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Health-related quality of life at 5 years of age for children born very preterm with congenital anomalies: a multi-national cohort study

Abstract:

Background
This study aimed to investigate the health-related quality of life (HRQoL) at 5 years of age of European children born very preterm across multi-dimensional outcomes by presence and severity of congenital anomalies.

Methods
The study used data from a European cohort of children born very preterm (<32 weeks of gestation) and followed up to 5 years of age (N = 3493). Multilevel Ordinary Least Squares (OLS) regression were used to explore the associations between the presence and severity of congenital anomalies.

Results
The mean total PedsQL™ GCS score for children with a mild congenital anomaly was lower than the respective value for children without a congenital anomaly by 3.7 points (p < 0.05), controlling for socioeconomic variables only; this effect was attenuated when accumulatively adjusting for perinatal characteristics (3.3 points (p < 0.05)) and neonatal morbidities (3.1 (p < 0.05)). The mean total PedsQL™ GCS scores for children who had a severe congenital anomaly were lower by 7.1 points (p < 0.001), 6.6 points (p< 0.001) and 6.0 points (p < 0.001) when accumulatively adjusting for socioeconomic, perinatal and neonatal variables, respectively.

Conclusion
This study revealed that the presence and severity of congenital anomalies are significant predictors of HRQoL outcomes in children born very preterm.

Publication status:
Published
Peer review status:
Peer reviewed

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Files:
Publisher copy:
10.1038/s41390-024-03521-9

Authors

More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0002-1254-5038

Contributors

Role:
Contributor


More from this funder
Funder identifier:
https://ror.org/015ah0c92
Funding agency for:
Petrou, S
Grant:
NF-SI-0616-10103
More from this funder
Funder identifier:
https://ror.org/00k4n6c32
Grant:
633724
Programme:
Horizon 2020 Research and Innovation Programme
More from this funder
Funder identifier:
https://ror.org/0187kwz08
Grant:
NIHR202402


Publisher:
Springer Nature
Journal:
Pediatric Research More from this journal
Volume:
97
Issue:
5
Pages:
1711-1721
Publication date:
2024-09-07
Acceptance date:
2024-07-25
DOI:
EISSN:
1530-0447
ISSN:
0031-3998


Language:
English
Pubs id:
2026125
Local pid:
pubs:2026125
Deposit date:
2024-09-08
ARK identifier:

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