Ensing Amy E, Zhang Amy L, Lin Rebecca Z, Landes Emma K, Getahun Henok, Lieu Judith E C
Department of Otolaryngology, Head and Neck Surgery Washington University School of Medicine St. Louis Missouri USA.
Laryngoscope Investig Otolaryngol. 2025 Apr 2;10(2):e70128. doi: 10.1002/lio2.70128. eCollection 2025 Apr.
To investigate parent-child agreement on fatigue reporting in pediatric otolaryngology patients and whether agreement might vary by diagnosis and other patient factors.
Cross-sectional survey.
Patients ages 5-18 years old being evaluated for hearing loss (HL) or obstructive sleep apnea (OSA) were recruited from a pediatric otolaryngology clinic and sleep center. Children and parents completed the Pediatric Quality of Life Inventory Multidimensional Fatigue Scale (PedsQL MFS).
Responses of 42 patients with HL, 49 with OSA, 10 with sleep-disordered breathing (SDB), and 34 controls were analyzed. Parent and child PedsQL MFS scores were strongly correlated (Pearson > 0.7) across groups with few exceptions. Only the median child-parent score differences for general domain score in the SDB group (12.5; 95% CI 2.08 to 22.9), and total score (7.41; 95% CI -0.69 to 25.7) and general domain score (11.5; 95% CI 2.08 to 27.1) in the developmental delay group met clinical significance thresholds. Wide confidence intervals prevented definitive conclusions regarding clinical significance. A pattern of decreased parent-child score correlations was observed in children reported to have delays. Weak (±0.1 to ±0.4) to moderate (±0.4 to ±0.69) correlations were observed for total score, general domain score, and cognitive domain score for children with reported developmental/speech/language delay.
Overall, the parent-proxy PedsQL MFS demonstrates strong agreement with self-reports for pediatric otolaryngology patients being evaluated for HL and OSA. However, parent-child score discrepancies within specific patient groups, especially children whose parents reported speech/developmental/language delays, emphasize the importance of administering self-reports when possible.
调查儿科耳鼻喉科患者中亲子在疲劳报告方面的一致性，以及这种一致性是否会因诊断和其他患者因素而有所不同。
横断面调查。
从儿科耳鼻喉科诊所和睡眠中心招募年龄在5至18岁之间、因听力损失（HL）或阻塞性睡眠呼吸暂停（OSA）接受评估的患者。儿童和父母完成了儿童生活质量量表多维疲劳量表（PedsQL MFS）。
分析了42例HL患者、49例OSA患者、10例睡眠呼吸障碍（SDB）患者和34例对照者的反应。除少数例外，各群体中亲子PedsQL MFS得分高度相关（Pearson系数>0.7）。只有SDB组的一般领域得分（12.5；95%可信区间2.08至22.9）、发育迟缓组的总分（7.41；95%可信区间-0.69至25.7）和一般领域得分（11.5；95%可信区间2.08至27.1）的中位亲子得分差异达到临床意义阈值。宽泛的可信区间妨碍了对临床意义得出明确结论。在报告有发育迟缓的儿童中观察到亲子得分相关性降低的模式。对于报告有发育/言语/语言迟缓的儿童，总分、一般领域得分和认知领域得分的相关性较弱（±0.1至±0.4）至中等（±0.4至±0.69）。
总体而言，家长代理的PedsQL MFS与因HL和OSA接受评估的儿科耳鼻喉科患者的自我报告显示出很强的一致性。然而，特定患者群体中亲子得分的差异，特别是其父母报告有言语/发育/语言迟缓的儿童，强调了在可能的情况下进行自我报告的重要性。
3级。
