Needleman Joseph Solomon, Zhu Chengjia, Kean Adam C
Internal Medicine-Pediatrics Residency Program, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Family Medicine Residency Program, University of Calgary, Calgary, Alberta, Canada.
Pacing Clin Electrophysiol. 2023 Apr;46(4):285-291. doi: 10.1111/pace.14677. Epub 2023 Mar 12.
Children with cardiovascular implantable electronic devices (CIEDs) have a lower quality of life (QoL) compared to the general pediatric population. The combined effect of COVID-19 and CIEDs on the QoL and physical activity (PA) both within and between each population is unknown.
Individuals 8-25-year-old with and without CIED's were recruited to complete a phone survey. Data collection included demographics, the Pediatric Quality of Life Inventory (PedsQL), and the (PAQ). PedsQL and PAQ scores range from 0-100 and 1-5, respectively, with higher scores indicating a higher QoL and PA.
Of the 190 individuals contacted, 148 participated (CIED n = 76, non-CIED n = 72), for an 81% response rate. Participants with and without CIEDs were similar in age (15.5 vs. 16 years, p = .57), gender (male = 57% vs. 42%, p = .07), and self-identified race (white = 79% vs. 81%, p = .44). CIED participants had a lower QoL (70.8 vs. 83.3, p < .001). Lower total scores were noted in CIED participants with structural heart disease compared to those without (71.6 vs. 83.6, p = .035) and those with a history of non-CIED heart or chest surgery compared to those without (71.3 vs. 83.3, p = .035). PAQ scores were similarly lower for CIED participants (2.17 vs. 2.73, p < .001).
The presence of a CIED negatively impacts the QoL and PA of the pediatric population in the setting of the COVID-19 pandemic. Further research is needed to better understand and address the drivers of decreased QoL and PA in the pediatric CIED population in the setting of the COVID-19 Pandemic.
与普通儿科人群相比，植入心血管植入式电子设备（CIED）的儿童生活质量（QoL）较低。COVID-19和CIED对各人群内部以及不同人群之间的QoL和身体活动（PA）的综合影响尚不清楚。
招募了8至25岁有和没有CIED的个体来完成一项电话调查。数据收集包括人口统计学、儿童生活质量量表（PedsQL）和身体活动问卷（PAQ）。PedsQL和PAQ分数范围分别为0至100分和1至5分，分数越高表明QoL和PA越高。
在联系的190名个体中，148名参与（CIED组n = 76，非CIED组n = 72），回复率为81%。有和没有CIED的参与者在年龄（15.5岁对16岁，p = 0.57）、性别（男性= 57%对42%，p = 0.07）和自我认定的种族（白人= 79%对81%，p = 0.44）方面相似。CIED参与者的QoL较低（70.8对83.3，p < 0.001）。与没有结构性心脏病的CIED参与者相比，有结构性心脏病的CIED参与者总分更低（71.6对83.6，p = 0.035）；与没有非CIED心脏或胸部手术史的参与者相比，有非CIED心脏或胸部手术史的CIED参与者总分更低（71.3对83.3，p =
