Rates of radiologically confirmed pneumonia as defined by the World Health Organization in Northern Territory Indigenous children

Kerry-Ann O'Grady, Debbie Taylor-Thomson, Anne Chang, Paul Torzillo, Peter Morris, Grant Mackenzie, Gavin Wheaton, Paul Bauert, Margaret De Campo, John De Campo, Alan Ruben

    Research output: Contribution to journalArticle

    Abstract

    Objective: To determine the burden of hospitalised, radiologically confirmed pneumonia (World Health Organization protocol) in Northern Territory Indigenous children.

    Design, setting and participants: Historical, observational study of all hospital admissions for any diagnosis of NT resident Indigenous children, aged between ?29 days and < 5 years, 1 April 1997 to 31 March 2005.

    Intervention:
    All chest radiographs taken during these admissions, regardless of diagnosis, were assessed for pneumonia in accordance with the WHO protocol.

    Main outcome measure: The primary outcome was endpoint consolidation (dense fluffy consolidation [alveolar infiltrate] of a portion of a lobe or the entire lung) present on a chest radiograph within 3 days of hospitalisation.

    Results: We analysed data on 24 115 hospitalised episodes of care for 9492 children and 13 683 chest radiographs. The average annual cumulative incidence of endpoint consolidation was 26.6 per 1000 population per year (95% CI, 25.3-27.9); 57.5 per 1000 per year in infants aged 1-11 months, 38.3 per 1000 per year in those aged 12-23 months, and 13.3 per 1000 per year in those aged 24-59 months. In all age groups, rates of endpoint consolidation in children in the arid southern region of NT were about twice that of children in the tropical northern region.

    Conclusion: The rates of severe pneumonia in hospitalised NT Indigenous children are among the highest reported in the world. Reducing this unacceptable burden of disease should be a national health priority.
    Original languageEnglish
    Pages (from-to)592-595
    Number of pages4
    JournalMedical Journal of Australia
    Volume192
    Issue number10
    Publication statusPublished - 17 May 2010

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  • Cite this

    O'Grady, K-A., Taylor-Thomson, D., Chang, A., Torzillo, P., Morris, P., Mackenzie, G., Wheaton, G., Bauert, P., De Campo, M., De Campo, J., & Ruben, A. (2010). Rates of radiologically confirmed pneumonia as defined by the World Health Organization in Northern Territory Indigenous children. Medical Journal of Australia, 192(10), 592-595.