The Incidence and Short-term Outcomes of Acute Respiratory Illness with Cough in Children from a Socioeconomically Disadvantaged Urban Community in Australia: A Community-Based Prospective Cohort Study
BackgroundAcute respiratory illnesses with cough (ARIwC) are predominant causes of morbidity in Australian Indigenous children; however, data on disease burden in urban communities are scarce. This study aimed to determine the incidence of ARIwC, the predictors of recurrent (≥4 episodes) ARIwC, and...
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Frontiers Media S.A.
2017-10-01
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Online Access: | http://journal.frontiersin.org/article/10.3389/fped.2017.00228/full |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kerry K. Hall Anne B. Chang Anne B. Chang Anne B. Chang Jennie Anderson Daniel Arnold Vikas Goyal Vikas Goyal Melissa Dunbar Michael Otim Michael Otim Kerry-Ann F. O’Grady |
spellingShingle |
Kerry K. Hall Anne B. Chang Anne B. Chang Anne B. Chang Jennie Anderson Daniel Arnold Vikas Goyal Vikas Goyal Melissa Dunbar Michael Otim Michael Otim Kerry-Ann F. O’Grady The Incidence and Short-term Outcomes of Acute Respiratory Illness with Cough in Children from a Socioeconomically Disadvantaged Urban Community in Australia: A Community-Based Prospective Cohort Study Frontiers in Pediatrics acute respiratory illness cough incidence predictors clinical outcomes Aboriginal and Torres Strait Islander |
author_facet |
Kerry K. Hall Anne B. Chang Anne B. Chang Anne B. Chang Jennie Anderson Daniel Arnold Vikas Goyal Vikas Goyal Melissa Dunbar Michael Otim Michael Otim Kerry-Ann F. O’Grady |
author_sort |
Kerry K. Hall |
title |
The Incidence and Short-term Outcomes of Acute Respiratory Illness with Cough in Children from a Socioeconomically Disadvantaged Urban Community in Australia: A Community-Based Prospective Cohort Study |
title_short |
The Incidence and Short-term Outcomes of Acute Respiratory Illness with Cough in Children from a Socioeconomically Disadvantaged Urban Community in Australia: A Community-Based Prospective Cohort Study |
title_full |
The Incidence and Short-term Outcomes of Acute Respiratory Illness with Cough in Children from a Socioeconomically Disadvantaged Urban Community in Australia: A Community-Based Prospective Cohort Study |
title_fullStr |
The Incidence and Short-term Outcomes of Acute Respiratory Illness with Cough in Children from a Socioeconomically Disadvantaged Urban Community in Australia: A Community-Based Prospective Cohort Study |
title_full_unstemmed |
The Incidence and Short-term Outcomes of Acute Respiratory Illness with Cough in Children from a Socioeconomically Disadvantaged Urban Community in Australia: A Community-Based Prospective Cohort Study |
title_sort |
incidence and short-term outcomes of acute respiratory illness with cough in children from a socioeconomically disadvantaged urban community in australia: a community-based prospective cohort study |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Pediatrics |
issn |
2296-2360 |
publishDate |
2017-10-01 |
description |
BackgroundAcute respiratory illnesses with cough (ARIwC) are predominant causes of morbidity in Australian Indigenous children; however, data on disease burden in urban communities are scarce. This study aimed to determine the incidence of ARIwC, the predictors of recurrent (≥4 episodes) ARIwC, and development of chronic cough following an ARIwC in urban, predominantly Indigenous, children aged <5 years from northern Brisbane, Australia.MethodsProspective cohort study of children aged <5 years registered with a primary healthcare center. ARIwC episodes and outcomes were collected for 12 months. Recurrent ARIwC was defined as ≥4 episodes in 12 months. Chronic cough was defined as cough lasting >4 weeks. Children who developed chronic cough were reviewed by a pediatric pulmonologist. Incidence densities per child-month of observation were calculated and predictors of recurrent ARIwC and chronic cough were evaluated in logistic regression models.ResultsBetween February 2013 and November 2015, 200 children were enrolled; median age of 18.1 months, range (0.7–59.7 months) and 90% identified as Indigenous. A total of 1,722 child-months of observation were analyzed (mean/child = 8.58, 95% CI 8.18–9.0). The incidence of ARIwC was 24.8/100 child-months at risk (95% CI 22.3–27.5). Twenty-one children (10.5%) experienced recurrent ARIwC. Chronic cough was identified in 70/272 (25.7%) episodes of ARIwC. Predictors of recurrent ARIwC were presence of eczema, mold in the house, parent/carer employment status, and having an Aboriginal and Torres Strait Islander mother/non-Aboriginal and Torres Strait Islander father (compared to both parents being Aboriginal and Torres Strait Islander). Predictors of chronic cough included being aged <12 months, eczema, childcare attendance, previous history of cough of >4 weeks duration, having an Aboriginal and Torres Strait Islander mother/non-Aboriginal and Torres Strait Islander father (compared to both parents being Aboriginal and Torres Strait Islander), and a low income. Of those with chronic cough reviewed by a pediatric pulmonologist, a significant underlying disorder was found in 14 children (obstructive sleep apnea = 1, bronchiectasis = 2, pneumonia = 2, asthma = 3, tracheomalacia = 6).DiscussionThis community of predominantly Aboriginal and Torres Strait Islander and socially disadvantaged children bear a considerable burden of ARIwC. One in 10 children will experience more than three episodes over a 12-month period and 1 in five children will develop chronic cough post ARIwC, some with a serious underlying disorder. Further larger studies that include a broader population base are needed. |
