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Titre : | Predicting Health Care Utilization for Children With Respiratory Insufficiency Using Parent-Proxy Ratings of Children's Health-Related Quality of Life (2017) |
Auteurs : | Angie Mae Rodday ; Robert J. Graham ; Ruth Ann Weidner ; et al. |
Type de document : | Article |
Dans : | Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) |
Article en page(s) : | p. 354-362 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Enfant (6-12 ans) ; Insuffisance respiratoire ; Maladie chronique ; Pédiatrie ; Qualité de vie |
Résumé : |
Introduction
Children with chronic respiratory insufficiency and mechanical ventilation often experience acute illnesses requiring unscheduled hospitalizations. Health-related quality of life (HRQL) may predict future health care utilization. Methods Participants were 30 days to 22 years old with chronic respiratory insufficiency (N = 120). Parent-proxies completed global HRQL and general health measures. Outcomes were total health care (emergency department, outpatient, inpatient) and inpatient days over 6 months. Adjusted negative binomial regression estimated the effects of global HRQL and general health on utilization. Results Three quarters of children had any utilization; 32% had hospitalizations. Children with poor/fair global HRQL had 3.7 times more health care days than those with very good/excellent global HRQL. Children with poor/fair global HRQL had 6.3 times more inpatient days than those with very good/excellent global HRQL. Similar relationships existed between general health and utilization. Discussion HRQL was associated with health care and inpatient days. Clinical teams can use HRQL as a marker for utilization risk, enabling potentially earlier intervention, better outcomes, and lower costs. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |