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March 29, 2018Archives of Disease in Childhood

Quality of life in young people with congenital heart disease is better than expected

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Key result

Children with congenital heart disease reported a 2.3-point higher health-related quality of life score compared to healthy peers after adjusting for age and sex (P<0.001).

Why the study?

Does congenital heart disease reduce health-related quality of life in children and adolescents compared to healthy peers?

Population

514 children and adolescents with congenital heart disease, aged 7-17 years, including 191 girls.

Comparison

Presence of congenital heart disease vs 734 healthy children

Design

Cross-sectional

Authors

BRBarbara ReinerTechnical University of MunichRORenate OberhofferPediatric CardiologyPEPeter EwertPediatric Cardiology

Discussion

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Implication

Suggests preserved HRQoL in pediatric CHD; leaves open resilience factors and requires prospective confirmation.

Study Design

Type

Cross-Sectional (n=1,248)

Multicenter

No

Structured PICO

Does congenital heart disease reduce health-related quality of life in children and adolescents compared to healthy peers?

P
Population
1,248 children and adolescents aged 7-17 years, comprising 514 with congenital heart disease and 734 healthy controls, assessed for health-related quality of life.
E
Exposure
Presence of congenital heart disease (observational exposure)
C
Comparator
734 healthy children (mean age 13.4±2.1 years, 346 girls)
O
Outcome
Health-related quality of life (HRQoL) assessed by the self-reported and age-adapted KINDL questionnairepatient reported

Main Result

Mean Difference: 2.3

Absolute Event Rate: 78.6% vs 75.6%

p-value: p=<0.001

Children and adolescents with congenital heart disease report health-related quality of life that is equal to or better than their healthy peers, regardless of disease severity.

Cite This Study

Reiner et al. (2018) conducted a cross-sectional in Congenital heart disease (n=1,248). Congenital heart disease vs. Healthy peers was evaluated on Health-related quality of life (HRQoL) assessed by KINDL questionnaire (MD 2.3, p=<0.001). Children with congenital heart disease reported a 2.3-point higher health-related quality of life score compared to healthy peers after adjusting for age and sex (P<0.001).

synapsesocial.com/papers/6a9643afdc355c9d4e89783ahttps://doi.org/10.1136/archdischild-2017-314211

Topics

Congenital heart disease adults
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Current Interventional and Surgical Management of Congenital Heart Disease2017 · 104 citations
  2. 2Task Force 1: the changing profile of congenital heart disease in adult life2001 · 1,451 citations
  3. 3Self-estimated physical functioning poorly predicts actual exercise capacity in adolescents and adults with congenital heart disease2008 · 194 citations
  4. 4Promotion of Physical Activity for Children and Adults With Congenital Heart Disease2013 · 308 citations
  5. 5Quality of Life in Children With Heart Disease as Perceived by Children and Parents2008 · 365 citations