Measuring health-related quality of life with EQ-5D-Y instrument in children with asthma.

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Measuring health-related quality of life with EQ-5D-Y instrument in children with asthma.

Acta Paediatr. 2014 Nov 13;

Authors: Bergfors S, Aström M, Burström K, Egmar AC

Abstract
AIM: Asthma is one of the most common chronic paediatric diseases worldwide and affects different dimensions of health-related quality of life. This study tested the feasibility and convergent validity of using EQ-5D-Y instrument on children and adolescents with asthma.
METHODS: A cross-sectional design was chosen and children with asthma, aged from eight to 16-years-of-age, were recruited from clinics in Stockholm, Sweden. To test convergent validity, the EQ-5D-Y instrument was combined with the Paediatric Quality of Life Questionnaire.
RESULTS: The EQ-5D-Y proved feasible as nearly 96% of the 94 respondents completed all items on the questionnaire. High and moderate correlations between the two instruments were found for the dimensions of ‘doing usual activities’ and ‘activity limitations’ and for ‘having pain or discomfort’ and ‘symptoms’. The visual analogue scale of the ED-5D-Y correlated with the Paediatric Quality of Life Questionnaire total score and the self-rated health question. The dimensions on the EQ-5D-Y with most reported problems were ‘usual activities’, ‘pain or discomfort’ and ‘worried, sad or unhappy’.
CONCLUSION: The EQ-5D-Y instrument seemed to provide feasiblity and convergent validity for measuring health-related quality of life in children and adolescents with asthma. This article is protected by copyright. All rights reserved.

PMID: 25393977 [PubMed – as supplied by publisher]

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Children Often Rate Their Asthma Worse Than Parents Report – Medscape


VOXXI

Children Often Rate Their Asthma Worse Than Parents Report
Medscape
ATLANTA — Parental assessment of a child's asthma severity can sometimes underestimate the child's level of discomfort and control, according to the results of a study presented here at the American College of Allergy, Asthma & Immunology 2014.
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The Influence of Particulate Matter on Respiratory Morbidity and Mortality in Children and Infants.

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The Influence of Particulate Matter on Respiratory Morbidity and Mortality in Children and Infants.

Adv Exp Med Biol. 2014 Nov 9;

Authors: Jakubiak-Lasocka J, Lasocki J, Badyda AJ

Abstract
Air pollution is the most important environmental health risk leading to premature mortality, respiratory and other health problems. The aim of this study was to quantify its impact on infants and children in Warsaw (Poland), following the principles of Health Impact Assessment method. Particulate matter (PM2.5 and PM10) was considered as the indicator of air pollution. Exposure-response functions between air pollution and health impacts were employed based on the literature. According to the calculations, around 5,201 asthma symptoms and 234 hospital respiratory admissions were caused annually due to air pollution. Hospitalizations due to cardiovascular problems related to air pollution amounted to 13. The mortality among infants and children is relatively low and occurs mostly in the postneonatal period. Nonetheless, approx. 5 mortality cases were assessed to be air pollution-attributable. The study demonstrates a significant impact of air pollution on infants and children, which is manifested primarily as a range of respiratory problems.

PMID: 25381559 [PubMed – as supplied by publisher]

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Overweight Children Misinterpret Asthma Symptoms, Might Overuse Medication – Lung Disease News


Lung Disease News

Overweight Children Misinterpret Asthma Symptoms, Might Overuse Medication
Lung Disease News
A recent study published online in the Journal of Allergy and Clinical Immunology (JACI), the official scientific journal of the American Association of Allergy, Asthma and Immunology, shows that obese children with asthma may use unnecessary rescue …

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Unnecessary Asthma Medication For Overweight Children – Youth Health Magzine


Youth Health Magzine

Unnecessary Asthma Medication For Overweight Children
Youth Health Magzine
According to a study that was recently published in the Journal Of Allergy And Clinical Immunology, overweight children who have asthma are often being given prescriptions for unnecessary "rescue medications" when their shortness of breath, which could …
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UF launches CHAMP program for overweight asthmatic children – The Independent Florida Alligator

UF launches CHAMP program for overweight asthmatic children
The Independent Florida Alligator
The UF Childhood Health and Asthma Management Program (CHAMP) will provide strategies for children and their parents to practice healthy behaviors beginning in January. The program, funded by the American Lung Association, will be of no cost to the to …

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Outcome after Computer-Assisted (Robotic) Nissen Fundoplication in Children Measured as Pre- and Postoperative Acid Reducing and Asthma Medications Use.

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Outcome after Computer-Assisted (Robotic) Nissen Fundoplication in Children Measured as Pre- and Postoperative Acid Reducing and Asthma Medications Use.

Eur J Pediatr Surg. 2014 Oct 26;

Authors: Granéli C, Kockum CC, Arnbjornsson E, Anderberg M

Abstract
Purpose?This study aims to report the clinical outcome of computer-assisted fundoplication (CAF) in children. Methods?As our center changed policy to using computer-assisted surgery only, a prospectively studied cohort of 40 children underwent CAF, during the period from January 2006 through May 2013. The collected data include patient demographics and postoperative complications as well as medication, 24-hour pH measurements and DeMeester scores before and after surgery. Results?In the studied group, the median percentage of the duration of the 24-hour pH?<?4 decreased postoperatively from 11 (range, 5-39) to 1% (range, 0-12) (p?<?0.001); the DeMeester score decreased from 40 (range, 17-137) to 5 (range, 1-42) (p?<?0.001). All 40 patients required antireflux medication before the fundoplication. This number decreased significantly to 8 (20%) after the fundoplication (p?<?0.001). Before the fundoplication, 22 children (55%) were using asthma medication and 12 (30%) after the fundoplication (p?=?0.04). Conclusions?The CAF significantly reduced the acid reflux from the stomach to the esophagus and the use of antireflux as well as asthma medication during the median observation period of 5 years. The evidence of advantages compared with conventional laparoscopic fundoplication remain to be confirmed.

PMID: 25344939 [PubMed – as supplied by publisher]

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