Pediatric physiotherapy management of airway clearance therapy and exercise: Data from the Australian Bronchiectasis Registry
Rattachement africain : au, nz. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Regular airway clearance techniques (ACTs) and exercise are recommended for children with bronchiectasis, but current clinical practice and their predictors are unknown. OBJECTIVE: We aimed to describe current use of ACTs and exercise among Australian children with bronchiectasis and identify associated predictors. METHODS: Physiotherapy-specific data of 397 children (median age = 8 were extracted from the Australian Bronchiectasis Registry. A multivariate analysis was undertaken to identify predictors associated with the use of regular ACTs and physical exercise. RESULTS: Regular ACTs were undertaken by 118 (30%) children while 192 (48%) engaged in regular exercise. Physical exercise was the most common ACT modality (n = 83, 20%). The likelihood of regular ACT increased in children whose sputum isolated Pseudomonas aeruginosa (OR = 3.88, 95% CI 1.69-8.89) and was 50% higher for every respiratory exacerbation in the previous 12-months that required hospitalization (OR = 1.50, 95% CI 1.15-1.95). For every year older in age, children had increased odds of engaging in physical exercise (OR = 1.21, 95% CI 1.08-1.34) or using an ACT device (OR = 1.21, 95% CI 1.05-1.34). Regular exercise was twice as likely in the presence of bibasal bronchiectasis (OR = 2.43, 95% CI 1.14-5.16), yet less likely in those with ≥1 hospitalizations in the previous 12-months (OR = 0.76, 0.95% CI 0.57-1.03). CONCLUSION: Approximately one-third of children with bronchiectasis undertake regular ACTs while physical exercise was undertaken in approximately one in two children. Age, frequent respiratory exacerbations requiring hospitalization and the extent of disease are predictors of undertaking regular ACTs and exercise. Identification of these factors may assist in tailoring ACT, exercise and ACT modality prescription in clinical practice.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Pediatric physiotherapy management of airway clearance therapy and exercise: Data from the Australian Bronchiectasis Registry
- Date Crossref
- 06/11/2024
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Alfred Health pays non établi dans la noticeÉtablissement de santé
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Monash University Respiratory Research@Alfred pays non établi dans la noticeUniversité ou école supérieure
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Institute for Breathing and Sleep pays non établi dans la noticeOrganisation à but non lucratif
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Queensland University of Technology Australian Centre for Health Services Innovation pays non établi dans la noticeUniversité ou école supérieure
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Charles Darwin University Child and Maternal Health Division pays non établi dans la noticeUniversité ou école supérieure
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Menzies School of Health Research Child and Maternal Health Division pays non établi dans la noticeOrganisation à but non lucratif
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Children's Health Queensland Hospital and Health Service pays non établi dans la noticeÉtablissement de santé
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Westmead Hospital CITRICA pays non établi dans la noticeÉtablissement de santé
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The University of Queensland Gallipoli Medical Research Foundation and Greenslopes Clinical Unit pays non établi dans la noticeUniversité ou école supérieure
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Gallipoli Medical Research Foundation pays non établi dans la noticeOrganisation à but non lucratif
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University of Auckland Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Middlemore Hospital Respiratory Medicine pays non établi dans la noticeÉtablissement de santé
Alfred Health, Respiratory Research@Alfred — Monash University et Institute for Breathing and Sleep, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.