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Hospitalisation of Indigenous children in the Northern Territory for lower respiratory illness in the first year of life

O'Grady, Kerry-Ann F., Torzillo, Paul J. and Chang, Anne B. (2010). Hospitalisation of Indigenous children in the Northern Territory for lower respiratory illness in the first year of life. Medical Journal of Australia,192(10):586-590.

Document type: Journal Article
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IRMA ID 81704288xPUB30
Title Hospitalisation of Indigenous children in the Northern Territory for lower respiratory illness in the first year of life
Author O'Grady, Kerry-Ann F.
Torzillo, Paul J.
Chang, Anne B.
Journal Name Medical Journal of Australia
Publication Date 2010
Volume Number 192
Issue Number 10
ISSN 0025-729X   (check CDU catalogue  open catalogue search in new window)
Start Page 586
End Page 590
Total Pages 5
Place of Publication Australia
Publisher Australasian Medical Publishing Company Pty. Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Objective: To describe the epidemiology of acute lower respiratory infection (ALRI) and bronchiectasis in Northern Territory Indigenous infants hospitalised in the first year of life.

Design: A historical cohort study constructed from the NT Hospital Discharge Dataset and the NT Immunisation Register.

Participants and setting: All NT resident Indigenous infants, born 1 January 1999 to 31 December 2004, admitted to NT public hospitals and followed up to 12 months of age.

Main outcome measures: Incidence of ALRI and bronchiectasis (ICD-10-AM codes) and radiologically confirmed pneumonia (World Health Organization protocol).

Results: Data on 9295 infants, 8498 child-years of observation and 15 948 hospitalised episodes of care were analysed. ALRI incidence was 426.7 episodes per 1000 child-years (95% CI, 416.2–437.2). Incidence rates were two times higher (relative risk, 2.12; 95% CI, 1.98–2.27) for infants in Central Australia compared with those in the Top End. The median age at first admission for an ALRI was 4.6 months (interquartile range, 2.6–7.3). Bronchiolitis accounted for most of the disease burden, with a rate of 227 per 1000 child-years. The incidence of first diagnosis of bronchiectasis was 1.18 per 1000 child-years (95% CI, 0.60–2.16). One or more key comorbidities were present in 1445 of the 3227 (44.8%) episodes of care for ALRI.

Conclusions: Rates of ALRI and bronchiectasis in NT Indigenous infants are excessive, with early onset, frequent repeat episodes, and a high prevalence of comorbidities. These high rates of disease demand urgent attention.
Description for Link Link to published version
URL https://www.mja.com.au/journal/2010/192/10/hospitalisation-indigenous-children-northern-territory-lower-respiratory-illness


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