Ralph Kate Monica Isabel, Bull Kim, Trotter Caroline, Wood Sharon, Jones Christine E
Faculty of Medicine, University of Southampton, Southampton, UK
Faculty of Medicine, University of Southampton, Southampton, UK.
Arch Dis Child. 2022 Oct 19;107(11):1004-1011. doi: 10.1136/archdischild-2022-324007.
Congenital cytomegalovirus (cCMV) is the most common congenital infection globally. This cross-sectional study aimed to describe the health-related quality of life (HRQoL) of children with cCMV and that of their parents.
Families of children with cCMV in the UK were approached through the charity CMV Action. Parents completed questionnaires about their own HRQoL and that of their child. Children who were able to self-report completed questionnaires about their own HRQoL. Demographic characteristics of the sample were described using descriptive statistics. Questionnaire responses were scored, and domain and summary scores were calculated and compared with UK population norms, where available.
Seventy families participated, with children aged between 5 months and 18 years. Children with cCMV had poorer HRQoL compared with children from UK population data. HRQoL of children whose health was more severely affected by cCMV was poorer than that of children whose health was less severely affected. Parents of children whose health was moderately or severely affected had greater psychological morbidity and poorer HRQoL in physical, emotional, social, and cognitive functioning domains than parents of less severely affected children.
cCMV has a significant effect on the HRQoL of children with cCMV and their parents, with the children with the most significant health needs having the lowest HRQoL compared with those children with little or no effects on their health. This data could contribute to health economic analyses, informing resource allocation to potential interventions for the prevention and treatment of cCMV.
先天性巨细胞病毒(cCMV)感染是全球最常见的先天性感染。本横断面研究旨在描述cCMV感染儿童及其父母的健康相关生活质量(HRQoL)。
通过慈善机构“巨细胞病毒行动”联系了英国cCMV感染儿童的家庭。父母完成了关于他们自己和孩子HRQoL的问卷。能够自我报告的儿童完成了关于他们自己HRQoL的问卷。使用描述性统计描述样本的人口统计学特征。对问卷回答进行评分,计算领域和汇总分数,并与英国人群规范(如可用)进行比较。
70个家庭参与,儿童年龄在5个月至18岁之间。与来自英国人群数据的儿童相比,cCMV感染儿童的HRQoL较差。cCMV对健康影响较严重的儿童的HRQoL比影响较轻的儿童差。健康受到中度或重度影响的儿童的父母比健康受到较轻影响的儿童的父母有更高的心理发病率,在身体、情感、社会和认知功能领域的HRQoL更差。
cCMV对cCMV感染儿童及其父母的HRQoL有显著影响,与对健康几乎没有或没有影响的儿童相比,健康需求最显著的儿童的HRQoL最低。这些数据有助于卫生经济分析,为预防和治疗cCMV的潜在干预措施的资源分配提供信息。