”), as well as the “General HRQoL Index” of the vertigo patients are considerably lower than the means of the norm sample (the 95% CIs of the means do not overlap with the 95% confidence limits of the norm sample means).“Physical well-being” seems to be most affected by vertigo: patients with vertigo report in mean a 1.62 standard deviations lower physical well being (95% CI=− 2.00;− 1.24) than the norm sample. For the three vertigo type groups, no significant differences in all KIDSCREEN scales are observed.