Paediatric bronchiectasis in the twenty-first century: Experience of a tertiary children's hospital in New Zealand

Show simple item record Edwards, EA Asher, MI Byrnes, CA
dc.coverage.spatial Australia 2022-06-26T23:40:45Z 2022-06-26T23:40:45Z 2003-03
dc.identifier.citation (2003). Journal of Paediatrics and Child Health, 39(2), 111-117.
dc.identifier.issn 1034-4810
dc.description.abstract Objective: Despite its decline in developed countries, bronchiectasis appeared to be a common diagnosis in Auckland, New Zealand children. The aims of this study were: to document the number of children in Auckland with bronchiectasis, their severity, clinical characteristics and possible aetiologies; to assess whether there was a relationship between ethnicity and poverty; and to estimate a crude bronchiectasis prevalence rate for New Zealand. Methods: A retrospective review of the case histories of all children attending a tertiary children's hospital in Auckland with bronchiectasis diagnosed by high-resolution chest computed tomography (CT) scan, during the period 1998−2000 was undertaken. Data collected included patient demographics, number of hospitalizations pre- and post-diagnosis, lung function tests, radiology and investigations. The New Zealand deprivation 1996 index was applied to the data to obtain a measure of socio-economic status. Results: Bronchiectasis was found to be common, with an estimated prevalence of approximately one in 6000 in the Auckland paediatric population. It was disproportionately more common in the Pacific Island and Maori children. In Pacific Island children, bronchiectasis not caused by cystic fibrosis was nearly twice as common in the general population than cystic fibrosis. Socio-economic deprivation and low immunization rates may be significant contributing factors. The bronchiectasis seen was extensive. Ninety-three percent had bilateral disease and 64% had involvement of four or more lobes on chest CT scan. A wide range of comorbidities and underlying aetiologies were evident. Conclusions: Paediatric bronchiectasis in Auckland, New Zealand, is common but underresourced. Only the most severe cases are being recognized, providing a significant challenge for paediatric health professionals.
dc.format.medium Print
dc.language eng
dc.publisher Wiley
dc.relation.ispartofseries Journal of Paediatrics and Child Health
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.
dc.subject Humans
dc.subject Bronchiectasis
dc.subject Adrenal Cortex Hormones
dc.subject Anti-Bacterial Agents
dc.subject Tomography, X-Ray Computed
dc.subject Respiratory Function Tests
dc.subject Prognosis
dc.subject Drug Therapy, Combination
dc.subject Administration, Inhalation
dc.subject Severity of Illness Index
dc.subject Incidence
dc.subject Risk Factors
dc.subject Retrospective Studies
dc.subject Age Distribution
dc.subject Sex Distribution
dc.subject Socioeconomic Factors
dc.subject Adolescent
dc.subject Child
dc.subject Child, Preschool
dc.subject Hospitals, Pediatric
dc.subject New Zealand
dc.subject Female
dc.subject Male
dc.subject Lung
dc.subject Pediatric
dc.subject 2.4 Surveillance and distribution
dc.subject Science & Technology
dc.subject Life Sciences & Biomedicine
dc.subject Pediatrics
dc.subject ethnicity
dc.subject prevalence
dc.subject PNEUMONIA
dc.subject DISEASE
dc.subject ASTHMA
dc.subject 1117 Public Health and Health Services
dc.subject Clinical
dc.subject Clinical Medicine and Science
dc.subject 1103 Clinical Sciences
dc.subject 1114 Paediatrics and Reproductive Medicine
dc.title Paediatric bronchiectasis in the twenty-first century: Experience of a tertiary children's hospital in New Zealand
dc.type Journal Article
dc.identifier.doi 10.1046/j.1440-1754.2003.00101.x
pubs.issue 2
pubs.begin-page 111
pubs.volume 39 2022-05-27T02:04:58Z
dc.rights.holder Copyright: The author en
dc.identifier.pmid 12603799 (pubmed)
pubs.end-page 117
pubs.publication-status Published
dc.rights.accessrights en
pubs.subtype Article
pubs.elements-id 5673 Medical and Health Sciences School of Medicine Paediatrics Child & Youth Hlth
dc.identifier.eissn 1440-1754
dc.identifier.pii 101
pubs.record-created-at-source-date 2022-05-27

Files in this item

Find Full text

This item appears in the following Collection(s)

Show simple item record


Search ResearchSpace