OBJECTIVE: To describe the characteristics of children admitted to Royal Darwin Hospital with bronchiolitis, and to compare the severity of illness and incidence of subsequent readmission in Indigenous and non-Indigenous children. DESIGN, SETTING AND PARTICIPANTS: Retrospective study of 101 children (aged <or=2 years) hospitalised with bronchiolitis to Royal Darwin Hospital between April 2005 and December 2006. MAIN OUTCOME MEASURES: Admission characteristics and indices of severity, treatment required (antibiotics etc.), reasons and incidence of readmissions (within 6 months). RESULTS: Indigenous children had significantly more severe illness then non-Indigenous children (n= 80 and 21, respectively), longer hospital stay (median = 6 and 3 days; P= 0.001) and oxygen requirement (median = 3 and 0; P= 0.004), pneumonia (n= 14 and 0; P= 0.04) and antibiotics treatment (48 and 4; P= 0.001). The readmission rate for bronchiolitis was high (23%) with no significant difference between Indigenous and non-Indigenous children. CONCLUSION: Indigenous Australian children hospitalised with bronchiolitis have significantly more severe illness than non-Indigenous children. Points of intervention that can address this and the identified high readmission rate (within 6 months) are required.
OBJECTIVE: To describe the characteristics of children admitted to Royal Darwin Hospital with bronchiolitis, and to compare the severity of illness and incidence of subsequent readmission in Indigenous and non-Indigenous children. DESIGN, SETTING AND PARTICIPANTS: Retrospective study of 101 children (aged <or=2 years) hospitalised with bronchiolitis to Royal Darwin Hospital between April 2005 and December 2006. MAIN OUTCOME MEASURES: Admission characteristics and indices of severity, treatment required (antibiotics etc.), reasons and incidence of readmissions (within 6 months). RESULTS: Indigenous children had significantly more severe illness then non-Indigenous children (n= 80 and 21, respectively), longer hospital stay (median = 6 and 3 days; P= 0.001) and oxygen requirement (median = 3 and 0; P= 0.004), pneumonia (n= 14 and 0; P= 0.04) and antibiotics treatment (48 and 4; P= 0.001). The readmission rate for bronchiolitis was high (23%) with no significant difference between Indigenous and non-Indigenous children. CONCLUSION: Indigenous Australian children hospitalised with bronchiolitis have significantly more severe illness than non-Indigenous children. Points of intervention that can address this and the identified high readmission rate (within 6 months) are required.
Authors: Anne B Chang; Keith Grimwood; Andrew V White; Carolyn Maclennan; Theo P Sloots; Alan Sive; Gabrielle B McCallum; Ian M Mackay; Peter S Morris Journal: Trials Date: 2011-04-14 Impact factor: 2.279
Authors: Gabrielle B McCallum; Peter S Morris; Keith Grimwood; Carolyn Maclennan; Andrew V White; Mark D Chatfield; Theo P Sloots; Ian M Mackay; Heidi Smith-Vaughan; Clare C McKay; Lesley A Versteegh; Nerida Jacobsen; Charmaine Mobberley; Catherine A Byrnes; Anne B Chang Journal: Front Pediatr Date: 2015-04-21 Impact factor: 3.418
Authors: Gabrielle B McCallum; Peter S Morris; Mark D Chatfield; Carolyn Maclennan; Andrew V White; Theo P Sloots; Ian M Mackay; Anne B Chang Journal: PLoS One Date: 2013-09-25 Impact factor: 3.240
Authors: Gabrielle B McCallum; Lesley A Versteegh; Peter S Morris; Clare C Mckay; Nerida J Jacobsen; Andrew V White; Heather A D'Antoine; Anne B Chang Journal: BMC Public Health Date: 2014-06-18 Impact factor: 3.295