Use of airway clearance therapy in children hospitalised with acute lower respiratory tract infections in a South African paediatric hospital
Identifieur interne : 000174 ( an2020/Analysis ); précédent : 000173; suivant : 000175Use of airway clearance therapy in children hospitalised with acute lower respiratory tract infections in a South African paediatric hospital
Auteurs : Lieselotte Corten [Royaume-Uni] ; Brenda M. Morrow [Afrique du Sud]Source :
- The South African Journal of Physiotherapy [ 0379-6175 ] ; 2020.
Abstract
Little is known about the prescription, frequency and nature of airway clearance therapy (ACT) in children hospitalised with lower respiratory tract infections (LRTIs).
To describe the characteristics and outcomes of children hospitalised with LRTIs at a tertiary paediatric hospital in South Africa and to investigate the role and impact of ACT in these children.
A retrospective folder review of children hospitalised with LRTI between January and June 2015 was conducted, extracting data on demographic characteristics, health condition, ACT interventions and patient outcomes.
A total of 1208 individual cases (median [IQR] age 7.6 (2.8–19.0) months), in 1440 hospitalisations, were included. The majority of children were hospitalised primarily for the management of bronchiolitis. Comorbidities were present in 52.6% of patients during at least one of their hospitalisations. Airway clearance therapy was administered in 5.9% (
Airway clearance therapy was infrequently used in this population and was more commonly applied in those with nosocomial LRTI and pneumonia.
Although ACT was generally well tolerated, safety has not been ascertained, and oxygen saturation should be carefully monitored during therapy.
Url:
DOI: 10.4102/sajp.v76i1.1367
PubMed: 32161827
PubMed Central: 7059502
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Use of airway clearance therapy in children hospitalised with acute lower respiratory tract infections in a South African paediatric hospital</title><author><name sortKey="Corten, Lieselotte" sort="Corten, Lieselotte" uniqKey="Corten L" first="Lieselotte" last="Corten">Lieselotte Corten</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Physiotherapy, University of Brighton, Eastbourne, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Physiotherapy, University of Brighton, Eastbourne</wicri:regionArea><wicri:noRegion>Eastbourne</wicri:noRegion></affiliation></author><author><name sortKey="Morrow, Brenda M" sort="Morrow, Brenda M" uniqKey="Morrow B" first="Brenda M." last="Morrow">Brenda M. Morrow</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Paediatrics and Child Health, University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32161827</idno><idno type="pmc">7059502</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059502</idno><idno type="RBID">PMC:7059502</idno><idno type="doi">10.4102/sajp.v76i1.1367</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000A36</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000A36</idno><idno type="wicri:Area/Pmc/Curation">000A36</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000A36</idno><idno type="wicri:Area/Pmc/Checkpoint">000005</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000005</idno><idno type="wicri:Area/Ncbi/Merge">000F61</idno><idno type="wicri:Area/Ncbi/Curation">000F61</idno><idno type="wicri:Area/Ncbi/Checkpoint">000F61</idno><idno type="wicri:doubleKey">0379-6175:2020:Corten L:use:of:airway</idno><idno type="wicri:Area/Main/Merge">000176</idno><idno type="wicri:Area/Main/Curation">000174</idno><idno type="wicri:Area/Main/Exploration">000174</idno><idno type="wicri:Area/an2020/Extraction">000174</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Use of airway clearance therapy in children hospitalised with acute lower respiratory tract infections in a South African paediatric hospital</title><author><name sortKey="Corten, Lieselotte" sort="Corten, Lieselotte" uniqKey="Corten L" first="Lieselotte" last="Corten">Lieselotte Corten</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Physiotherapy, University of Brighton, Eastbourne, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Physiotherapy, University of Brighton, Eastbourne</wicri:regionArea><wicri:noRegion>Eastbourne</wicri:noRegion></affiliation></author><author><name sortKey="Morrow, Brenda M" sort="Morrow, Brenda M" uniqKey="Morrow B" first="Brenda M." last="Morrow">Brenda M. Morrow</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Paediatrics and Child Health, University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author></analytic><series><title level="j">The South African Journal of Physiotherapy</title><idno type="ISSN">0379-6175</idno><idno type="eISSN">2410-8219</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title><p>Little is known about the prescription, frequency and nature of airway clearance therapy (ACT) in children hospitalised with lower respiratory tract infections (LRTIs).</p></sec><sec id="st2"><title>Objectives</title><p>To describe the characteristics and outcomes of children hospitalised with LRTIs at a tertiary paediatric hospital in South Africa and to investigate the role and impact of ACT in these children.</p></sec><sec id="st3"><title>Method</title><p>A retrospective folder review of children hospitalised with LRTI between January and June 2015 was conducted, extracting data on demographic characteristics, health condition, ACT interventions and patient outcomes.</p></sec><sec id="st4"><title>Results</title><p>A total of 1208 individual cases (median [IQR] age 7.6 (2.8–19.0) months), in 1440 hospitalisations, were included. The majority of children were hospitalised primarily for the management of bronchiolitis. Comorbidities were present in 52.6% of patients during at least one of their hospitalisations. Airway clearance therapy was administered in 5.9% (<italic>n</italic> = 85) of admissions, most commonly conventional (manual) ACT. Transient oxyhaemoglobin desaturation was reported in six children, and one child developed lobar collapse an hour post-treatment. No other adverse events were reported. The median (IQR) duration of hospitalisation was 2.3 (1.5–5.0) days, and the overall mortality rate was 0.7%. Children hospitalised for presumed nosocomial infections and pneumonia had the longest length of stay, were more likely to receive ACT and had the highest mortality rate.</p></sec><sec id="st5"><title>Conclusion</title><p>Airway clearance therapy was infrequently used in this population and was more commonly applied in those with nosocomial LRTI and pneumonia.</p></sec><sec id="st6"><title>Clinical implications</title><p>Although ACT was generally well tolerated, safety has not been ascertained, and oxygen saturation should be carefully monitored during therapy.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Abdelbasset, W" uniqKey="Abdelbasset W">W Abdelbasset</name></author><author><name sortKey="Elnegamy, T" uniqKey="Elnegamy T">T Elnegamy</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Argent, A C" uniqKey="Argent A">A.C Argent</name></author><author><name 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name="Royaume-Uni"><noRegion><name sortKey="Corten, Lieselotte" sort="Corten, Lieselotte" uniqKey="Corten L" first="Lieselotte" last="Corten">Lieselotte Corten</name></noRegion></country><country name="Afrique du Sud"><noRegion><name sortKey="Morrow, Brenda M" sort="Morrow, Brenda M" uniqKey="Morrow B" first="Brenda M." last="Morrow">Brenda M. 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