Related Experiment Videos
[Prognosis of chronic respiratory diseases in children]
Insights
This study examined pediatric chronic respiratory diseases in Fukuoka, finding bronchiectasis most common. Most children showed improvement or recovery, though some faced limitations or worse outcomes.
Area of Science:
- Pediatric Pulmonology
- Clinical Epidemiology
- Respiratory Medicine
Background:
- Chronic respiratory diseases pose significant challenges in pediatric populations.
- Understanding the prognosis of these conditions is crucial for effective management and resource allocation.
- Limited data exists on the long-term outcomes of pediatric chronic respiratory diseases in specific regions like Fukuoka Prefecture.
Purpose of the Study:
- To investigate the clinical characteristics and prognosis of children diagnosed with chronic respiratory diseases.
- To identify the most prevalent chronic respiratory conditions in pediatric patients within Fukuoka Prefecture.
- To evaluate treatment outcomes, including the need for oxygen therapy, surgical intervention, and impact on daily activities.
Main Methods:
- A retrospective study utilizing questionnaires distributed to pediatric departments of universities and hospitals in Fukuoka Prefecture.
- Data collected from 155 pediatric patients (77 males, 78 females) diagnosed with chronic respiratory diseases.
- Analysis of disease incidence, treatment modalities (oxygen therapy, surgery), and patient outcomes (cure, improvement, deterioration, death, activity limitation).
Main Results:
- Bronchiectasis was the most common diagnosis, accounting for 23.9% of cases.
- The five most frequent conditions (including bronchiectasis, prolonged respiratory disorders in the newborn, pulmonary hypoplasia, pulmonary cysts, and pulmonary fibrosis) comprised 65.8% of all cases.
- Of 155 patients, 91 showed cure or improvement, 31 remained unchanged, 6 deteriorated, and 6 died. Daily activity was limited in 16.1% of cases.
Conclusions:
- The majority of pediatric chronic respiratory disease cases in Fukuoka Prefecture demonstrate a favorable prognosis with significant rates of cure or improvement.
- Bronchiectasis is a leading chronic respiratory condition requiring attention in pediatric care.
- While many children achieve positive outcomes, a notable proportion experience limitations in daily activities, highlighting the need for ongoing supportive care and management strategies.
Abstract:
We investigated the prognosis of chronic respiratory diseases in children by questionnaires to the pediatric departments of 4 universities and 14 national or public hospitals in Fukuoka Prefecture. The total number of patients was 155, consisting of 77 males and 78 females. These diseases included bronchiectasis, which had the highest incidence (37, 23.9%), prolonged respiratory disorders in the newborn, pulmonary hypoplasia, pulmonary cysts and pulmonary fibrosis, etc. These 5 diseases comprised 65.8% of all cases. The number of cases on oxygen therapy was 9 (5.8%) and 5 of these 9 cases were on home oxygen therapy. A total of 18 cases (11.6%) were surgically treated. Of 155 cases, 91 cases were cured or improved, while 31 cases were unchanged, 6 cases deteriorated and 6 cases died. The prognosis of 21 cases was unknown. The number of cases whose daily activities were limited was 25 (16.1%).