Adult outcomes of childhood bronchiectasis
Recent literature has highlighted the importance of transition from paediatric to adult care for children with chronic conditions. Non-cystic fibrosis bronchiectasis is an important cause of respiratory morbidity in low-income countries and in indigenous children from affluent countries; however, th...
Published in: | International Journal of Circumpolar Health |
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ftdoajarticles:oai:doaj.org/article:949341e45db54e40bbc8b10a6559b173 2023-05-15T15:08:43+02:00 Adult outcomes of childhood bronchiectasis Dawn Sibanda Rosalyn Singleton John Clark Christine Desnoyers Ellen Hodges Gretchen Day Gregory Redding 2020-01-01T00:00:00Z https://doi.org/10.1080/22423982.2020.1731059 https://doaj.org/article/949341e45db54e40bbc8b10a6559b173 EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2020.1731059 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2020.1731059 https://doaj.org/article/949341e45db54e40bbc8b10a6559b173 International Journal of Circumpolar Health, Vol 79, Iss 1 (2020) chronic lung disease bronchiectasis adolescence indigenous native american transition Arctic medicine. Tropical medicine RC955-962 article 2020 ftdoajarticles https://doi.org/10.1080/22423982.2020.1731059 2022-12-31T15:38:53Z Recent literature has highlighted the importance of transition from paediatric to adult care for children with chronic conditions. Non-cystic fibrosis bronchiectasis is an important cause of respiratory morbidity in low-income countries and in indigenous children from affluent countries; however, there is little information about adult outcomes of childhood bronchiectasis. We reviewed the clinical course of 31 Alaska Native adults 20–40 years of age from Alaska’s Yukon Kuskokwim Delta with childhood bronchiectasis. In patients with chronic suppurative lung disease, a diagnosis of bronchiectasis was made at a median age of 4.5 years by computerised tomography (68%), bronchogram (26%), and radiographs (6%). The patients had a median of 75 lifetime respiratory ambulatory visits and 4.5 hospitalisations. As children, 6 (19%) experienced developmental delay; as adults 9 (29%) experienced mental illness or handicap. Four (13%) patients were deceased, four (13%) had severe pulmonary impairment in adulthood, 17 (54%) had persistent or intermittent respiratory symptoms, and seven (23%) were asymptomatic. In adulthood, only five were seen by adult pulmonologists and most had no documentation of a bronchiectasis diagnosis. Lack of provider continuity, remote location and co-morbidities can contribute to increased adult morbidity. Improving the transition to adult care starting in adolescence and educating adult providers may improve care of adults with childhood bronchiectasis. Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health Kuskokwim Alaska Yukon Directory of Open Access Journals: DOAJ Articles Arctic Yukon International Journal of Circumpolar Health 79 1 1731059 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
chronic lung disease bronchiectasis adolescence indigenous native american transition Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
chronic lung disease bronchiectasis adolescence indigenous native american transition Arctic medicine. Tropical medicine RC955-962 Dawn Sibanda Rosalyn Singleton John Clark Christine Desnoyers Ellen Hodges Gretchen Day Gregory Redding Adult outcomes of childhood bronchiectasis |
topic_facet |
chronic lung disease bronchiectasis adolescence indigenous native american transition Arctic medicine. Tropical medicine RC955-962 |
description |
Recent literature has highlighted the importance of transition from paediatric to adult care for children with chronic conditions. Non-cystic fibrosis bronchiectasis is an important cause of respiratory morbidity in low-income countries and in indigenous children from affluent countries; however, there is little information about adult outcomes of childhood bronchiectasis. We reviewed the clinical course of 31 Alaska Native adults 20–40 years of age from Alaska’s Yukon Kuskokwim Delta with childhood bronchiectasis. In patients with chronic suppurative lung disease, a diagnosis of bronchiectasis was made at a median age of 4.5 years by computerised tomography (68%), bronchogram (26%), and radiographs (6%). The patients had a median of 75 lifetime respiratory ambulatory visits and 4.5 hospitalisations. As children, 6 (19%) experienced developmental delay; as adults 9 (29%) experienced mental illness or handicap. Four (13%) patients were deceased, four (13%) had severe pulmonary impairment in adulthood, 17 (54%) had persistent or intermittent respiratory symptoms, and seven (23%) were asymptomatic. In adulthood, only five were seen by adult pulmonologists and most had no documentation of a bronchiectasis diagnosis. Lack of provider continuity, remote location and co-morbidities can contribute to increased adult morbidity. Improving the transition to adult care starting in adolescence and educating adult providers may improve care of adults with childhood bronchiectasis. |
format |
Article in Journal/Newspaper |
author |
Dawn Sibanda Rosalyn Singleton John Clark Christine Desnoyers Ellen Hodges Gretchen Day Gregory Redding |
author_facet |
Dawn Sibanda Rosalyn Singleton John Clark Christine Desnoyers Ellen Hodges Gretchen Day Gregory Redding |
author_sort |
Dawn Sibanda |
title |
Adult outcomes of childhood bronchiectasis |
title_short |
Adult outcomes of childhood bronchiectasis |
title_full |
Adult outcomes of childhood bronchiectasis |
title_fullStr |
Adult outcomes of childhood bronchiectasis |
title_full_unstemmed |
Adult outcomes of childhood bronchiectasis |
title_sort |
adult outcomes of childhood bronchiectasis |
publisher |
Taylor & Francis Group |
publishDate |
2020 |
url |
https://doi.org/10.1080/22423982.2020.1731059 https://doaj.org/article/949341e45db54e40bbc8b10a6559b173 |
geographic |
Arctic Yukon |
geographic_facet |
Arctic Yukon |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health Kuskokwim Alaska Yukon |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health Kuskokwim Alaska Yukon |
op_source |
International Journal of Circumpolar Health, Vol 79, Iss 1 (2020) |
op_relation |
http://dx.doi.org/10.1080/22423982.2020.1731059 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2020.1731059 https://doaj.org/article/949341e45db54e40bbc8b10a6559b173 |
op_doi |
https://doi.org/10.1080/22423982.2020.1731059 |
container_title |
International Journal of Circumpolar Health |
container_volume |
79 |
container_issue |
1 |
container_start_page |
1731059 |
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1766340025304219648 |