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EG |
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| Egypt J Pediatr Allergy Immunol |
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2013 |
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11 |
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02 |
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83-93 |
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ESP - 5 |
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Original articles |
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| Health-related quality of life in childhood bronchial asthma |
| Mohamed S. Al-Gewely |
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Mostafa El-Hosseiny |
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Nahla F. Abou Elezz |
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Dalia H. El-Ghoneimy |
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| Background: Asthma is a public health problem that adversely affects
different aspects of quality of life (QoL). Childhood asthma is common in
Egypt and associated with repeated school absenteeism and hospital
admission. Objective: To evaluate health-related quality of life (QoL) in
children with bronchial asthma in an attempt to identify the most important
determinants adversely affecting the QoL. Methods: In this cross-sectional
study, 140 children with physician- diagnosed bronchial asthma were
clinically evaluated to determine level of asthma control and were
administered pediatric asthma quality of life questionnaire (PAQLQ), and
questionnaire for the main determinants affecting QoL including sociodemographic,
disease-related and patient-related factors. Results: They
were 77 males and 63 females whose ages ranged between 7 and 17 years
with a mean of 10.2 years. The overall PAQLQ score ranged between 2.22
and 6.61 with a mean ± SD of 4.08 ± 1. Uncontrolled asthma was
associated with the lowest QoL scores (p ? 0.01). Users of systemic steroids
had significantly lower overall PAQLQ score, score of symptoms, score of
emotional function than non-users (p < 0.05). Difficulty in obtaining the
drugs significantly adversely affects the patient QoL scores apart from that
of activity limitation (p<0.05). Parental smoking, use of systemic steroids,
difficulties in obtaining drugs, asthma related hospital admission and level
of asthma control were the determinants of overall PAQLQ score for
children with bronchial asthma. Conclusion: Childhood asthma
significantly adversely affects the QoL of the affected children. Control of
the main determinants of QoL scores might improve the QoL of these
patients. |
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