Medical College of Wisconsin
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Health-related quality of life, educational and family outcomes in survivors of congenital diaphragmatic hernia. Pediatr Surg Int 2019 Mar;35(3):315-320

Date

11/13/2018

Pubmed ID

30417228

DOI

10.1007/s00383-018-4414-2

Scopus ID

2-s2.0-85056435114   11 Citations

Abstract

PURPOSE: Congenital diaphragmatic hernia (CDH) survivors experience increased risk of medical and neurodevelopmental challenges. This study describes the health-related quality of life (HRQOL), special education utilization and the family impact among neonatal CDH survivors.

METHODS: A single-center prospective cohort of CDH survivors born between 1995 and 2006 was followed. Parents completed the PedsQL HRQOL index and a Family Impact survey to assess the need for medical equipment, home health services, and special education and quantify the burden placed on the family by their child's medical needs.

RESULTS: Parents of 32 survivors participated at a mean survivor age of 8 ± 4 years. Many survivors utilized medical equipment (62%), home health services (18%) and special education (28%). CDH survivor HRQOL (79 ± 17) did not differ significantly from that of healthy children (83 ± 15, p = 0.12). HRQOL was diminished among survivors who required special education (67 ± 8 vs 82 ± 3; p = 0.04) and those reporting increased Family Impact score (p = 0.001).

CONCLUSION: Many CDH survivors continue to require home medical equipment and home health services at school age. Most survivors have normal parent-reported HRQOL; however, the need for special education and higher family impact of neonatal CDH correlates with decreased HRQOL.

Author List

Fritz KA, Khmour AY, Kitzerow K, Sato TT, Basir MA

Author

Mir Abdul Basir MD Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Education, Special
Female
Follow-Up Studies
Health Status
Hernias, Diaphragmatic, Congenital
Humans
Infant, Newborn
Male
Parents
Prospective Studies
Quality of Life
Surveys and Questionnaires
Survivors