Table 3.
Multivariable Model of Risk Factors to Predict Impaired Health-related Quality of Life Based on Infant and Toddler Quality of Life Questionnaire-97 Growth and Development Score in Patients with Normal Functional Status at Baseline (n = 271)*
Variable | No. Patients [n (%)] | OR (95% CI)† | P Value |
---|---|---|---|
Factors present at hospital admission | |||
Sociodemographic factors and preexisting health status | |||
Age at ITQOL | 0.71 | ||
<1 yr | 127 (47) | 1.0 | |
1 to <6 yr | 144 (53) | 1.12 (0.62–2.00) | |
Features of the presenting acute illness | |||
PRISM III-12 score (1-point increase) | 5 (1–8)‡ | 1.01 (0.96–1.05) | 0.80 |
Hospital course variables | |||
Methadone | 57 (21) | 2.27 (1.18–4.36) | 0.01 |
Inadequate pain management§ | 40 (15) | 2.94 (1.39–6.19) | 0.005 |
Definition of abbreviations: CI = confidence interval; ITQOL = Infant and Toddler Quality of Life Questionnaire, from patients <2 years old or 2–6 years old with substantial developmental impairment; OR = odds ratio; PRISM III-12 = Pediatric Risk of Mortality III score from the first 12 hours in the pediatric ICU.
Area under the curve = 0.594.
OR > 1 indicates higher risk of impaired health-related qualify of life. ORs were calculated using logistic regression accounting for pediatric ICU as a cluster variable using generalized estimating equations.
Median (interquartile range).
Inadequate pain management was defined as pain score >4 (or pain assumed present if receiving neuromuscular blockade) for 2 consecutive hours.