Health-Related Quality of Life for Parents of Infants with Bronchopulmonary Dysplasia. J Pediatr 2024 Jan;264:113773
Date
10/16/2023Pubmed ID
37839508Pubmed Central ID
PMC10842888DOI
10.1016/j.jpeds.2023.113773Scopus ID
2-s2.0-85175797121 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
OBJECTIVE: To determine how bronchopulmonary dysplasia (BPD) affects health-related quality of life (HRQL) among infants from NICU hospitalization through 1-year postdischarge.
STUDY DESIGN: This was a prospective cohort study of infants with BPD and their parents. Parent HRQL was measured with the PedsQL Family Impact Module before NICU discharge and 3- and 12-months post-discharge. At 12 months, parent-reported child health outcomes included questions from the Test of Respiratory and Asthma Control in Kids, Warner Initial Developmental Evaluation of Adaptive and Functional Skills, and National Survey of Children with Special Health Care Needs. HRQL change over time was assessed by multivariable linear regression.
RESULTS: Of 145 dyads, 129 (89%) completed 3-month follow-up, and 113 (78%) completed 12-month follow-up. In the NICU, lower HRQL was associated with earlier gestational age, postnatal corticosteroids, outborn status, and gastrostomy tubes. At 3 months, lower HRQL was associated with readmissions and home oxygen use. At 12 months, lower HRQL was associated with parent-reported difficulty breathing, lower developmental scores, and not playing with other children. At 3 and 12 months, 81% of parents reported similar or improved HRQL compared with the NICU period. Parents reporting infant respiratory symptoms experienced less improvement.
CONCLUSIONS: BPD affects parent HRQL over the first year. Most parents report similar or better HRQL after discharge compared with the NICU stay. Less improvement is reported by parents of infants experiencing respiratory symptoms at 12 months. Efforts to improve parent HRQL should target respiratory symptoms and social isolation.
Author List
Berlin KEK, Scott W, Dawson S, Brousseau D, Lagatta JMAuthors
Kathryn Berlin DO Assistant Professor in the Pediatrics department at Medical College of WisconsinSara K. Dawson MD Associate Professor in the Pediatrics department at Medical College of Wisconsin
Joanne M. Lagatta MD Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AftercareBronchopulmonary Dysplasia
Child
Humans
Infant
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
Parents
Patient Discharge
Prospective Studies
Quality of Life
