Congenital lung malformation patients experience respiratory infections after resection: A population-based cohort study

Author(s):  
Moritz Markel ◽  
Gabrielle Derraugh ◽  
Martin Lacher ◽  
Shaikh Iqbal ◽  
Robert Balshaw ◽  
...  
BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037691
Author(s):  
Line Zinckernagel ◽  
Annette Kjær Ersbøll ◽  
Teresa Holmberg ◽  
Susanne S Pedersen ◽  
Helle Ussing Timm ◽  
...  

ObjectivesPsychosocial healthcare is recommended, but little is known about how patients perceive the level of care and whether subgroups of patients experience less psychosocial healthcare than others. We examined the prevalence of patient-reported psychosocial healthcare and factors predicting patient-reported lack of psychosocial healthcare among patients with heart disease.DesignA cohort study.SettingDenmark, nationwide.ParticipantsA registry-based random sample of 5000 patients with incident heart disease in 2013.MeasuresPatient-reported psychosocial healthcare was obtained from a survey and potential predictors before disease onset from registries. We used multivariable logistic regression analysis to determine predictors of patient-reported lack of care.ResultsWe received responses from 56%; 40% reported lacking information on psychosocial aspects, 51% lacking psychosocial rehabilitation and support and 32% reported lacking both types of psychosocial healthcare. The type of heart disease was the strongest predictor of patient-reported lack of psychosocial healthcare, especially among patients with atrial fibrillation (OR: 3.11–3.98). Older age (OR: 1.48–2.05), female gender (OR: 1.27–1.53) and no contact with general practitioner (OR: 1.47–1.84) also predicted patient-reported lack of psychosocial healthcare. Patients outside the labour force (OR: 1.29) and living in the capital region (OR: 1.50) more frequently reported lacking psychosocial rehabilitation and support, and patients with recent (OR: 1.63) or past (OR: 1.33) anxiety or depression and severe comorbidities (OR: 1.34) more frequently reported lacking both types of psychosocial healthcare.ConclusionsMany patients with heart disease reported lacking psychosocial healthcare. Importantly, patients who most need psychosocial healthcare are not those who report receiving it. Our results call for action to translate guidelines into clinical practice.


PLoS ONE ◽  
2016 ◽  
Vol 11 (12) ◽  
pp. e0168141 ◽  
Author(s):  
Aino K. Rantala ◽  
Ilkka T. Mehtonen ◽  
Maritta S. Jaakkola ◽  
Simo Näyhä ◽  
Timo T. Hugg ◽  
...  

2021 ◽  
Vol 11 (20) ◽  
pp. 9493
Author(s):  
Jae-Hong Lee ◽  
Seong-Nyum Jeong

Chronic periodontitis (CP) may increase the risk of exacerbation of and hospitalization for respiratory infections. The aim of the present study was to determine whether CP is associated with acute respiratory infections by analyzing a population-based longitudinal database from the National Health Insurance Service—National Sample Cohort. Univariate and multivariate logistic regression analyses were conducted to assess the association between CP and acute respiratory infections, including acute nasopharyngitis, acute pharyngitis, acute tonsillitis, acute laryngitis and tracheitis, acute bronchitis, and acute bronchiolitis, while adjusting for the confounding effects of sociodemographic variables (sex, age, household income, and smoking status) and comorbidities (diabetes mellitus). Among 545,416 recruited participants, 98,490 (18.1%) had CP. Multivariate analysis, adjusted for sociodemographic variables and comorbidities, showed that except influenza and pneumonia, total acute respiratory infections (odds ratio (OR), 1.33; 95% confidence interval (CI), 1.28–1.38; p < 0.001), acute upper respiratory infections (OR, 1.26; 95% CI, 1.22–1.29; p < 0.001), and acute lower respiratory infections (OR, 1.23; 95% CI, 1.20–1.26; p < 0.001) were significantly associated with CP. The findings of the current cohort study suggest an association between CP and acute respiratory infections. Particularly, CP seems to increase the risk of acute upper and lower respiratory infections.


BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e025360 ◽  
Author(s):  
Rosanne Barnes ◽  
Christopher C Blyth ◽  
Nicholas de Klerk ◽  
Wei Hao Lee ◽  
Meredith L Borland ◽  
...  

IntroductionStudies examining acute respiratory infections (ARIs) in emergency department (EDs), particularly in rural and remote areas, are rare. This study aimed to examine the burden of ARIs among Aboriginal and non-Aboriginal children presenting to Western Australian (WA) EDs from 2002 to 2012.MethodUsing a retrospective population-based cohort study linking ED records to birth and perinatal records, we examined presentation rates for metropolitan, rural and remote Aboriginal and non-Aboriginal children from 469 589 births. We used ED diagnosis information to categorise presentations into ARI groups and calculated age-specific rates. Negative binomial regression was used to investigate association between risk factors and frequency of ARI presentation.ResultsOverall, 26% of presentations were for ARIs. For Aboriginal children, the highest rates were for those aged <12 months in the Great Southern (1233 per 1000 child-years) and Pilbara regions (1088 per 1000 child-years). Rates for non-Aboriginal children were highest in children <12 months in the Southwest and Kimberley (400 and 375 per 1000 child-years, respectively). Presentation rates for ARI in children from rural and remote WA significantly increased over time in all age groups <5 years. Risk factors for children presenting to ED with ARI were: male, prematurity, caesarean delivery and residence in the Kimberley region and lower socio-economic areas.ConclusionOne in four ED presentations in WA children are for ARIs, representing a significant out-of-hospital burden with some evidence of geographical disparity. Planned linkages with hospital discharge and laboratory detection data will aid in assessing the sensitivity and specificity of ARI diagnoses in ED.


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