Effect of transfer from a pediatric to adult cystic fibrosis center on clinical status and hospital attendance
| Autor: | Rachel Collins, William Noffsinger, Donald Payne, Bhajan Singh, Chrianna Bharat, Christopher O'Dea, Siobhain Mulrennan, Satvinder S. Dhaliwal |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine Pediatrics medicine.medical_specialty Adolescent Cystic Fibrosis Cystic fibrosis Sputum culture Young Adult 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans Respiratory function In patient Child medicine.diagnostic_test Anthropometric data business.industry Medical record Attendance medicine.disease Hospitals Outpatient visits 030228 respiratory system Pediatrics Perinatology and Child Health business |
| Zdroj: | Pediatric Pulmonology. 56:2029-2035 |
| ISSN: | 1099-0496 8755-6863 |
| DOI: | 10.1002/ppul.25398 |
| Popis: | AIM Transfer from pediatric to adult services could lead to clinical deterioration, few studies have examined this. We sought to examine the clinical impact of a structured individualized transition and transfer process in patients with cystic fibrosis (CF). METHODS Medical records of all patients with CF in Western Australia who transferred from a pediatric center (Princess Margaret Hospital for Children) to an adult CF center (Sir Charles Gairdner Hospital) between 2008 and 2012 were reviewed. Data were extracted for 2 years before and after transfer. The number of CF outpatient visits, inpatient days, and home intravenous antibiotic therapy (HIVT) days were recorded at yearly intervals before and after transfer. Sputum culture results at transfer were collected. All respiratory function and anthropometric data over the 4 years were extracted. RESULTS Forty-two patients with CF were transferred between 2008 and 2012. The mean age at transfer was 18.9 years (range 17-22). Compared to 1-year pre-transfer, the frequency of outpatient visits at 1- and 2-year post-transfer increased. After transfer, there was no change in BMI, HIVT days, or inpatient days, and no acceleration in the expected decline in FEV1. CONCLUSION This study found that transfer from a pediatric to an adult CF center using a structured, individualized transition and transfer process was not associated with accelerated clinical deterioration. |
| Databáze: | OpenAIRE |
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