ỨNG DỤNG THANG ĐIỂM DLQI ĐỂ ĐÁNH GIÁ CHẤT LƯỢNG CUỘC SỐNG CỦA NGƯỜI BỆNH SẸO LỒI ĐẾN KHÁM TẠI BỆNH VIỆN DA LIỄU THÀNH PHỐ HỒ CHÍ MINH

Abstract

Objectives: To Apply the DLQI questionnaires to evaluate the quality of life of patients with keloid scars. Methods: A case series study on 102 patients with keloid(s) examined at Ho Chi Minh City Dermatology Hospital of Dermato-venerology from December 2022 to August 2023.  Results: Median age was 26.5 years. The female/male ratio was 1.5/1. The main reason why patients come for examination is aesthetics (61.8%). 15.7% of patients had a family history of keloids. 75.4% of patients had never been treated before. Most keloids were located on the chest (46.1%). Scar area ranged from 0.5 cm² to 400 cm², with a median of 5 cm². 36.3% of the patients experienced pain, 77.5% experienced itching. 5.9% had mobility difficulties. The mean VSS score was 7.96 ± 2.65. DLQI scores ranged from 0 to 12, median is 3. Most affected subscales were “Symptoms and Feelings”. A higher DLQI was seen in those with age of onset before age 50, pain, itching, and those with many scars. There is a weak positive correlation between DLQI and scar area; between DLQI and VSS.  Conclusions: Management of keloid scars requires not only assessing the severity of the scar (pigmentation, height, width, flexibility) but also recognizing the impact on quality of life. The DLQI questionnaire enables physicians to measure the quality of life in these patients. Most patients with keloid scars have their quality of life affected. Quality of life is related to age of onset, scar severity, pain, itching, area, and number of scars