دورية أكاديمية
أعرض في EDS

Long-Term Pulmonary Function and Quality of Life in Children After Acute Respiratory Distress Syndrome: A Feasibility Investigation.

التفاصيل البيبلوغرافية
العنوان: Long-Term Pulmonary Function and Quality of Life in Children After Acute Respiratory Distress Syndrome: A Feasibility Investigation.
المؤلفون: Ward SL; 1Division of Pediatric Critical Care, Department of Pediatrics, UCSF Benioff Children's Hospitals, San Francisco and Oakland, CA.2Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA.3Department of Hematology/Oncology, UCSF Benioff Children's Hospital, Oakland, CA.4Division of Pediatric Pulmonology, Department of Pediatrics, UCSF Benioff Children's Hospital, San Francisco, CA.5Division of Pediatric Critical Care, University of Michigan C.S. Mott Children's Hospital, Ann Arbor, MI., Turpin A, Spicer AC, Treadwell MJ, Church GD, Flori HR
المصدر: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies [Pediatr Crit Care Med] 2017 Jan; Vol. 18 (1), pp. e48-e55.
نوع المنشور: Clinical Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100954653 Publication Model: Print Cited Medium: Internet ISSN: 1529-7535 (Print) Linking ISSN: 15297535 NLM ISO Abbreviation: Pediatr Crit Care Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Baltimore, MD : Lippincott Williams & Wilkins, c2000-
مواضيع طبية MeSH: Health Status Indicators*, Aftercare/*methods , Lung/*physiopathology , Quality of Life/*psychology , Respiratory Distress Syndrome/*therapy, Adolescent ; Child ; Child, Preschool ; Feasibility Studies ; Female ; Follow-Up Studies ; Health Surveys ; Humans ; Infant ; Male ; Outcome Assessment, Health Care/methods ; Pilot Projects ; Prospective Studies ; Respiratory Distress Syndrome/physiopathology ; Respiratory Distress Syndrome/psychology ; Respiratory Function Tests
مستخلص: Objectives: To determine the feasibility of pulmonary function and quality of life evaluations in children after acute respiratory distress syndrome.
Design: A prospective follow-up feasibility study.
Setting: A tertiary PICU.
Patients: Children less than 18 years old with acute respiratory distress syndrome admitted between 2000 and 2005.
Intervention: Pulmonary function testing and patient and parental quality of life surveys approximately 12-month after acute respiratory distress syndrome.
Measurements and Main Results: One hundred eighty patients met acute respiratory distress syndrome criteria; 37 (20%) died, 90 (51%) declined participation, 28 (16%) consented but did not return, and 24 (13%) returned for follow-up visit. Twenty-three patients completed quality of life testing and 17 completed pulmonary functions. Clinical characteristics of those who returned were no different from those who did not except for age (median age, 4.9 vs 1.8 yr). One-third had mild to moderate pulmonary function deficits. Quality of life scores were marginal with general health perception, physical functioning, and behavior being areas of concern. These scores were lower than scores in children with chronic asthma. Parental quality of life assessments report lower scores in single-parent homes but no differences were noted by race or parental employment status.
Conclusions: Valuable information may be discerned from acute respiratory distress syndrome patients who return for follow-up evaluation. In this pilot study, up to one-third of children with acute respiratory distress syndrome exhibit pulmonary function deficits and 12-month postillness quality of life scores are lower than in children with chronic asthma. Parental perceptions of postillness quality of life may be negatively impacted by socioeconomic constraints. Long-term follow of children with acute respiratory distress syndrome is feasible and bears further investigation.
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معلومات مُعتمدة: K23 RR015543 United States RR NCRR NIH HHS; M01 RR001271 United States RR NCRR NIH HHS; R01 HL095410 United States HL NHLBI NIH HHS; T32 HD049303 United States HD NICHD NIH HHS
تواريخ الأحداث: Date Created: 20170107 Date Completed: 20171102 Latest Revision: 20201209
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC5221949
DOI: 10.1097/PCC.0000000000001014
PMID: 28060170
قاعدة البيانات: MEDLINE
الوصف
تدمد:1529-7535
DOI:10.1097/PCC.0000000000001014