Chronic wet cough in Aboriginal children: It's not just a cough

D'Sylva, Pamela; Walker, Roz; Lane, Mary; Chang, Anne B.; Schultz, André

doi:10.1111/jpc.14305

Cited by 26 publications

(65 citation statements)

References 21 publications

(42 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, there is a need for a concerted focus on early diagnosis and appropriate medical management to reduce morbidity, preserve lung function and prevent the development of irreversible lung damage . Our group's recent study raised concerns about health practitioners’ knowledge of chronic wet cough in Aboriginal children whom are disproportionately affected by PBB . Therefore, health practitioners need to thoroughly assess and manage children when they first present with chronic wet cough.…”

Section: Introductionmentioning

confidence: 99%

“…15 Our group's recent study raised concerns about health practitioners' knowledge of chronic wet cough in Aboriginal children whom are disproportionately affected by PBB. 16 Therefore, health practitioners need to thoroughly assess and manage children when they first present with chronic wet cough.…”

Section: Introductionmentioning

confidence: 99%

“…5 Similarly, normalization of skin conditions in Aboriginal children has reportedly resulted in under-recognition and undertreatment of skin disease. 29 The combination of clinicians' high threshold for management, 26 reduced disease-specific knowledge 30 and normalization of chronic wet cough by patients 16 may result in delayed diagnosis and risk of disease progression. 8 Beyond the barriers relating to clinician knowledge and practice, key barriers in health systems include staffing problems and the health service model.…”

mentioning

confidence: 99%

See 2 more Smart Citations

We won't find what we don't look for: Identifying barriers and enablers of chronic wet cough in Aboriginal children

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background and objective Chronic lung disease is prevalent among Australian Aboriginal children. Chronic wet cough is an early marker of disease but often goes undetected. Currently, no studies have examined health practitioner knowledge of chronic wet cough. We set out to examine health practitioner knowledge of chronic wet cough and chronic lung disease in Aboriginal children and to identify barriers and enablers to effective management. Method A qualitative study, gathering data through individual semi‐structured, in‐depth interviews and focus groups to ascertain health practitioner knowledge about management of Aboriginal children with chronic wet cough in a regional Kimberley town and remote community. Results Thirty‐seven health practitioners participated. Key barriers identified were: (i) limited training in assessment and management of chronic wet cough; (ii) prioritization of acute presentations and competing complex chronic conditions; and (iii) normalization of cough in children by health practitioners. Key enablers were: (i) improving practitioners’ knowledge and expertise in managing chronic wet cough; and (ii) health system changes to facilitate longitudinal patient care, improved cultural competence, improved chronic disease management and post‐hospitalization follow‐up. Conclusion Key barriers to effective management of chronic wet cough are limited training in chronic wet cough management combined with competing complexities of both acute and chronic healthcare needs for Aboriginal families. Early detection and management of chronic wet cough in Aboriginal children can be facilitated through health practitioner training, access to standardized management guidelines and a service model that allows longitudinal patient follow‐up and resources to effectively prevent and manage chronic lung disease in children.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

We won't find what we don't look for: Identifying barriers and enablers of chronic wet cough in Aboriginal children

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…The strong interest to include a developmental measure raises the question of what other measures may be important, and perhaps more meaningful to Indigenous communities. Other less commonly reported measures in child respiratory studies include child parent quality of life (47,48) and child functioning (49).…”

Section: Discussionmentioning

confidence: 99%

“…Pilot testing of the survey was completed with 160 and 209 Indigenous participants. A second example is the Healing the Past by Nurturing the Future study, a study in part to develop a measure to identify complex trauma experienced by Indigenous parents(53). Consultation includes four large-scale co-design workshops across three States with Indigenous parents, service providers, community leaders, researchers and wider community members.…”

mentioning

confidence: 99%

Respiratory, birth and health economic measures for use with Indigenous Australian infants in a research trial: A modified Delphi with an Indigenous panel

Perkes

Bonevski

Mattes

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: There is significant disparity between the respiratory health of Indigenous and non-Indigenous Australian infants. There is no culturally accepted measure to collect respiratory health outcomes in Indigenous infants. The aim of this study was to gain end user and expert consensus on the most relevant and acceptable respiratory and birth measures for Indigenous infants at birth, between birth and 6 months, and at 6 months of age follow-up for use in a research trial. Methods: A three round modified Delphi process was conducted from February 2018 to April 2019. Eight Indigenous panel members, and 18 Indigenous women participated. Items reached consensus if 7/8 (≥80 %) panel members indicated the item was ‘very essential’. Qualitative responses by Indigenous women and the panel were used to modify the 6 months of age surveys. Results: In total, 15 items for birth, 48 items from 1 to 6 months, and five potential questionnaires for use at 6 months of age were considered. Of those, 15 measures for birth were accepted, i.e., gestational age, birth weight, Neonatal Intensive Care Unit (NICU) admissions, length, head circumference, sex, Apgar score, substance use, cord blood gas values, labour, birth type, health of the mother, number people living in the home, education of mother and place of residence. Seventeen measures from 1-to 6 months of age were accepted, i.e., acute respiratory symptoms (7), general health items (2), health care utilisation (6), exposure to tobacco smoke (1), and breastfeeding status (1). Three questionnaires for use at 6 months of age were accepted, i.e., a shortened 33-item respiratory questionnaire, a clinical history survey and a developmental questionnaire. Conclusions: In a modified Delphi process with an Indigenous panel, measures and items were proposed for use to assess respiratory, birth and health economic outcomes in Indigenous Australian infants between birth and 6 months of age. This initial step can be used to develop a set of relevant and acceptable measures to report respiratory illness and birth outcomes in community based Indigenous infants.

show abstract

Chronic wet cough in Australian children: Societal costs and quality of life

Prime

Carter

McPhail

et al. 2021

Pediatric Pulmonology

View full text Add to dashboard Cite

Introduction: Children with chronic wet cough regularly use the health system, experience considerable variability in care, have reduced quality of life (QoL), and, left untreated, poorer health outcomes. Despite this, little is known about the associated economic burden. This study aimed to quantify the cost of chronic wet cough among Australian children from the perspectives of families and the health system.Methods: A cost of illness study was conducted at the Queensland Children's Hospital, Brisbane, using data on 91 children newly referred to a respiratory specialist between July 2015 and January 2017 with a history of chronic wet cough (>4 weeks) of unknown etiology. Administrative and parent-reported data were used to estimate costs (reported in 2019 Australian Dollars [AUD]) for up to 12 months before and following initial pulmonology consultation. QoL was assessed for the same periods.Results: Mean cost per child-month during the average 9.8 months of observation preceding pulmonology consultation was AUD689 (95% confidence interval [CI] 534-844) increasing to AUD1339 (95% CI 1051-1628) during the average 11.9 months following pulmonology consultation. This translated to a total of AUD1.9 million across the study period, with families bearing 26.4% of costs. Aspiration and bronchiectasis were associated with higher total costs. For all etiologies,

show abstract

Chronic wet cough in Aboriginal children: It's not just a cough

Cited by 26 publications

References 21 publications

We won't find what we don't look for: Identifying barriers and enablers of chronic wet cough in Aboriginal children

We won't find what we don't look for: Identifying barriers and enablers of chronic wet cough in Aboriginal children

Respiratory, birth and health economic measures for use with Indigenous Australian infants in a research trial: A modified Delphi with an Indigenous panel

Chronic wet cough in Australian children: Societal costs and quality of life

Contact Info

Product

Resources

About