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Med J Aust. 2008 Feb 4;188(3):135-9.

Clinical outcomes of Queensland children with cystic fibrosis: a comparison between tertiary centre and outreach services.

Author information

1
Paediatric Department, Nambour General Hospital, Nambour, QLD, Australia. clare_thomas@health.qld.gov.au

Abstract

OBJECTIVE:

To evaluate and compare the clinical outcomes of children with cystic fibrosis (CF) managed primarily at a tertiary cystic fibrosis centre (CFC) with those treated at regional centres by local health care professionals and the cystic fibrosis outreach service (CFOS).

DESIGN, SETTING AND PATIENTS:

Retrospective study of 273 children with CF born between 19 October 1982 and 19 February 2002 and with clinical data available between 1 January 2000 and 31 December 2002. Patients were grouped into CFC (n = 131) or CFOS (n = 142), with CFOS then further categorised into three groups depending on the level of care they received.

MAIN OUTCOME MEASURES:

Pulmonary function, Pseudomonas aeruginosa status, height and weight z scores, and hospital admission rates.

RESULTS:

There were no significant differences in pulmonary function, P. aeruginosa status, or height and weight z scores between children managed by CFC or by CFOS. Children receiving more care at the CFC (level of care [LOC] 1 and 2) were more likely to have multiple hospital admissions than children receiving more care in regional areas (LOC 3 and 4) (P < 0.001).

CONCLUSION:

The CFOS model provides effective delivery of specialised multidisciplinary care to children and adolescents living in rural and regional Queensland.

PMID:
18241167
[Indexed for MEDLINE]

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