topic |
acute respiratory illness cough incidence predictors clinical outcomes Aboriginal and Torres Strait Islander |
url |
http://journal.frontiersin.org/article/10.3389/fped.2017.00228/full |
work_keys_str_mv |
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doaj-0324c91970b44ca094a7f168e133d9c32020-11-24T22:16:18ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602017-10-01510.3389/fped.2017.00228273215The Incidence and Short-term Outcomes of Acute Respiratory Illness with Cough in Children from a Socioeconomically Disadvantaged Urban Community in Australia: A Community-Based Prospective Cohort StudyKerry K. Hall0Anne B. Chang1Anne B. Chang2Anne B. Chang3Jennie Anderson4Daniel Arnold5Vikas Goyal6Vikas Goyal7Melissa Dunbar8Michael Otim9Michael Otim10Kerry-Ann F. O’Grady11Institute of Health and Biomedical Innovation, Centre for Children’s Health Research, Queensland University of Technology, South Brisbane, QLD, AustraliaInstitute of Health and Biomedical Innovation, Centre for Children’s Health Research, Queensland University of Technology, South Brisbane, QLD, AustraliaDepartment of Respiratory Medicine, Lady Cilento Children’s Hospital, South Brisbane, QLD, AustraliaMenzies School of Health Research, Charles Darwin University, Tiwi, NT, AustraliaCaboolture Community Medical, Caboolture, QLD, AustraliaInstitute of Health and Biomedical Innovation, Centre for Children’s Health Research, Queensland University of Technology, South Brisbane, QLD, AustraliaInstitute of Health and Biomedical Innovation, Centre for Children’s Health Research, Queensland University of Technology, South Brisbane, QLD, AustraliaChild Health Research Centre, The University of Queensland, Brisbane, QLD, AustraliaInstitute of Health and Biomedical Innovation, Centre for Children’s Health Research, Queensland University of Technology, South Brisbane, QLD, AustraliaInstitute of Health and Biomedical Innovation, Centre for Children’s Health Research, Queensland University of Technology, South Brisbane, QLD, AustraliaDepartment of Health Services Administration, College of Health Sciences, University of Sharjah, Sharjah, United Arab EmiratesInstitute of Health and Biomedical Innovation, Centre for Children’s Health Research, Queensland University of Technology, South Brisbane, QLD, AustraliaBackgroundAcute respiratory illnesses with cough (ARIwC) are predominant causes of morbidity in Australian Indigenous children; however, data on disease burden in urban communities are scarce. This study aimed to determine the incidence of ARIwC, the predictors of recurrent (≥4 episodes) ARIwC, and development of chronic cough following an ARIwC in urban, predominantly Indigenous, children aged <5 years from northern Brisbane, Australia.MethodsProspective cohort study of children aged <5 years registered with a primary healthcare center. ARIwC episodes and outcomes were collected for 12 months. Recurrent ARIwC was defined as ≥4 episodes in 12 months. Chronic cough was defined as cough lasting >4 weeks. Children who developed chronic cough were reviewed by a pediatric pulmonologist. Incidence densities per child-month of observation were calculated and predictors of recurrent ARIwC and chronic cough were evaluated in logistic regression models.ResultsBetween February 2013 and November 2015, 200 children were enrolled; median age of 18.1 months, range (0.7–59.7 months) and 90% identified as Indigenous. A total of 1,722 child-months of observation were analyzed (mean/child = 8.58, 95% CI 8.18–9.0). The incidence of ARIwC was 24.8/100 child-months at risk (95% CI 22.3–27.5). Twenty-one children (10.5%) experienced recurrent ARIwC. Chronic cough was identified in 70/272 (25.7%) episodes of ARIwC. Predictors of recurrent ARIwC were presence of eczema, mold in the house, parent/carer employment status, and having an Aboriginal and Torres Strait Islander mother/non-Aboriginal and Torres Strait Islander father (compared to both parents being Aboriginal and Torres Strait Islander). Predictors of chronic cough included being aged <12 months, eczema, childcare attendance, previous history of cough of >4 weeks duration, having an Aboriginal and Torres Strait Islander mother/non-Aboriginal and Torres Strait Islander father (compared to both parents being Aboriginal and Torres Strait Islander), and a low income. Of those with chronic cough reviewed by a pediatric pulmonologist, a significant underlying disorder was found in 14 children (obstructive sleep apnea = 1, bronchiectasis = 2, pneumonia = 2, asthma = 3, tracheomalacia = 6).DiscussionThis community of predominantly Aboriginal and Torres Strait Islander and socially disadvantaged children bear a considerable burden of ARIwC. One in 10 children will experience more than three episodes over a 12-month period and 1 in five children will develop chronic cough post ARIwC, some with a serious underlying disorder. Further larger studies that include a broader population base are needed.http://journal.frontiersin.org/article/10.3389/fped.2017.00228/fullacute respiratory illnesscoughincidencepredictorsclinical outcomesAboriginal and Torres Strait Islander |