The respiratory health of urban indigenous children aged less than 5 years

Study protocol for a prospective cohort study

Kerry K. Hall, Anne B. Chang, Theo P. Sloots, Jennie Anderson, Anita Kemp, Jan Hammill, Michael Otim, Kerry Ann F O'Grady

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Abstract

Background: Despite the burden of acute respiratory illnesses(ARI) among Aboriginal and Torres Strait Islander children being a substantialcause of childhood morbidity and associated costs to families, communities andthe health system, data on disease burden in urban children are lacking.Consequently evidence-based decision-making, data management guidelines, healthresourcing for primary health care services and prevention strategies arelacking. This study aims to comprehensively describe the epidemiology, impactand outcomes of ARI in urban Aboriginal and Torres Strait Islander children(hereafter referred to as Indigenous) in the greater Brisbane area.

Methods/Design: An ongoing prospective cohort study ofIndigenous children aged less than five years registered with a primary healthcare service in Northern Brisbane, Queensland, Australia. Children arerecruited at time of presentation to the service for any reason. Demographic,epidemiological, risk factor, microbiological, economic and clinical data arecollected at enrolment. Enrolled children are followed for 12 months duringwhich time ARI events, changes in child characteristics over time and monthlynasal swabs are collected. Children who develop an ARI with cough as a symptomduring the study period are more intensely followed-up for 28 (±3) daysincluding weekly nasal swabs and parent completed cough diary cards. Childrenwith persistent cough at day 28 post-ARI are reviewed by a paediatrician.

Discussion: Our study will be one of the first tocomprehensively evaluate the natural history, epidemiology, aetiology, economicimpact and outcomes of ARIs in this population. The results will inform studiesfor the development of evidence-based guidelines to improve the earlydetection, prevention and management of chronic cough and setting of prioritiesin children during and after ARI.

Original languageEnglish
Article number56
Pages (from-to)1-8
Number of pages8
JournalBMC Pediatrics
Volume15
DOIs
Publication statusPublished - 14 May 2015

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Urban Health
Cohort Studies
Prospective Studies
Cough
Primary Health Care
Epidemiology
Community Health Planning
Guidelines
Queensland
Natural History
Nose
Health Services
Decision Making
Economics
Demography
Morbidity
Costs and Cost Analysis

Cite this

Hall, Kerry K. ; Chang, Anne B. ; Sloots, Theo P. ; Anderson, Jennie ; Kemp, Anita ; Hammill, Jan ; Otim, Michael ; O'Grady, Kerry Ann F. / The respiratory health of urban indigenous children aged less than 5 years : Study protocol for a prospective cohort study. In: BMC Pediatrics. 2015 ; Vol. 15. pp. 1-8.
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abstract = "Background: Despite the burden of acute respiratory illnesses(ARI) among Aboriginal and Torres Strait Islander children being a substantialcause of childhood morbidity and associated costs to families, communities andthe health system, data on disease burden in urban children are lacking.Consequently evidence-based decision-making, data management guidelines, healthresourcing for primary health care services and prevention strategies arelacking. This study aims to comprehensively describe the epidemiology, impactand outcomes of ARI in urban Aboriginal and Torres Strait Islander children(hereafter referred to as Indigenous) in the greater Brisbane area. Methods/Design: An ongoing prospective cohort study ofIndigenous children aged less than five years registered with a primary healthcare service in Northern Brisbane, Queensland, Australia. Children arerecruited at time of presentation to the service for any reason. Demographic,epidemiological, risk factor, microbiological, economic and clinical data arecollected at enrolment. Enrolled children are followed for 12 months duringwhich time ARI events, changes in child characteristics over time and monthlynasal swabs are collected. Children who develop an ARI with cough as a symptomduring the study period are more intensely followed-up for 28 (±3) daysincluding weekly nasal swabs and parent completed cough diary cards. Childrenwith persistent cough at day 28 post-ARI are reviewed by a paediatrician. Discussion: Our study will be one of the first tocomprehensively evaluate the natural history, epidemiology, aetiology, economicimpact and outcomes of ARIs in this population. The results will inform studiesfor the development of evidence-based guidelines to improve the earlydetection, prevention and management of chronic cough and setting of prioritiesin children during and after ARI.",
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author = "Hall, {Kerry K.} and Chang, {Anne B.} and Sloots, {Theo P.} and Jennie Anderson and Anita Kemp and Jan Hammill and Michael Otim and O'Grady, {Kerry Ann F}",
note = "Kerry-Ann O’Grady is funded by a National Health and Medical Research Council (NHMRC) Career Development Fellowship (grant 1045157) and Queensland Government Smart Futures Fellowship. Anne Chang is funded by a NHMRC Practitioner Fellowship (grant 1058213). KH is funded by an Australian Postgraduate Award (2014–2015) and a supervisor top-up scholarship through the NHMRC Centre for Research Excellence for Lung Health in Aboriginal and Torres Strait Islander children.",
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The respiratory health of urban indigenous children aged less than 5 years : Study protocol for a prospective cohort study. / Hall, Kerry K.; Chang, Anne B.; Sloots, Theo P.; Anderson, Jennie; Kemp, Anita; Hammill, Jan; Otim, Michael; O'Grady, Kerry Ann F.

