Physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit

BackgroundBronchiectasis is a chronic pulmonary disorder which is prevalent among Australian First Nations people in the Northern Territory (NT). Current guidelines recommend physiotherapy as part of multi-disciplinary management of children with bronchiectasis, however in our setting, involvement o...

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Published in:Frontiers in Pediatrics
Main Authors: A Welford, GB McCallum, M Hodson, H Johnston
Format: Article in Journal/Newspaper
Language:English
Published: Frontiers Media S.A. 2023
Subjects:
Online Access:https://doi.org/10.3389/fped.2023.1230474
https://doaj.org/article/ff9f57de63a349908d6d63049426e7a7
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spelling ftdoajarticles:oai:doaj.org/article:ff9f57de63a349908d6d63049426e7a7 2023-11-12T04:17:07+01:00 Physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit A Welford GB McCallum M Hodson H Johnston 2023-10-01T00:00:00Z https://doi.org/10.3389/fped.2023.1230474 https://doaj.org/article/ff9f57de63a349908d6d63049426e7a7 EN eng Frontiers Media S.A. https://www.frontiersin.org/articles/10.3389/fped.2023.1230474/full https://doaj.org/toc/2296-2360 2296-2360 doi:10.3389/fped.2023.1230474 https://doaj.org/article/ff9f57de63a349908d6d63049426e7a7 Frontiers in Pediatrics, Vol 11 (2023) bronchiectasis physiotherapy management children first nations remote communities Pediatrics RJ1-570 article 2023 ftdoajarticles https://doi.org/10.3389/fped.2023.1230474 2023-10-15T00:36:05Z BackgroundBronchiectasis is a chronic pulmonary disorder which is prevalent among Australian First Nations people in the Northern Territory (NT). Current guidelines recommend physiotherapy as part of multi-disciplinary management of children with bronchiectasis, however in our setting, involvement of physiotherapy remains unknown. We thus undertook a retrospective chart audit to examine physiotherapy management of First Nations children (<18 years) from remote First Nations communities in the Top End of the NT at the index bronchiectasis diagnosis and 12 months following diagnosis.MethodsParticipants were identified from a larger prospective study of children investigated for bronchiectasis at Royal Darwin Hospital, NT (2007–2016). Children were included if they were First Nations, aged <18 years, had a radiological diagnosis of bronchiectasis on high resolution computed tomography scan and lived in a remote community serviced by NT Government health clinics. The medical records from NT Government hospitals, health clinics and where possible other medical service attendance were reviewed for physiotherapy referral and management at the time of bronchiectasis diagnosis and in the following 12 months in the community.ResultsOf 143 children included, the mean age was 3.1 (standard deviation 2.4) years and 84 (58.7%) were males. At the index diagnosis, 76/122 (62.3%) children were reviewed by a physiotherapist, consisting of airway clearance techniques (83.8%), physical activity/exercise (81.7%) and caregiver education (83.3%), with only 7/127 (5.5%) having evidence of referral for community-based physiotherapy. In the following 12 months, only 11/143 (7.7%) children were reviewed by a physiotherapist, consisting of airway clearance techniques (54.5%), physical activity/exercise (45.5%) and caregiver education (36.4%).ConclusionThis study demonstrates a significant gap in the provision of physiotherapy services in our setting and the need to develop a standardized pathway, to support the best practice ... Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Frontiers in Pediatrics 11
institution Open Polar
collection Directory of Open Access Journals: DOAJ Articles
op_collection_id ftdoajarticles
language English
topic bronchiectasis
physiotherapy
management
children
first nations
remote communities
Pediatrics
RJ1-570
spellingShingle bronchiectasis
physiotherapy
management
children
first nations
remote communities
Pediatrics
RJ1-570
A Welford
GB McCallum
M Hodson
H Johnston
Physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit
topic_facet bronchiectasis
physiotherapy
management
children
first nations
remote communities
Pediatrics
RJ1-570
description BackgroundBronchiectasis is a chronic pulmonary disorder which is prevalent among Australian First Nations people in the Northern Territory (NT). Current guidelines recommend physiotherapy as part of multi-disciplinary management of children with bronchiectasis, however in our setting, involvement of physiotherapy remains unknown. We thus undertook a retrospective chart audit to examine physiotherapy management of First Nations children (<18 years) from remote First Nations communities in the Top End of the NT at the index bronchiectasis diagnosis and 12 months following diagnosis.MethodsParticipants were identified from a larger prospective study of children investigated for bronchiectasis at Royal Darwin Hospital, NT (2007–2016). Children were included if they were First Nations, aged <18 years, had a radiological diagnosis of bronchiectasis on high resolution computed tomography scan and lived in a remote community serviced by NT Government health clinics. The medical records from NT Government hospitals, health clinics and where possible other medical service attendance were reviewed for physiotherapy referral and management at the time of bronchiectasis diagnosis and in the following 12 months in the community.ResultsOf 143 children included, the mean age was 3.1 (standard deviation 2.4) years and 84 (58.7%) were males. At the index diagnosis, 76/122 (62.3%) children were reviewed by a physiotherapist, consisting of airway clearance techniques (83.8%), physical activity/exercise (81.7%) and caregiver education (83.3%), with only 7/127 (5.5%) having evidence of referral for community-based physiotherapy. In the following 12 months, only 11/143 (7.7%) children were reviewed by a physiotherapist, consisting of airway clearance techniques (54.5%), physical activity/exercise (45.5%) and caregiver education (36.4%).ConclusionThis study demonstrates a significant gap in the provision of physiotherapy services in our setting and the need to develop a standardized pathway, to support the best practice ...
format Article in Journal/Newspaper
author A Welford
GB McCallum
M Hodson
H Johnston
author_facet A Welford
GB McCallum
M Hodson
H Johnston
author_sort A Welford
title Physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit
title_short Physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit
title_full Physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit
title_fullStr Physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit
title_full_unstemmed Physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit
title_sort physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit
publisher Frontiers Media S.A.
publishDate 2023
url https://doi.org/10.3389/fped.2023.1230474
https://doaj.org/article/ff9f57de63a349908d6d63049426e7a7
genre First Nations
genre_facet First Nations
op_source Frontiers in Pediatrics, Vol 11 (2023)
op_relation https://www.frontiersin.org/articles/10.3389/fped.2023.1230474/full
https://doaj.org/toc/2296-2360
2296-2360
doi:10.3389/fped.2023.1230474
https://doaj.org/article/ff9f57de63a349908d6d63049426e7a7
op_doi https://doi.org/10.3389/fped.2023.1230474
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