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Analysis of postsurgical quality of life in children with functional single ventricle by using pediatric quality of life inventory |
WANG Tingting1, YE Xiuxia2, CHEN Weimin1, HE Yongrui1, QIN Rong1, ZHOU Zhenfa1, HONG Haifa1 |
1. Department of Thoracic and Cardiovascular Surgery, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 2. Departmont of Neonatology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China |
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Abstract Objective To assess postsurgical quality of life (QoL) in children with functional single ventricle (FSV). Methods In this cross-sectional study, the Chinese version of the pediatric quality of life inventory (PedsQL) 4.0 generic core scale was used to assess postsurgical QoL of 77 children with FSV (aged 5-12 years) and their parents. Data of 1 583 health children were collected as control. The PedsQL scores completed by children with FSV and their parents were compared with healthy controls. Pearson correlation and intra-class correlation coefficient were calculated to analyze the correlation and agreement between the child self-report and parent proxy-report for children with FSV (aged 5-7 years and aged 8-12 years). Results The PedsQL scores of children with FSV were significantly lower than those of healthy controls in child self-report and parent proxy-report (P<0.05). For patients aged 5-7 years, the agreement between child self-report and parent proxy-report was great and the relationship between them was a strong correlation in total score, emotional functioning, social functioning, and school functioning. However, poor agreement and correlation between child self-report and parent proxy-report were found in all domains for FSV children aged 8-12 years. Conclusion Children with FSV have significantly lower postsurgical QoL than healthy controls and interventions targeting both physical and psychosocial domains are needed. When patients cannot complete child self-report and parent proxy-report is adopted, doctors should consider the effect of age on the agreement between them.
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