Physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit
BACKGROUND: Bronchiectasis 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...
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ftpubmed:oai:pubmedcentral.nih.gov:10613054 2023-12-03T10:22:41+01:00 Physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit Welford, A McCallum, GB Hodson, M Johnston, H 2023-10-13 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613054/ http://www.ncbi.nlm.nih.gov/pubmed/37900672 https://doi.org/10.3389/fped.2023.1230474 en eng Frontiers Media S.A. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613054/ http://www.ncbi.nlm.nih.gov/pubmed/37900672 http://dx.doi.org/10.3389/fped.2023.1230474 © 2023 Welford, McCallum, Hodson and Johnston. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Front Pediatr Pediatrics Text 2023 ftpubmed https://doi.org/10.3389/fped.2023.1230474 2023-11-05T02:00:11Z BACKGROUND: Bronchiectasis 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. METHODS: Participants 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. RESULTS: Of 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%). CONCLUSION: This 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 ... Text First Nations PubMed Central (PMC) Frontiers in Pediatrics 11 |
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Pediatrics Welford, A McCallum, GB Hodson, M Johnston, H Physiotherapy management of first nations children with bronchiectasis from remote top end communities of the northern territory: a retrospective chart audit |
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Pediatrics |
description |
BACKGROUND: Bronchiectasis 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. METHODS: Participants 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. RESULTS: Of 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%). CONCLUSION: This 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 ... |
format |
Text |
author |
Welford, A McCallum, GB Hodson, M Johnston, H |
author_facet |
Welford, A McCallum, GB Hodson, M Johnston, H |
author_sort |
Welford, A |
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 |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613054/ http://www.ncbi.nlm.nih.gov/pubmed/37900672 https://doi.org/10.3389/fped.2023.1230474 |
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First Nations |
genre_facet |
First Nations |
op_source |
Front Pediatr |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613054/ http://www.ncbi.nlm.nih.gov/pubmed/37900672 http://dx.doi.org/10.3389/fped.2023.1230474 |
op_rights |
© 2023 Welford, McCallum, Hodson and Johnston. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
op_doi |
https://doi.org/10.3389/fped.2023.1230474 |
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Frontiers in Pediatrics |
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11 |
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