Health-related quality of life in children and adolescents undergoing intraoperative device closure of isolated perimembranous ventricular septal defects in southeastern China

• Published in: Journal of cardiothoracic surgery 2019-12, Vol.14 (1), p.218-218, Article 218
• Main Authors: Huang, Jiang-Shan, Huang, Shu-Ting, Sun, Kai-Peng, Hong, Zhi-Nuan, Chen, Liang-Wan, Kuo, Yur-Ren, Chen, Qiang
• Format: Article
• Language: English
• Subjects: Adolescent; Adolescents; Analysis; Arrhythmia; Balances (scales); Cardiac Catheterization; Child; Children; China; Complications; Defects; Female; Generic drugs; Health; Health-related quality of life; Heart; Heart block; Heart Septal Defects, Ventricular - psychology; Heart Septal Defects, Ventricular - surgery; Humans; Intraoperative device closure; Male; Patients; Prosthesis Design; Pulmonary hypertension; Quality of Life; Sampling methods; Septal Occluder Device; Social interactions; Surgery; Teenagers; Treatment Outcome; Ventricle; Ventricular septal defect; Ventricular septal defects
• ISSN: 1749-8090; 1749-8090
• DOI: 10.1186/s13019-019-1040-6

To investigate the health-related quality of life (HRQOL) in children and adolescents who underwent intraoperative device closure of perimembranous ventricular septal defects (pmVSDs). From October 2017 to January 2018, a total of 126 children and adolescents with isolated pmVSDs who underwent intraoperative device closure were enrolled in this study. We used the Pediatric Quality of Life Inventory Measurement Models 4.0 generic core scales to measure HRQOL 24 h before the operation and three months and one year after surgery. A total of 126 patients were successfully occluded. No severe complications occurred during the operative time, and 1 case of Mobitz type I atrioventricular block (AVB) and 1 case of complete cAVB occurred during the postoperative period. Compared with the data before the operation, the total score and five domain scores, including physical, psychosocial, emotional, social and psychological functioning, were significantly higher at three months after the operation. In addition, the total score, physical functioning score, and the psychosocial functioning score at the 1-year follow-up were even higher than those at 3 months after the operation. The present study suggests that intraoperative device closure of pmVSD could improve health-related quality of life in children/adolescents and that the improvement may progress as the time after the operation increases. Further studies should concentrate on comparisons with other medical methods, larger samples, and longer follow-up periods.