Epidemiological and clinical characteristics of children with atopic dermatitis and the impact of the disease on the family, father, mother and direct caregivers of the child through the DFI questionnaire at Children's Hospital 2 and Ho Chi Minh City Hosp
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Abstract
Objective: Describe the epidemiological and clinical characteristics of 408 children and direct caregivers of children with atopic dermatitis. Determine the family impact score of atopic dermatitis through the DFI (Dermatitis Family Impact Questionnaire) questionnaire and the relationship between DFI score and disease severity according to SCORAD. Subject and method: Descriptive cross-sectional study on children and direct caregivers of children with atopic dermatitis at Children's Hospital 2 and Ho Chi Minh City Hospital of Dermato Venereology, from February 2023 to July 2023. Result: The median age of the children was 3.67 years old. The male/female ratio is 1.1/1. Most mothers are direct caregivers for children, accounting for 79.9%, and housewives account for the highest percentage is 25.98%. 21.57% of children have a family history of atopic dermatitis. Median age of disease onset is 12 months, median disease duration is 8.25 months. The median SCORAD score is 33.65 points. The median DFI score is 9 points, with a positive correlation between SCORAD score and DFI score (p=0.0001). Conclusion: Epidemiological and clinical characteristics of children and their families with atopic dermatitis are very diverse. Most children have moderate disease, with a SCORAD score of 33.65 points. The disease has a moderate impact on parents and caregivers, as shown by the DFI score, there is a correlation between the DFI score and the severity of the disease according to SCORAD.
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References
2. Yang EJ, Beck KM, Sekhon S, Bhutani T, Koo J (2019) The impact of pediatric atopic dermatitis on families: A review. Pediatr Dermatol 36(1): 66-71. doi:10.1111/pde.13727.
3. Lawson, Lewis-Jones, Finlay, Reid, Owens (1998) The family impact of childhood atopic dermatitis: the Dermatitis Family Impact questionnaire. Br J Dermatol. 138(1): 107-113. doi:10.1046/j.1365-2133.1998.02034.x
4. Basra MKA, Sue-Ho R, Finlay AY (2007) The Family Dermatology Life Quality Index: Measuring the secondary impact of skin disease. Br J Dermatol 156(3): 528-538. doi: 10.1111/j.1365-2133.2006.07617.x
5. Ngô Duy Đăng Khoa (2020) IgE đặc hiệu trên trẻ em Viêm da cơ địa tại bệnh viện da liễu TP.HCM. Luận văn chuyên khoa II Trường Đại học Y khoa Phạm Ngọc Thạch. Published online.
6. Hwang CY, Chen YJ, Lin MW et al (2010) Prevalence of atopic dermatitis, allergic rhinitis and asthma in Taiwan: A national study 2000 to 2007. Acta Derm Venereol 90(6): 589-594. doi: 10.2340/00015555-0963.
7. Maksimovic N, Zaric M, Reljic V, Nikolic M, Gazibara T (2020) Factors associated with improvement of quality of life among parents of children with atopic dermatitis: 1-year prospective cohort study. J Eur Acad Dermatol Venereol JEADV 34(2): 325-332. doi:10.1111/jdv.15939.
8. Barbarot S, Silverberg JI, Gadkari A et al (2022) The Family Impact of Atopic Dermatitis in the Pediatric Population: Results from an International Cross-sectional Study. J Pediatr 246: 220-226.. doi:10.1016/j.jpeds.2022.04.027
9. Al Shobaili HA (2010) The impact of childhood atopic dermatitis on the patients’ family. Pediatr Dermatol 27(6): 618-623. doi: 10.1111/j.1525-1470.2010.01215.x