P356 Can nurse-provided education affect improvement of lung function and nutritional status in adult patients with cystic fibrosis?

2020 ◽  
Vol 19 ◽  
pp. S155-S156
Author(s):  
T. Odobasic Palkovic ◽  
D. Tjesic-Drinkovic ◽  
D. Tjesic-Drinkovic ◽  
I. Godic ◽  
I. Lalic ◽  
...  
2018 ◽  
Vol 9 (4) ◽  
pp. 25-32 ◽  
Author(s):  
S. A. Krasovskiy ◽  
E. L. Amelina ◽  
U. V. Gorinova ◽  
A. V. Chernyak ◽  
M. V. Afanasjeva ◽  
...  

Background: Evaluation of the main clinical and functional indicators and their relationship with the treatment and diagnostic care at different time periods can contribute to the development of further effective medical strategies and globally lead to improved care for cystic fibrosis patients. Aim: An assessment of the dynamics of some clinical and functional indicators in adult CF patients, who have been observed ed Research Institute of Pulmonology during the last 15 years(2003–2018). Methods: The comparative analysis was performed on the data of adult patients with cystic fibrosis, observed at 31.12.2003 and at the end of October of 2018. The group of patients in 2003 consists of 80 and in 2018 — of 667 patients. The comparative analysis between the groups was carried out according to the following indicators: age, survival, lung function, nutritional status, proportion of infection with pathogenic microflora, identification of mutations in the cystic fibrosis gene and diagnosis in adult patients. Results: An increase in patient’s age, survival rate, the proportion of identified mutations in cystic fibrosis gene and infection of Burkholderia cepacia complex in the group of patients in 2018 was revealed. There were no differences in the state of lung function, nutritional status, the ratio of the living and dead patients and proportion of patients diagnosed in adulthood between groups. Conclusion: The progress in the treatment through the introduction of modern methods and therapeutic programs leads to improved survival and an increase in the number of adult patients with cystic fibrosis.


Author(s):  
Jessica Ng ◽  
Florian Friedmacher ◽  
Caroline Pao ◽  
Paul Charlesworth

Abstract Introduction Gastroesophageal reflux disease (GERD) is associated with accelerated decline in lung health in children with cystic fibrosis (CF). Thus, antireflux surgery (ARS) is offered to a selected CF cohort with refractory GERD, but outcomes remain poorly investigated. This study aimed to determine the incidence of GERD in children with CF and to evaluate complications and outcomes of ARS. Materials and Methods A systematic literature-based search was conducted using various online databases according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The number of GERD cases in pediatric CF cohorts who underwent diagnostic investigation(s) was recorded. Data on postoperative complications and outcomes (including symptoms, lung function, and nutritional status) following ARS were analyzed. Results Ten articles (n = 289 patients) met the defined inclusion criteria (51% male; age range, 0.5 month–36 years). The overall incidence of GERD was 46% (range, 19–81%), derived from seven studies (n = 212 patients). Four publications (n = 82 patients) reported on ARS due to uncontrolled GERD. All ARSs were Nissen fundoplication (majority with gastrostomy placement). Major postoperative complications occurred in 15 (18%) patients, two required redo-ARS. Median follow-up time was 2 years (range, 3 months–6 years); 59% showed symptom improvement, and pulmonary exacerbations and decline in lung function were reduced. Nutritional status mainly improved in milder CF cases. There were no deaths related to ARS. Conclusion Approximately half of pediatric CF patients have GERD. Published data for children with CF are limited and heterogeneous in terms of GERD diagnosis and outcomes following ARS. However, ARS has shown to slow the deterioration of lung function in CF.


1995 ◽  
Vol 89 (3) ◽  
pp. 209-214 ◽  
Author(s):  
E.H.J. van Haren ◽  
J-W.J. Lammers ◽  
J. Festen ◽  
H.G.M. Heijerman ◽  
C.A.R. Groot ◽  
...  

PLoS ONE ◽  
2016 ◽  
Vol 11 (6) ◽  
pp. e0158193 ◽  
Author(s):  
Claudia Brandt ◽  
Anja Thronicke ◽  
Jobst F. Roehmel ◽  
Alexander Krannich ◽  
Doris Staab ◽  
...  

2021 ◽  
Vol 20 ◽  
pp. S92
Author(s):  
T. Niseteo ◽  
S. Sila ◽  
A. Špoljarić ◽  
L. Marić ◽  
M. Bosanac ◽  
...  

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