Risks of severity and readmission of Indigenous and non-Indigenous children hospitalised for bronchiolitis

Bailey, Emily J., Maclennan, Carolyn, Morris, Peter S., Kruske, Sue G., Brown, Ngiare and Chang, Anne B. (2009) Risks of severity and readmission of Indigenous and non-Indigenous children hospitalised for bronchiolitis. Journal of Paediatrics and Child Health, 45 10: 593-597. doi:10.1111/j.1440-1754.2009.01571.x


Author Bailey, Emily J.
Maclennan, Carolyn
Morris, Peter S.
Kruske, Sue G.
Brown, Ngiare
Chang, Anne B.
Title Risks of severity and readmission of Indigenous and non-Indigenous children hospitalised for bronchiolitis
Journal name Journal of Paediatrics and Child Health   Check publisher's open access policy
ISSN 1034-4810
1440-1754
Publication date 2009-10-01
Sub-type Article (original research)
DOI 10.1111/j.1440-1754.2009.01571.x
Volume 45
Issue 10
Start page 593
End page 597
Total pages 5
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
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 ≤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.
Keyword Aboriginal health
Bronchiolitis
Childhood disease
Indigenous Australian
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
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Created: Tue, 20 Dec 2011, 00:08:16 EST by Jane Medhurst on behalf of Child Health Research Centre