Risks of poor asthma outcome in 14,405 children and young people in London

Abstract This is a 12-month retrospective data analysis (2018/19) of asthma risk factors in 350 North West London general practices. Fourteen thousand four hundred and five of the 482,029 (40% female) children and young people (CYP) had diagnosed asthma. Exacerbations are as follows: (i) 749 (5%) CY...

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Autor principal:	Mark L. Levy
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/33301883530345f38c0dd29009b83f3b
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spelling	oai:doaj.org-article:33301883530345f38c0dd29009b83f3b2021-12-02T10:48:02ZRisks of poor asthma outcome in 14,405 children and young people in London10.1038/s41533-020-00215-72055-1010https://doaj.org/article/33301883530345f38c0dd29009b83f3b2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41533-020-00215-7https://doaj.org/toc/2055-1010Abstract This is a 12-month retrospective data analysis (2018/19) of asthma risk factors in 350 North West London general practices. Fourteen thousand four hundred and five of the 482,029 (40% female) children and young people (CYP) had diagnosed asthma. Exacerbations are as follows: (i) 749 (5%) CYP had 797 hospital admissions; 32 (<1%) had 2–6; (ii) 910 (6%) had 1168 recorded asthma attacks; 170 (1%) had 2–12; (iii) 1485 (10%) had 2123 oral corticosteroid courses; 408 (3%) had 2–11. Excess short-acting bronchodilators were prescribed in over half of the CYP. Of the 10,077 (70%) CYP prescribed inhaled corticosteroid preventers, 7279 (72%) were issued with <4 ICS inhaler prescriptions during the year; these CYP accounted for 11% of the admission spells. In all, 30% of CYP had poor symptom control. At least 10% of the CYP having had recent attacks are at risk and dashboards such as those available in North West London could easily facilitate recognition of risk and optimisation of care.Mark L. LevyNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Mark L. Levy Risks of poor asthma outcome in 14,405 children and young people in London
description	Abstract This is a 12-month retrospective data analysis (2018/19) of asthma risk factors in 350 North West London general practices. Fourteen thousand four hundred and five of the 482,029 (40% female) children and young people (CYP) had diagnosed asthma. Exacerbations are as follows: (i) 749 (5%) CYP had 797 hospital admissions; 32 (<1%) had 2–6; (ii) 910 (6%) had 1168 recorded asthma attacks; 170 (1%) had 2–12; (iii) 1485 (10%) had 2123 oral corticosteroid courses; 408 (3%) had 2–11. Excess short-acting bronchodilators were prescribed in over half of the CYP. Of the 10,077 (70%) CYP prescribed inhaled corticosteroid preventers, 7279 (72%) were issued with <4 ICS inhaler prescriptions during the year; these CYP accounted for 11% of the admission spells. In all, 30% of CYP had poor symptom control. At least 10% of the CYP having had recent attacks are at risk and dashboards such as those available in North West London could easily facilitate recognition of risk and optimisation of care.
format	article
author	Mark L. Levy
author_facet	Mark L. Levy
author_sort	Mark L. Levy
title	Risks of poor asthma outcome in 14,405 children and young people in London
title_short	Risks of poor asthma outcome in 14,405 children and young people in London
title_full	Risks of poor asthma outcome in 14,405 children and young people in London
title_fullStr	Risks of poor asthma outcome in 14,405 children and young people in London
title_full_unstemmed	Risks of poor asthma outcome in 14,405 children and young people in London
title_sort	risks of poor asthma outcome in 14,405 children and young people in london
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/33301883530345f38c0dd29009b83f3b
work_keys_str_mv	AT markllevy risksofpoorasthmaoutcomein14405childrenandyoungpeopleinlondon
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Risks of poor asthma outcome in 14,405 children and young people in London

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