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Self-reported health status and health-related quality of life of teenagers who were born before 29 weeks' gestational age
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Gray, R., Petrou, Stavros, Hockley, C. and Gardner, F. (2007) Self-reported health status and health-related quality of life of teenagers who were born before 29 weeks' gestational age. Pediatrics, 120 (1). e86-e93. doi:10.1542/peds.2006-2034 ISSN 0031-4005.
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Official URL: http://dx.doi.org/10.1542/peds.2006-2034
Abstract
OBJECTIVE:
The objective of this study was to describe the self-reported health status and health-related quality of life of British teenagers who are in mainstream schooling and were born before 29 weeks' gestational age compared with British teenagers who were born at term.
METHODS:
All surviving children who were born at <29 weeks' gestation in the former Northern Region of England in 1983 and in the former Oxford Region of England and in Scotland in 1984 were eligible. A comparison group of teenagers who were born at term were also recruited. Children's responses to the Health Utilities Index Mark III were compared.
RESULTS:
A total of 218 of the original 535 children who were born in the 3 regions during the study period were alive at 15 to 16 years of age. A complete Health Utilities Index Mark III record was available for 140 children in mainstream schools and for 108 control subjects. In 7 of the 8 attributes (vision, hearing, speech, emotion, pain, ambulation, and dexterity), there were no statistically significant differences in any functional impairment between the comparator groups. However, the preterm group did report a higher level of functional impairment in the cognition attribute (40.7% vs 25.0%). Although there was no difference in the median Health Utilities Index Mark III utility score between the 2 groups (0.93), there was a broader range of utility scores for the preterm group (0.07-1.0 vs 0.45-1.0 for the control group).
CONCLUSIONS:
Despite objective evidence that children and teenagers who were born preterm have poorer health on average than term-born control subjects, this is not reflected in their own ratings of their health status and health-related quality of life at 15 to 16 years of age. The reasons for these differences need to be further explored.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Pediatrics | ||||
Publisher: | American Academy of Pediatrics | ||||
ISSN: | 0031-4005 | ||||
Official Date: | 2007 | ||||
Dates: |
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Volume: | 120 | ||||
Number: | 1 | ||||
Page Range: | e86-e93 | ||||
DOI: | 10.1542/peds.2006-2034 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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