Health related quality of life of preterm born children at three years in a sub urban district in Sri Lanka: a retrospective cohort study

Abstract

BackgroundPreterm birth leads to multiple morbidities affecting the health of a child. Lack of information on the health impact of prematurity hinders the possibility of any effective public health interventions in this regard. Our aim was to determine the association between preterm birth and Health-Related Quality of Life (HRQOL) among 3 years old children in the Gampaha district, Sri Lanka.MethodsA community-based retrospective cohort study was conducted among 790 preterm and term born children who were 03 years old. Multi-stage cluster sampling technique was used to identify children. The exposure status, a preterm birth, was established using the maternal pregnancy records. Outcome status was measured using a validated health related quality of life questionnaire (prepared in Sinhala) for preschool-aged children. Mothers of the children responded to an interviewer-administered questionnaire which had variables on the exposure status, outcome and additional variables such as child development status and birth related information. Quality of life was measured in twelve different domains of health (subscales). The impact was analyzed using the multiple linear regression.ResultsResponse rate was 95.5% (n = 379) for preterm group and 95.2% (n = 378) for term-born group. Health-Related Quality of Life scores obtained by preterm children were lower than the term born children in eight subscales. Preterm birth showed statistically significant association with subscales on sleep wellbeing, general wellbeing and abdominal symptoms in the adjusted analysis (p < 0.05). Among preterm children prolonged illness, delayed development status, socio economic status and maternal perception on the health status of the child were common predictors of quality of life.ConclusionPreterm birth affected health related quality of life of preschool aged children.

Avaliação do desenvolvimento motor infantil em crianças de alto risco

“…It was pointed out, in a study, 9 that neonatal complications or the need for admission to the intensive care unit also showed a greater propensity for atypical development, especially in the language domain. Such information is confirmed by the study of the authors, 16 who observed that respiratory deficiencies are among the main factors of neonatal hospitalization.…”

Maternal socio-demographic and economic factors of preterm babies born in Teaching Hospital, Jaffna, Sri Lanka

“…In this study, prevalence of very preterm babies was 8.1% (n= 14). In a previous study in Jaffna district, Sri Lanka, in 2011, frequency of preterm birth was 4.9%, and preterm babies were not being categorized 12 . However, it was well observed in Gampaha district of Sri Lanka, where there was low frequency (8.6%) of very preterm babies 13 .…”

La perception maternelle de la qualité de vie d’enfants nés extrêmement prématurés durant la petite enfance : une étude descriptive corrélationnelle

“…Des divergences de résultats sont toutefois observées entre les études passées, lorsque la prématurité extrême et l'âge préscolaire ne sont pas considérés comme critères exclusifs. De la sorte, une étude incluant 379 enfants prématurés (6 extrêmes prématurés) et 378 enfants à terme démontre que la prématurité affecte la qualité de vie reliée à la santé de ces enfants (Jayakody et al, 2018). Le Health-Related Quality of Life (HRQOL) a servi à évaluer la qualité de vie, selon la perception des mères, lorsque les enfants étaient âgés de 3 ans.…”

“…Données sociodémographiques et cliniques. En raison d'un lien probable avec le concept central de cette étude (Ghotra et al, 2021;Jayakody et al, 2018), les données sociodémographiques et cliniques retenues sont :…”

“…Néanmoins, une seule étude répertoriée à ce jour a analysé la qualité vie spécifiquement chez des enfants nés extrêmement prématurés et durant l'âge préscolaire. Les études antérieures ont plutôt considéré ces derniers parmi l'ensemble des enfants prématurés, donc sans distinction par rapport à la catégorie de prématurité, et évalué la qualité de vie au-delà de l'âge préscolaire (Berbis et al, 2012;Jayakody et al, 2018;Liu et Harding, 2021;Martini et al, 2016;Vieira et al, 2017). L'étude canadienne de Ghotra et al (2021), portant spécifiquement sur la qualité de vie dans un contexte de prématurité extrême et au préscolaire, souligne que les parents perçoivent peu de problèmes de santé chez leurs enfants, donc peu d'atteintes à la qualité de vie.…”