TY - JOUR
T1 - Quality of life and psychosocial outcomes in children with severe acute asthma and their parents
AU - the Dutch collaborative PICU research network (SKIC)
AU - Boeschoten, Shelley A.
AU - Dulfer, Karolijn
AU - Boehmer, Annemie L.M.
AU - Merkus, Peter J.F.M.
AU - van Rosmalen, Joost
AU - de Jongste, Johan C.
AU - de Hoog, Matthijs
AU - Buysse, Corinne M.P.
AU - Heisterkamp, Sabien
AU - van Woensel, Job
AU - Haarman, Eric
AU - Kapitein, Berber
AU - Wösten-van Asperen, Roelie
AU - Kneyber, Martin
AU - Lemson, Joris
AU - Hartman, Stan
AU - van Waardenburg, Dick
AU - Bunker, Heleen
AU - Brouwer, Carole
AU - van Ewijk, Bart
AU - Landstra, Anneke
AU - Verwaal, Mariel
AU - Vaessen-Verberne, Anja
AU - Hammer, Sanne
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Objectives: 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 posttraumatic stress (PTS) and asthma-related QoL in the parents. Methods: A preplanned follow-up of 3 to 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 and 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. Results: 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 =.001). Parents in the PICU group reported more PTS symptoms (intrusion P =.01, avoidance P =.01, arousal P =.02) compared to the GW group. Conclusion: 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, to timely provide appropriate interventions.
AB - Objectives: 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 posttraumatic stress (PTS) and asthma-related QoL in the parents. Methods: A preplanned follow-up of 3 to 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 and 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. Results: 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 =.001). Parents in the PICU group reported more PTS symptoms (intrusion P =.01, avoidance P =.01, arousal P =.02) compared to the GW group. Conclusion: 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, to timely provide appropriate interventions.
KW - PICU
KW - follow-up
KW - parents
KW - status asthmaticus
UR - http://www.scopus.com/inward/record.url?scp=85089988928&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/ppul.25034
DO - https://doi.org/10.1002/ppul.25034
M3 - Article
C2 - 32816405
SN - 8755-6863
VL - 55
SP - 2883
EP - 2892
JO - Pediatric pulmonology
JF - Pediatric pulmonology
IS - 11
ER -