Health-related quality of life in children and adolescents after systemic sting reaction.

Authors:
Piotr Brzyski
Piotr Brzyski
Jagiellonian University Medical College
Poland
Tomasz Tomasik
Tomasz Tomasik
Jagiellonian University Medical College
Poland
Grzegorz Lis
Grzegorz Lis
Jagiellonian University Medical College
Poland

Ann Agric Environ Med 2019 Mar 19;26(1):103-108. Epub 2018 Sep 19.

Department of Paediatrics, Jagiellonian University Medical College, Krakow, Poland.

Introduction And Objectives: Insect stings are the second trigger of anaphylaxis in children and adolescents, causing a potentially life-threatening reactions. Hence health-related quality of life (HRQoL) is an important issue for Hymenoptera venom allergy (HVA) patients. The aim of this cross-sectional study was to evaluate the impact of HVA on young patients' HRQoL, including their socio-demographic characteristics.

Material And Methods: The study sample included 102 patients aged 8-17 (Mean 12.5 years, SD=3.0), who were under diagnosis or venom immunotherapy due to systemic reaction after an insect sting in one of the tertiary referential centers in Poland. They were mostly boys (70%), and mainly from rural areas (63%). HRQoL of studied patients was measured with the Children's Hymenoptera Venom Allergy Quality of Life Scale, a questionnaire covering 6 dimensions: anxiety, caution, limitations, discomfort, support received from parents and a feeling of safety, each measured from 1 to 5. Independent predictors of HRQoL were estimated using the Generalized Linear Model.

Results: In the group of children being dermal reactors, girls reported a higher level of anxiety (B=1.17, 95%CI=(0.30;2.03), p=0.008). In the group of children with grade 2 it was the girls who reported lower anxiety (B=-1.33, 95%CI=(-2.38;-0.29), p=0.013). Boys treated longer than 3 years had their level of anxiety significantly lower than those studied at diagnosis (B=-0.65, 95%CI=(-1.23;-0.07), p=0.028). The feeling of safety was higher in children living in villages than in those living in towns (B=0.30, 95%CI=(0.03;0.56), p=0.031).

Conclusions: The gender, treatment duration and stage of anaphylactic reaction influenced level of anxiety. The level of feeling of safety was related to the place of living.

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Source
http://dx.doi.org/10.26444/aaem/93747DOI Listing
March 2019
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