Clinical outcomes of Queensland children with cystic fibrosis: a comparison between tertiary centre and outreach services

Thomas, Clare L., O'Rourke, Peter K. and Wainwright, Claire E. (2008) Clinical outcomes of Queensland children with cystic fibrosis: a comparison between tertiary centre and outreach services. Medical Journal of Australia, 188 3: 135-139.


Author Thomas, Clare L.
O'Rourke, Peter K.
Wainwright, Claire E.
Title Clinical outcomes of Queensland children with cystic fibrosis: a comparison between tertiary centre and outreach services
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
1326-5377
Publication date 2008-02-01
Sub-type Article (original research)
Volume 188
Issue 3
Start page 135
End page 139
Total pages 5
Place of publication Strawberry Hills, NSW, Australia
Publisher Australasian Medical Publishing
Language eng
Subject 11 Medical and Health Sciences
1117 Public Health and Health Services
Formatted abstract
Objective:
To evaluate and compare the clinical outcomes of children with cystic fibrosis (CF) managed primarily at a tertiary cystic fibrosis centre (CFC) with those treated at regional centres by local health care professionals and the cystic fibrosis outreach service (CFOS).

Design, setting and patients:

Retrospective study of 273 children with CF born between 19 October 1982 and 19 February 2002 and with clinical data available between 1 January 2000 and 31 December 2002. Patients were grouped into CFC (n = 131) or CFOS (n = 142), with CFOS then further categorised into three groups depending on the level of care they received.

Main outcome measures:
Pulmonary function, Pseudomonas aeruginosa status, height and weight z scores, and hospital admission rates.

Results:

There were no significant differences in pulmonary function, P. aeruginosa status, or height and weight z scores between children managed by CFC or by CFOS. Children receiving more care at the CFC (level of care [LOC] 1 and 2) were more likely to have multiple hospital admissions than children receiving more care in regional areas (LOC 3 and 4) (P < 0.001).

Conclusion:
The CFOS model provides effective delivery of specialised multidisciplinary care to children and adolescents living in rural and regional Queensland.
Keyword Cystic Fibrosis
Children
Clinical studies
Pulmonary Function
Pseudomonas aeruginosa status
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Mon, 04 Jan 2010, 19:29:27 EST by Ms May Balasaize on behalf of Faculty Of Health Sciences