Esophageal Atresia
Conditions
Keywords
Esophageal Atresia
Brief summary
A transition consultation for adult patients with esophageal atresia, involving medical and paramedical stakeholders, was set up at Hôpital Saint-Louis in 2020. The aim of this initiative is to: 1. initiate adult medical, psychological and social follow-up; 2. empower these adults in their future care; 3. establish a personalized follow-up schedule. This project is the first to focus on post-traumatic stress disorder (PTSD) in young adults with esophageal atresia. A 3-year analysis of the somatic and psychosocial variables analyzed will confirm the validity of this initiative, and define its optimal contours for improving these patients' quality of life as adults.
Interventions
OTHERFollow-up of the patients during 3 years
Evaluation of PTSD prevalence, anxiety-depressive state, quality of life, look for a correlation between their clinical history and PTSD. Analysis of the nutritional, gastrointestinal and respiratory status.
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
* Patients with esophageal atresia * Aged 18 to 30 * Followed at Hôpital Saint Louis * Informed and not opposed to the study * Patients affiliated to a social security scheme
Exclusion criteria
* Inability to answer questionnaires * Patients under guardianship * Patients under AME (Aide Médicale d'Etat in France)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of Post Traumatic Stress Disorder | At day 0 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life evaluation | At day 0 | EA QOL questionnaire The score includes 4 domains : eating, social relationships, body perception, and health and well-being. The score varies between 0 to 100, the higher score the higher the quality of life. |
| Eating assessment | At day 0 | EAT-10 is an auto-questionnaireto evaluate dysphagia. There are 10 items, with a result for each varying between 0 (no problem) and 4 (severe problems) |
| Quality of life assessment | At day 0 | It will be assessed by the SF36 scale. The Short Form (36) Health Survey is a 36-item measure if health status. The score obtained varies between 0 and 100. The higher the score the less disability. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care 1992;30:473-83. |
| Weight | At day 0 | — |
| Hospital Anxiety and Depression score | At day 0 | The HAD scale is a self-assessment scale for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. HAD scale is a self-administered scale of 14 items which assessed levels of depression and anxiety, divided into 2 subscales of 7 items (Anxiety or HADS-A, Depression or HADS-D). Each item is scored on a scale of 0 to 3. A score is generated for each of the two sub-scales (sum of the 7 items, ranging from 0 to 21). A higher score indicates worse outcome. |
| Body Mass Index | At day 0 | — |
| thoracic CT scan | At day 0 | — |
| respiratory function test | At day 0 | — |
| Height | At day 0 | — |
Countries
France
Contacts
Primary ContactPierre Cattan, MD PhD
Backup ContactJérôme Lambert, MD PhD
Outcome results
None listed