| Title: |
7861 Understanding demographic variations in a paediatric asthma, allergy, eczema clinics at a tertiary children’s hospital: a service evaluation |
| Authors: |
Jordan Nicolle; Somnath Mukhopadhyay; Varadarajan Kalidasan; Elaney Youssef |
| Publication Year: |
2025 |
| Collection: |
University of Sussex (US): Figshare |
| Subject Terms: |
Health sciences; Health services and systems; Human society; 4203 Health Services and Systems; 42 Health Sciences; 44 Human Society; Lung; Health Services; Clinical Research; Eczema / Atopic Dermatitis; Asthma; Respiratory |
| Description: |
Why did you do this work? Asthma is prevalent among children and young people in the UK. Many have poorly controlled asthma, reducing quality of life and increasing service demands. Attributes such as ethnicity or deprivation may influence clinical outcomes. Improving understanding of outcomes of marginalised groups could improve the evidence base to inform practice, decreasing health disparities. The objective of this work was to evaluate NHS electronic medical records (EMR) to understand demographic variations among patients attending children’s clinics managing asthma, allergy and eczema in the context of service engagement and common clinical outcomes. What did you do? The study was approved by the local Trust NHS Audit and Risk Committee. EMR from October 2023-January 2024 from three paediatric clinics (clinics for allergy/asthma, respiratory/allergy, and the asthma nurse-led clinic) were retrospectively reviewed. Demographic information and clinical outcomes (including medications and clinic appointments) were documented. Postcode data were used to calculate indices of deprivation scores. National Institute for Health and Care Excellence (NICE) and British Thoracic Society Guidelines was used to ascertain level of asthma medicine use. What did you find? EMR for 355 patients were reviewed. Comparisons between ethnic groups, and between the socioeconomic status of patients were performed. 270(76%) patients reported white ethnicity, 46 (17.8%) patients reported minority ethnicity, and 29 (6.2%) did not have their ethnicity stated. Number of clinic appointments in the previous 12 months ranged from 1–11 (mean 2.34; median 2). There were no differences based on ethnicity or deprivation score. Children had 0–8 attendances (mean 0.7; median 0) to the Emergency Department (ED) over this period. Patients from white backgrounds and Asian backgrounds had a trend towards fewer ED attendances (range 0–8; mean 0.68; median 0 and range 0–2; mean 0.72; median 0 respectively) compared to children from other ethnic groups. ... |
| Document Type: |
conference object |
| Language: |
unknown |
| Relation: |
10779/uos.30407365.v1; https://figshare.com/articles/conference_contribution/7861_Understanding_demographic_variations_in_a_paediatric_asthma_allergy_eczema_clinics_at_a_tertiary_children_s_hospital_a_service_evaluation/30407365 |
| Availability: |
https://figshare.com/articles/conference_contribution/7861_Understanding_demographic_variations_in_a_paediatric_asthma_allergy_eczema_clinics_at_a_tertiary_children_s_hospital_a_service_evaluation/30407365 |
| Rights: |
All Rights Reserved |
| Accession Number: |
edsbas.BDF7CDFD |
| Database: |
BASE |