Indicators of pulmonary exacerbation in cystic fibrosis: A Delphi survey of patients and health professionals

Fiona McCourt, Brenda O'Neill, Ian Logan, Janice Abbott, Barry Plant, Evie McCrum-Gardner, Stephanie McKeown, J Stuart Elborn, Judy M. Bradley

Research output: Contribution to journalArticle

7 Citations (Scopus)
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Background: There is uncertainty about the most important indicators of pulmonary exacerbations in CF. Methods: Two parallel Delphi surveys in 13 CF centres (UK and Ireland). Delphi 1: 31 adults with CF, ≥one exacerbation over 12 months. Delphi 2: 38 CF health professionals. Rounds 1 and 2 participants rated their level of agreement with statements relating to indicators of exacerbation; Round 3 participants rated the importance of statements which were subsequently placed in rank order. Results: Objective measurements were of higher importance to health professionals. Feelings of increased debility were rated most important by adults with CF. Conclusions: There were clear differences in perspectives between the two groups as to the most important indicators of an exacerbation. This highlights that CF health professionals should take more cognisance of specific signs and symptoms reported by adults with CF, especially since these may be a precursor to an exacerbation.
Original languageEnglish
Pages (from-to)90 - 96
Number of pages7
JournalJournal of Cystic Fibrosis
Issue number1
Early online date12 Aug 2014
Publication statusPublished - Jan 2015


  • pulmonary
  • exacerbation
  • cystic fibrosis
  • Delphi Technique

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