Positive impact on childrenâs quality of life under non-invasive home mechanical ventilation - PedsQL application in a monocentric cohort

Introduction: In home mechanical ventilated (HMV) children, treatment is not based on cure, but rather on preventing morbidity and mortality and promoting their well-being. This study aimed to evaluate the different dimensions of quality of life (QoL), of HMV children/adolescents of a tertiary pedia...

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Main Authors: Ana Moura-Figueiredo (Author), Joana Amaral (Author), Guiomar Oliveira (Author), Núria Madureira (Author), Miguel Félix (Author), Cândida Cancelinha (Author)
Format: Book
Published: Publicaciones Permanyer, 2023-07-01T00:00:00Z.
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Summary:Introduction: In home mechanical ventilated (HMV) children, treatment is not based on cure, but rather on preventing morbidity and mortality and promoting their well-being. This study aimed to evaluate the different dimensions of quality of life (QoL), of HMV children/adolescents of a tertiary pediatric hospital, according to children/adolescents and caregiver's perspective, and relating it to sociodemographic and clinical characteristics. Methods: We studied families who integrated the home- ventilation program. The PedsQL™ questionnaire was answered by children/adolescents and their caregivers. Sociodemographic and clinical information was recorded. Results: 46 parents and 39 children/adolescents' questionnaires were answered. The median of the average duration of ventilatory support was 3,5y. 60,9% attend full-time school. The average of general QoL, according to parents and children/adolescents, was 61,6 and 64,0, respectively, with a strong correlation between two groups (r = 0,691). Children/adolescents showed higher scores for all dimensions of QoL. In the physical dimension a very strong correlation between groups was verified. For both groups it was found that psychosocial dimension is the best predictor of QoL. Discussion/conclusion: Parents and children/adolescents shared the same perspective about QoL, with a good correlation between answers of both groups, concluding that home ventilation is an acceptable medical strategy and has impact in QoL for both.
Item Description:10.24875/PJP.M23000004
2184-4453