1. Quality of life and psychosocial outcomes in children with severe acute asthma and their parents
- Author
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Boeschoten, Shelley, Dulfer, Karolijn, Boehmer, Annemie, Merkus, PJFM, van Rosmalen, Joost, Jongste, Johan, de Hoog, Matthijs, Buysse, Corinne, Heisterkamp, S, van Woensel, J, Haarman, E, Kapitein, Berber, Wösten-van Asperen, R, Kneyber, M, Lemson, J, Hartman, S, Van Waardenburg, D, Bunker, H, Brouwer, C, van Ewijk, B, Landstra, A, Verwaal, M, Vaessen-Verberne, A, Hammer, S, Pediatric Surgery, Epidemiology, Pediatrics, Sociology, Pediatric surgery, Amsterdam Reproduction & Development (AR&D), Paediatric Intensive Care, and AII - Inflammatory diseases
- Subjects
Pulmonary and Respiratory Medicine ,Pediatrics ,medicine.medical_specialty ,PICU ,Psychological intervention ,03 medical and health sciences ,Intrusion ,0302 clinical medicine ,Quality of life ,status asthmaticus ,030225 pediatrics ,Intensive care ,follow-up ,Medicine ,Response rate (survey) ,follow‐up ,business.industry ,parents ,Original Articles ,Asthma ,Posttraumatic stress ,030228 respiratory system ,Pediatrics, Perinatology and Child Health ,Original Article ,business ,Psychosocial ,Severe acute asthma - Abstract
To prospectively evaluate quality of life (QoL) and psychosocial outcomes in children with severe acute asthma (SAA) after pediatric intensive care (PICU) admission compared to children with SAA who were admitted to a general ward (GW). In addition, we assessed post-traumatic stress (PTS) and asthma-related QoL in the parents.A preplanned follow-up of 3-9 months of our nationwide prospective multicenter study, in which children with SAA admitted to a Dutch PICU (n=110) or GW (n=111) were enrolled between 2016-2018. Asthma-related QoL, PTS symptoms, emotional and behavioral problems, and social impact in children and/or parents were assessed with validated web-based questionnaires.We included 100 children after PICU and 103 after GW admission, with a response rate of 50% for the questionnaires. Median time to follow-up was 5 months (range 1-12 months). Time to reach full schooldays after admission was significantly longer in the PICU group (mean of 10 vs 4 days, p=0.001). Parents in the PICU group reported more PTS symptoms (intrusion p=0.01, avoidance p=0.01, arousal p=0.02) compared to the GW group.No significant differences were found between PICU and GW children on self-reported outcome domains, except for the time to reach full schooldays. PICU parents reported PTS symptoms more often than the GW group. Therefore, monitoring asthma symptoms and psychosocial screening of children and parents after PICU admission should both be part of standard care after SAA. This should identify those who are at risk for developing PTSD, in order to timely provide appropriate interventions. This article is protected by copyright. All rights reserved.
- Published
- 2020