Health-related quality of life among five-year-old extremely preterm children with motor disorders

Autor: AM Aubert, R Costa, S Johnson, U Ådén, V Pierrat, M Cuttini, AF van Heijst, RF Maier, M Sentenac, J Zeitlin
Rok vydání: 2022
Předmět:
Zdroj: European Journal of Public Health. 32
ISSN: 1464-360X
1101-1262
Popis: Background Motor disorders resulting from extremely preterm birth (EPT; Methods We included children at age five from a population-based EPT birth cohort born in 2011-2012 in 11 European countries (N = 1,021). Children without CP were classified using the Movement Assessment Battery for Children - 2nd edition as having significant MD (≤5th percentile of standardised norms) or being at risk of MD (6th-15th percentile). Parents reported on CP diagnoses and HRQoL using the Pediatric Quality of Life InventoryTM. We used linear regression to compare HRQoL scores by motor status adjusting for social characteristics. Results Children born EPT with CP, significant MD and at risk of MD had lower adjusted HRQoL total scores [95% confidence intervals] than those without MD: -26.1 [-31.0; -21.2], -9.1 [-12.0; -6.1] and -5.0 [-7.7; -2.3]. Decreases were greater for physical scores: -35.3 [-42.7; -27.9], -11.9 [-16.1; -7.8] and -5.4 [-9.1; -1.6] than psychosocial scores: -20.6 [-25.2; -16.0], -7.4 [-10.3; -4.5] and -4.9 [-7.6; -2.1]. These differences persisted after exclusion of children with other developmental difficulties. Conclusions Motor disorders among 5-year-old children born EPT were associated with lower HRQoL, even among children with less severe motor difficulties and without other developmental difficulties. Key messages
Databáze: OpenAIRE