{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T02:41:39Z","timestamp":1767840099899,"version":"3.49.0"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,3,24]],"date-time":"2018-03-24T00:00:00Z","timestamp":1521849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To review the work\u2010up and inpatient management of non\u2010cystic fibrosis bronchiectasis exacerbations against best practice guidelines in the Kimberley, a remote region of Western Australia, with the ultimate goal of improving treatment in the region.<jats:sup>^<\/jats:sup><\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study and audit of remote adult bronchiectasis hospital admissions between 2011 and 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Remote hospital inpatients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Thirty\u2010two patients and 110 hospital admissions were included. Patients were \u226515\u00a0years old, had computed tomography confirmed bronchiectasis and at least one hospital admission for acute respiratory illness prior to January 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcomes measured<\/jats:title><jats:p>The 5\u2010year mortality and compliance to a Lung Foundation position statement on non\u2010cystic fibrosis bronchiectasis which suggests investigating for an underlying cause at diagnosis and during exacerbations prolonged antibiotics (10\u201314\u00a0days) and prolonged hospital admissions (\u22657\u00a0days) are required.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall 5\u2010year mortality was 21.8%, with the median age at death of 37\u00a0years (<jats:styled-content style=\"fixed-case\">interquartile range<\/jats:styled-content>, 27\u201363). The median duration of hospital admission was shorter than the recommended 3\u00a0days (<jats:styled-content style=\"fixed-case\">interquartile range<\/jats:styled-content>, 2\u20135) with 11 of 100 (11%) patients admitted for \u22657\u00a0days. The median duration of antibiotics was also shorter than the recommended 7\u00a0days (<jats:styled-content style=\"fixed-case\">interquartile range<\/jats:styled-content>, 4\u201310), with 31 of the 98 (32%) patients prescribed \u226510\u00a0days and 6 of the 98 (6%) prescribed \u226514\u00a0days of therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We found under\u2010treatment and under\u2010investigation of non\u2010cystic fibrosis bronchiectasis in the Kimberley region. Five\u2010year mortality was high, consistent with other rural Australian Indigenous cohorts.<jats:sup>\u00a7<\/jats:sup> Following this audit, a strategy to improve awareness, as well as update and promote regional guidelines has been developed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12411","type":"journal-article","created":{"date-parts":[[2018,3,24]],"date-time":"2018-03-24T23:39:19Z","timestamp":1521934759000},"page":"238-244","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Bronchiectasis in the Kimberley region of Western Australia"],"prefix":"10.1111","volume":"26","author":[{"given":"Justin","family":"Barton","sequence":"first","affiliation":[{"name":"Western Australian Country Health Service Physician Service Kimberley Region Broome Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lydia","family":"Scott","sequence":"additional","affiliation":[{"name":"Western Australian Country Health Service Physician Service Kimberley Region Broome Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graeme","family":"Maguire","sequence":"additional","affiliation":[{"name":"Baker Heart and Diabetes Institute Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,3,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.10289"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.10686"},{"key":"e_1_2_9_4_1","unstructured":"BlackallS WoodsC EinsiedelL KingP MaguireGP.Non\u2010cystic fibrosis bronchiectasis. 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