In: BMC Pediatrics, Vol. 15, 56, 14.05.2015, p. 1-8.

Research output: Contribution to journalArticleResearch

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T1 - The respiratory health of urban indigenous children aged less than 5 years

T2 - Study protocol for a prospective cohort study

AU - Hall, Kerry K.

AU - Chang, Anne B.

AU - Sloots, Theo P.

AU - Anderson, Jennie

AU - Kemp, Anita

AU - Hammill, Jan

AU - Otim, Michael

AU - O'Grady, Kerry Ann F

N1 - Kerry-Ann O’Grady is funded by a National Health and Medical Research Council (NHMRC) Career Development Fellowship (grant 1045157) and Queensland Government Smart Futures Fellowship. Anne Chang is funded by a NHMRC Practitioner Fellowship (grant 1058213). KH is funded by an Australian Postgraduate Award (2014–2015) and a supervisor top-up scholarship through the NHMRC Centre for Research Excellence for Lung Health in Aboriginal and Torres Strait Islander children.

PY - 2015/5/14

Y1 - 2015/5/14

N2 - Background: Despite the burden of acute respiratory illnesses(ARI) among Aboriginal and Torres Strait Islander children being a substantialcause of childhood morbidity and associated costs to families, communities andthe health system, data on disease burden in urban children are lacking.Consequently evidence-based decision-making, data management guidelines, healthresourcing for primary health care services and prevention strategies arelacking. This study aims to comprehensively describe the epidemiology, impactand outcomes of ARI in urban Aboriginal and Torres Strait Islander children(hereafter referred to as Indigenous) in the greater Brisbane area. Methods/Design: An ongoing prospective cohort study ofIndigenous children aged less than five years registered with a primary healthcare service in Northern Brisbane, Queensland, Australia. Children arerecruited at time of presentation to the service for any reason. Demographic,epidemiological, risk factor, microbiological, economic and clinical data arecollected at enrolment. Enrolled children are followed for 12 months duringwhich time ARI events, changes in child characteristics over time and monthlynasal swabs are collected. Children who develop an ARI with cough as a symptomduring the study period are more intensely followed-up for 28 (±3) daysincluding weekly nasal swabs and parent completed cough diary cards. Childrenwith persistent cough at day 28 post-ARI are reviewed by a paediatrician. Discussion: Our study will be one of the first tocomprehensively evaluate the natural history, epidemiology, aetiology, economicimpact and outcomes of ARIs in this population. The results will inform studiesfor the development of evidence-based guidelines to improve the earlydetection, prevention and management of chronic cough and setting of prioritiesin children during and after ARI.

AB - Background: Despite the burden of acute respiratory illnesses(ARI) among Aboriginal and Torres Strait Islander children being a substantialcause of childhood morbidity and associated costs to families, communities andthe health system, data on disease burden in urban children are lacking.Consequently evidence-based decision-making, data management guidelines, healthresourcing for primary health care services and prevention strategies arelacking. This study aims to comprehensively describe the epidemiology, impactand outcomes of ARI in urban Aboriginal and Torres Strait Islander children(hereafter referred to as Indigenous) in the greater Brisbane area. Methods/Design: An ongoing prospective cohort study ofIndigenous children aged less than five years registered with a primary healthcare service in Northern Brisbane, Queensland, Australia. Children arerecruited at time of presentation to the service for any reason. Demographic,epidemiological, risk factor, microbiological, economic and clinical data arecollected at enrolment. Enrolled children are followed for 12 months duringwhich time ARI events, changes in child characteristics over time and monthlynasal swabs are collected. Children who develop an ARI with cough as a symptomduring the study period are more intensely followed-up for 28 (±3) daysincluding weekly nasal swabs and parent completed cough diary cards. Childrenwith persistent cough at day 28 post-ARI are reviewed by a paediatrician. Discussion: Our study will be one of the first tocomprehensively evaluate the natural history, epidemiology, aetiology, economicimpact and outcomes of ARIs in this population. The results will inform studiesfor the development of evidence-based guidelines to improve the earlydetection, prevention and management of chronic cough and setting of prioritiesin children during and after ARI.

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KW - microbiology

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