THE INFLUENCE OF PEDIATRIC VASOVAGAL SYNCOPE ON HEALTH-RELATED QUALITY OF LIFE
DOI:
https://doi.org/10.11603/24116-4944.2020.2.11830Keywords:
vasovagal syncope, health-related quality of life, child self-report, parent proxy-reportAbstract
The aim of the study – the influence of vasovagal syncope clinical course features on health-related quality of life in children and adolescents.
Materials and Methods. 81 children with the diagnosis of vasovagal syncope aged 8–17 years were examined. The control group was consisted of 41 healthy children of the same age. Quality of life was assessed by the Ukrainian version of the PedsQL™ 4.0 which was completed independently by children and their parents. Agreement between child self-report and parent proxy-report was estimated by the intraclass correlation coefficient.
Results and Discussion. According to the child self-report lower physical health, psychosocial health, and total score were found in the group of vasovagal syncope. Compared to child self-report, parent proxy-report noted a deterioration of physical functioning only in children with vasovagal syncope, while problems of emotional functioning and school functioning remained out of their attention. Quality of life scales are influenced by gender, duration of the disease since the first syncope, trigger factors (emotional stress), methods of preventing recurrent syncope (the need to move to a horizontal position, eating and/or water taking), features of pre-syncopal phase (dizziness, abdominal pain, palpitations and/or heart arrhythmia, shortness of breath), duration of the post-syncopal phase and its clinical manifestations (drowsiness, headache, dizziness, palpitations and/or heart arrhythmia).
Conclusions. Vasovagal syncope is characterized by low health-related quality of life in the scales of physical functioning, emotional functioning, and school functioning. According to child self-report, psychosocial health disorders come to the forefront compared to physical health and are not adequately reflected in parent proxy-report. Agreement between child self-report and parent proxy-report is good for all PedsQL™ 4.0 scales. Therefore, it is recommended the combined using of child self-report and parent proxy-report for health-related quality of life assessment among patients with vasovagal syncope.
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