Elektronische Patient-Reported Outcome Measures in der Kinderkardiologie
摘要
Chronically ill children with congenital heart diseases (CHD) have an increased risk for impairment of cognitive, language, motor and socioemotional development. These conditions may persist for years and manifest as behavioral abnormalities or academic difficulties. Clinical medical parameters and symptoms alone are not sufficient to fully assess the overall health status of these patients. Health-related quality of life (HRQoL) includes physical, psychological and social domains, providing a more comprehensive understanding of patient well-being; however, only a few standardized measurement instruments are currently available to quantify HRQoL in pediatrics.
Objective and methodsBased on the current literature from the PubMed database as well as practical clinical experience in pediatrics and psychology, this article examines how electronic patient-reported outcome measures (ePROMs) can help to systematically record health-related quality of life.
ResultsConsidering the numerous challenges faced by children and adolescents with CHD, it appears helpful to use conceptually comprehensive measures, such as HRQoL which capture patients’ subjective life realities beyond the medical context.
ConclusionIncorporating an age-specific understanding into the development of measurement instruments, along with the implementation of longitudinal screening approaches, is essential to obtain a more accurate impression of the quality of life of children with CHD at various stages during treatment.