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Children hospitalised with bronchiolitis in the first year of life have a lower quality of life nine months later
Author(s) -
Rolfsjord Leif Bjarte,
Skjerven Håvard Ove,
Bakkeheim Egil,
Carlsen KaiHåkon,
Hunderi Jon Olav Gjengstø,
Kvenshagen Bente Krane,
Mowinckel Petter,
Lødrup Carlsen Karin C.
Publication year - 2015
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12792
Subject(s) - medicine , bronchiolitis , asthma , pediatrics , quality of life (healthcare) , allergy , risk factor , toddler , respiratory sounds , immunology , respiratory system , psychology , developmental psychology , nursing
Aim Acute bronchiolitis increases the risk of asthma, and reduced quality of life ( Q o L ) is reported in children with asthma and allergy. However, the impact of asthma risk factors on Q o L is unclear. This study investigated whether bronchiolitis and common asthma risk factors in infancy had an influence on later Q o L . Methods The parents of 209 infants recruited during hospitalisation for bronchiolitis at a mean age of 4 months, and 206 controls responded to the generic I nfant T oddler Q uality of L ife Q uestionnaire 9 months later. We used robust regression analyses to assess the association between four asthma risk factors, atopic eczema, parental asthma, parental allergic rhinoconjunctivitis and second‐hand smoke and Q o L in the two groups. Results Q o L was lower among children with previous bronchiolitis in the overall health and general health domains and lower in six of 13 domains in children with atopic eczema. Compared with no risk factors, children with previous bronchiolitis and three risk factors had lower scores in four domains, and control children with three risk factors had lower scores in three domains. Conclusion Having acute bronchiolitis, atopic eczema and three asthma risk factors were negatively associated with later Q o L in early childhood.