OBJECTIVE: To determine how infant illness and parent demographics are associated with parent health-related quality of life (HRQL) during and 3 months after hospitalization in the neonatal intensive care unit (NICU). We hypothesized that parents of extremely preterm infants would report lower NICU HRQL than other parents, and that all parents would report improved HRQL after discharge. STUDY DESIGN: This prospective study of parent-infant dyads admitted to a level IV NICU for ≥14 days from 2016 to 2017 measured parent HRQL before and 3 months after discharge using the Pediatric Quality of Life Inventory Family Impact Module. Multivariable regression was used to identify risk factors associated with HRQL differences during hospitalization and after discharge. RESULTS: Of the 194 dyads, 167 (86%) completed the study (24% extremely preterm; 53% moderate to late preterm; 22% term). During the NICU hospitalization, parents of extremely preterm infants reported lower adjusted HRQL (-7 points; P = .013) than other parents. After discharge, parents of extremely preterm infants reported higher HRQL compared with their NICU score (+10 points; P = .001). Tracheostomy (-13; P = .006), home oxygen (-6; P = .022), and readmission (-5; P = .037) were associated with lower parent HRQL 3 months after discharge, adjusted for NICU HRQL score. CONCLUSIONS: Parents of extremely preterm infants experienced a greater negative impact on HRQL during the NICU hospitalization and more improvement after discharge than parents of other infants hospitalized in the NICU. Complex home care was associated with lower parent HRQL after discharge. The potential benefit of home discharge should be balanced against the potential negative impact of complex home care.
OBJECTIVE: To determine how infant illness and parent demographics are associated with parent health-related quality of life (HRQL) during and 3 months after hospitalization in the neonatal intensive care unit (NICU). We hypothesized that parents of extremely preterm infants would report lower NICU HRQL than other parents, and that all parents would report improved HRQL after discharge. STUDY DESIGN: This prospective study of parent-infant dyads admitted to a level IV NICU for ≥14 days from 2016 to 2017 measured parent HRQL before and 3 months after discharge using the Pediatric Quality of Life Inventory Family Impact Module. Multivariable regression was used to identify risk factors associated with HRQL differences during hospitalization and after discharge. RESULTS: Of the 194 dyads, 167 (86%) completed the study (24% extremely preterm; 53% moderate to late preterm; 22% term). During the NICU hospitalization, parents of extremely preterm infants reported lower adjusted HRQL (-7 points; P = .013) than other parents. After discharge, parents of extremely preterm infants reported higher HRQL compared with their NICU score (+10 points; P = .001). Tracheostomy (-13; P = .006), home oxygen (-6; P = .022), and readmission (-5; P = .037) were associated with lower parent HRQL 3 months after discharge, adjusted for NICU HRQL score. CONCLUSIONS: Parents of extremely preterm infants experienced a greater negative impact on HRQL during the NICU hospitalization and more improvement after discharge than parents of other infants hospitalized in the NICU. Complex home care was associated with lower parent HRQL after discharge. The potential benefit of home discharge should be balanced against the potential negative impact of complex home care.
Authors: Kathryn J Malin; Teresa S Johnson; Sarah McAndrew; Jacqueline Westerdahl; Jonathan Leuthner; Joanne Lagatta Journal: Early Hum Dev Date: 2019-11-20 Impact factor: 2.079
Authors: Linda S Franck; Renée A Shellhaas; Monica Lemmon; Julie Sturza; Janet S Soul; Taeun Chang; Courtney J Wusthoff; Catherine J Chu; Shavonne L Massey; Nicholas S Abend; Cameron Thomas; Elizabeth E Rogers; Charles E McCulloch; Katie Grant; Lisa Grossbauer; Kamil Pawlowski; Hannah C Glass Journal: J Pediatr Date: 2020-06 Impact factor: 4.406
Authors: Joanne M Lagatta; Michael Uhing; Krishna Acharya; Julie Lavoie; Erin Rholl; Kathryn Malin; Margaret Malnory; Jonathan Leuthner; David C Brousseau Journal: J Pediatr Date: 2021-03-28 Impact factor: 6.314
Authors: Edward F Bell; Susan R Hintz; Nellie I Hansen; Carla M Bann; Myra H Wyckoff; Sara B DeMauro; Michele C Walsh; Betty R Vohr; Barbara J Stoll; Waldemar A Carlo; Krisa P Van Meurs; Matthew A Rysavy; Ravi M Patel; Stephanie L Merhar; Pablo J Sánchez; Abbot R Laptook; Anna Maria Hibbs; C Michael Cotten; Carl T D'Angio; Sarah Winter; Janell Fuller; Abhik Das Journal: JAMA Date: 2022-01-18 Impact factor: 157.335
Authors: Amy M Yeh; Ashley Y Song; Douglas L Vanderbilt; Cynthia Gong; Philippe S Friedlich; Roberta Williams; Ashwini Lakshmanan Journal: BMC Pediatr Date: 2021-01-04 Impact factor: 2.125