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Lung function in the aging Swedish cystic fibrosis population.

Dennersten, Ulrika LU ; Lannefors, Louise LU ; Höglund, Peter LU ; Hellberg, Katarina; Johansson, Henrik; Lagerkvist, Anna-Lena; Ortfelt, Malin; Sahlberg, Margareta and Eriksson, Leif LU (2009) In Respiratory Medicine Feb 21.. p.1076-1082
Abstract
Swedish Cystic Fibrosis (CF) care follows international guidelines in general. The only difference in our CF care package since 25 years is the physiotherapy regimen. Airway clearance therapy has since the early 1980s, from the day of diagnosis, been based upon daily physical exercise in conjunction with techniques for transporting and evacuating mucus. Postural Drainage+/-percussion and vibration has not been used in any age. The aim of this study was to evaluate our CF care package. Lung function data from the start of the study and with a 3-year interval were collected in the entire Swedish CF population >/=7 years old. Data were analysed for the age groups 7-17 and >/=18 years of age. Change of lung function over the study period... (More)
Swedish Cystic Fibrosis (CF) care follows international guidelines in general. The only difference in our CF care package since 25 years is the physiotherapy regimen. Airway clearance therapy has since the early 1980s, from the day of diagnosis, been based upon daily physical exercise in conjunction with techniques for transporting and evacuating mucus. Postural Drainage+/-percussion and vibration has not been used in any age. The aim of this study was to evaluate our CF care package. Lung function data from the start of the study and with a 3-year interval were collected in the entire Swedish CF population >/=7 years old. Data were analysed for the age groups 7-17 and >/=18 years of age. Change of lung function over the study period was calculated. The impact of chronic Pseudomonas aeruginosa (Pa) colonisation and basal FEV(1)%p was also evaluated in a linear mixed model. Data from 99% of the country-wide CF population were available at inclusion. Mean FEV(1)%p was 90+/-21 vs 73+/-26 in the different age groups and mean VC%p was 94+/-18 vs 91+/-20. Forty percent of the adult group was >/=30 years old. Overall, 41% were chronically Pa colonised. Mean annual FEV(1)%p rate of decline was 0.77 and 0.64 in the different age groups. Lung function among Swedish CF patients is good and annual rate of decline low, even in an old cohort. The large proportion of adult patients emphasises future demands on CF care. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Respiratory Medicine
volume
Feb 21.
pages
1076 - 1082
publisher
Elsevier
external identifiers
  • WOS:000267771900016
  • PMID:19233629
  • Scopus:67349085754
ISSN
1532-3064
DOI
10.1016/j.rmed.2009.01.020
language
English
LU publication?
yes
id
3b26ed8f-ecc3-483f-a0f7-8fbd25252ab7 (old id 1302328)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19233629?dopt=Abstract
date added to LUP
2009-03-03 13:01:04
date last changed
2016-12-04 04:37:48
@misc{3b26ed8f-ecc3-483f-a0f7-8fbd25252ab7,
  abstract     = {Swedish Cystic Fibrosis (CF) care follows international guidelines in general. The only difference in our CF care package since 25 years is the physiotherapy regimen. Airway clearance therapy has since the early 1980s, from the day of diagnosis, been based upon daily physical exercise in conjunction with techniques for transporting and evacuating mucus. Postural Drainage+/-percussion and vibration has not been used in any age. The aim of this study was to evaluate our CF care package. Lung function data from the start of the study and with a 3-year interval were collected in the entire Swedish CF population >/=7 years old. Data were analysed for the age groups 7-17 and >/=18 years of age. Change of lung function over the study period was calculated. The impact of chronic Pseudomonas aeruginosa (Pa) colonisation and basal FEV(1)%p was also evaluated in a linear mixed model. Data from 99% of the country-wide CF population were available at inclusion. Mean FEV(1)%p was 90+/-21 vs 73+/-26 in the different age groups and mean VC%p was 94+/-18 vs 91+/-20. Forty percent of the adult group was >/=30 years old. Overall, 41% were chronically Pa colonised. Mean annual FEV(1)%p rate of decline was 0.77 and 0.64 in the different age groups. Lung function among Swedish CF patients is good and annual rate of decline low, even in an old cohort. The large proportion of adult patients emphasises future demands on CF care.},
  author       = {Dennersten, Ulrika and Lannefors, Louise and Höglund, Peter and Hellberg, Katarina and Johansson, Henrik and Lagerkvist, Anna-Lena and Ortfelt, Malin and Sahlberg, Margareta and Eriksson, Leif},
  issn         = {1532-3064},
  language     = {eng},
  pages        = {1076--1082},
  publisher    = {ARRAY(0x8261ce8)},
  series       = {Respiratory Medicine},
  title        = {Lung function in the aging Swedish cystic fibrosis population.},
  url          = {http://dx.doi.org/10.1016/j.rmed.2009.01.020},
  volume       = {Feb 21.},
  year         = {2009},
}