Ismail, A., Abd El-Moneim, H., Mohammed, A. (2020). Assessment of Health-Related Quality of Life in Children with Rheumatic Heart Disease at Upper Egypt. The Egyptian Journal of Hospital Medicine, 81(6), 2274-2284. doi: 10.21608/ejhm.2020.131135
Asmaa Mohammed Ismail; Hanan Mohammed Abd El-Moneim; Asmaa Ashraf Mohammed. "Assessment of Health-Related Quality of Life in Children with Rheumatic Heart Disease at Upper Egypt". The Egyptian Journal of Hospital Medicine, 81, 6, 2020, 2274-2284. doi: 10.21608/ejhm.2020.131135
Ismail, A., Abd El-Moneim, H., Mohammed, A. (2020). 'Assessment of Health-Related Quality of Life in Children with Rheumatic Heart Disease at Upper Egypt', The Egyptian Journal of Hospital Medicine, 81(6), pp. 2274-2284. doi: 10.21608/ejhm.2020.131135
Ismail, A., Abd El-Moneim, H., Mohammed, A. Assessment of Health-Related Quality of Life in Children with Rheumatic Heart Disease at Upper Egypt. The Egyptian Journal of Hospital Medicine, 2020; 81(6): 2274-2284. doi: 10.21608/ejhm.2020.131135
Assessment of Health-Related Quality of Life in Children with Rheumatic Heart Disease at Upper Egypt
Department of Pediatrics, Faculty of Medicine, Aswan University, Aswan, Egypt
Abstract
Background: Many published literatures suggested that RHD can cause stress and anxiety in patients, with increased risks of evolving physical and psychosocial impairments. These include not only pain and fatigue but also difficulties with activities of daily living. Objective: The study aimed to evaluate the HRQOL in children with RHD and delineate the HRQOL domains in various clinical subtypes of RHD. Patients and methods: The present study was a cross-sectional, comparative, study that was conducted on 120 RHD patients who were recruited from Upper Egypt University Hospitals (Aswan, Assiut, and Qena hospitals) for six months. Also, 120 age and sex-matched healthy volunteers were included as the control group. Results: In our cohort, the most common presentation of the included patients was pancarditis with arthritis (33.3%), followed by polyarthritis (31.7%), and fever with pan carditis (20%). One-third of the patients had a history of one hospital admission, and 26.7% had a history of two or more admission. Besides, 65% had swollen, redness, hotness, limitation of movement in the lower limb. All patients were on long-acting penicillin and 10.8% had a history of cardiac surgery. In the present study, the mean serum CRP level was notably high in patients with RHD (mean 114.63 ±113.5mg/dL). Conclusion: Rheumatic heart disease imposed a considerable burden on the quality of life of the Egyptian pediatric population. In our study, we found that Egyptian patients with rheumatic heart disease had significant impairments on the physical, emotional, social, and school functioning, as compared to their counterpart healthy population.
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