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Health-related quality of life in patients with bronchiolitis obliterans Please cite this article as: Sarria EE, Mundstock E, Machado DG, Mocelin HT, Fischer GB, Furlan SP, et al. Health-related quality of life in patients with bronchiolitis obliterans. J Pediatr (Rio J). 2018;94:374-9. ,☆☆ ☆☆ Study carried out at Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Universidade Federal do Rio Grande do Sul (UFRGS), Centro Universitário Ritter dos Reis (UniRitter), Porto Alegre; and Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil.

Abstract

Objective:

To evaluate the overall health-related quality of life in patients with bronchiolitis obliterans.

Methods:

Participants with a diagnosis of post-infectious bronchiolitis obliterans, who were being followed-up at two specialized outpatient clinics of Pediatric Pulmonology in Porto Alegre, Brazil, and controls aged between 8 and 17 years, of both genders, were included in the study. Controls were paired by gender, age, and socioeconomic level in relation to the group of participants with post-infectious bronchiolitis obliterans. The version of the Pediatric Quality of Life Inventory (PedsQ) tool validated for Brazil was applied for the assessment of Health-related Quality of Life, through an interview. The comparison of the Health-related Quality of Life means between the groups was performed using Student's t-test for independent samples and the chi-squared test, for categorical variables.

Results:

34 patients diagnosed with post-infectious bronchiolitis obliterans and 34 controls participated in the study. The mean age of the children included in the study was 11.2 ± 2.5 years, and 49 (72%) of them were males. The groups showed no significant differences in relation to these variables. The quality of life score was significantly and clinically lower in the post-infectious bronchiolitis obliterans group when compared with controls in the health (72.36 ± 15.6, 81.06 ± 16.4, p = 0.031) and school domains (62.34 ± 20.7, 72.94 ± 21.3, p = 0.043), as well as in the total score (69.53 ± 14.9, 78.02 ± 14.8, p = 0.024), respectively.

Conclusion:

Patients with post-infectious bronchiolitis obliterans presented lower health-related quality of life scores when compared with healthy individuals in the total score and in the health and school domains.

KEYWORDS
Health-related quality of life; Bronchiolitis obliterans; Children

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