1.Heterogeneity of non-cystic-fibrosis bronchiectasis in multiethnic Singapore: A prospective cohort study at a tertiary pulmonology centre.
Si Ling YOUNG ; Youxin PUAN ; Si Yuan CHEW ; Salahudeen Mohamed HAJA MOHIDEEN ; Pei Yee TIEW ; Gan Liang TAN ; Mariko Siyue KOH ; Ken Cheah Hooi LEE
Annals of the Academy of Medicine, Singapore 2021;50(7):556-565
INTRODUCTION:
Non-cystic fibrosis bronchiectasis (NCFB) is a highly heterogenous disease. We describe the clinical characteristics of NCFB patients and evaluate the performance of Bronchiectasis Severity Index (BSI) in predicting mortality.
METHODS:
Patients attending the bronchiectasis clinic between August 2015 and April 2020 with radiologically proven bronchiectasis on computed tomography were recruited. Clinical characteristics, spirometry, radiology, microbiology and clinical course over a median period of 2.4 years is presented.
RESULTS:
A total of 168 patients were enrolled in this prospective cohort study. They were predominantly women (67.8%), Chinese (87.5%) and never-smokers (76.9%). Median age of diagnosis was 64 years (interquartile range 56-71) and the most common aetiology was "idiopathic" bronchiectasis (44.6%). Thirty-nine percent had normal spirometries. Compared to female patients, there were more smokers among the male patients (53.8% versus 8.5%,
CONCLUSION
The NCFB cohort in Singapore has unique characteristics with sex differences. Over half the patients had a history of haemoptysis. The BSI score is a useful predictor of mortality in our population.
Aged
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Bronchiectasis/epidemiology*
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Cohort Studies
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Female
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Fibrosis
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Humans
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Male
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Middle Aged
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Prospective Studies
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Pulmonary Medicine
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Severity of Illness Index
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Singapore/epidemiology*
2.Effects of Death Preparation Education on Awareness of Hospice Palliative Care and Withdrawing Life Sustaining Treatment in City Dwellers.
Pei Ling TSUNG ; Yoon Joo LEE ; Su Yeon KIM ; Seul Ki KIM ; Si Ae KIM ; Hyeon Ji KIM ; Yi NAM ; Suk Young HAM ; Kyung Ah KANG
Korean Journal of Hospice and Palliative Care 2015;18(3):227-234
PURPOSE: This study was done to analyze how a death preparation education program have the effects on awareness of hospice palliative care and withdrawing life sustaining treatment in older adults. METHODS: This study employed a non-equivalent control group design among quasi-experimental designs. The experimental group was comprised with 35 adults and the control group with 40 adults. The death preparation program consisted of five two-hour sessions and was administered once a week for five straight weeks. Data were analyzed by descriptive statistics, t-test, chi2 test, Fisher's exact test, and ANCOVA using SPSS version 18.0. RESULTS: The mean age of the participants was 66.2 years. A significant difference between the experimental and control groups was observed in withdrawing life sustaining treatment (F=3.380, P=0.040). However, no significant difference was found in awareness of hospice palliative care (F=0.163, P=0.850). CONCLUSION: The study results indicate that death preparation training could positively affect people's awareness of withdrawing life sustaining treatment. More studies should be conducted to explore effects of death preparation education for all ages and help people better understand hospice palliative care.
Adult
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Education*
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Hospices*
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Humans
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Life Support Care
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Palliative Care*