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Assessment of current practice of paediatric respiratory and allergy teams in Cambridge University Hospital during the COVID-19 pandemic era and optimisation of the service

Elizabeth Powell, Sarah Nethercott, Alaa Ali, Gemma Wilson, Zaraquiza Zolkipli, Donna Mcshane, Doxa Kotzia
European Respiratory Journal 2021 58: PA3930; DOI: 10.1183/13993003.congress-2021.PA3930
Elizabeth Powell
1Dr, Cambridge, United Kingdom
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  • For correspondence: elizabeth.powell@addenbrookes.nhs.uk
Sarah Nethercott
1Dr, Cambridge, United Kingdom
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Alaa Ali
1Dr, Cambridge, United Kingdom
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Gemma Wilson
1Dr, Cambridge, United Kingdom
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Zaraquiza Zolkipli
1Dr, Cambridge, United Kingdom
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Donna Mcshane
1Dr, Cambridge, United Kingdom
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Doxa Kotzia
1Dr, Cambridge, United Kingdom
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Abstract

Introduction: The paediatric respiratory and allergy teams in Cambridge Hospital see patients with atopic and overlapping conditions, thus increasing travel for patients and hospital footfall. It is a tertiary reference hospital covering East England. Assessment of practice and changes of the service, in view of COVID-19 pandemic.

Method: Retrospective assessment of patients: a) referred between the specialties (1/4/19- 31/3/20), investigations booked (lung function, skin prick testing, specific IgE, peak flow, inhaler and nasal spray technique) and patient flow. b) currently being seen by both teams (1/4/18-31/3/20).

Results: a)13 patients identified; 10 from respiratory to allergy. 62 days delay between referral and review by secondary team. Referral reasons to allergy: food/drug allergy, asthma, allergic rhinitis/conjunctivitis and from respiratory: asthma, cough, wheeze. In 10, there was no overlap in the investigations. 3 patients were discharged after one review. b) 98 patients being seen by respiratory and allergy. Some overlap between investigations in both clinics. 54% attended the A&E, for an allergy or respiratory reason and 36 had subsequent admission. 79% on inhaled corticosteroids, 51% on montelukast, 42% on LABA, 39% on nasal steroids. 69/98 had one appointment with allergy and 77 had 2 or more with respiratory. 2 month wait from referral.

Outcome: Improved communication between the teams, establishment of joint MDT and clinics every 6 months. In the current COVID -19 pandemic, this will improve patient experience/adherence from MDT approach, reduce hospital footprint and increase clinic attendance.

  • Asthma
  • Children
  • Allergy

Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3930.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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Assessment of current practice of paediatric respiratory and allergy teams in Cambridge University Hospital during the COVID-19 pandemic era and optimisation of the service
Elizabeth Powell, Sarah Nethercott, Alaa Ali, Gemma Wilson, Zaraquiza Zolkipli, Donna Mcshane, Doxa Kotzia
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3930; DOI: 10.1183/13993003.congress-2021.PA3930

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Assessment of current practice of paediatric respiratory and allergy teams in Cambridge University Hospital during the COVID-19 pandemic era and optimisation of the service
Elizabeth Powell, Sarah Nethercott, Alaa Ali, Gemma Wilson, Zaraquiza Zolkipli, Donna Mcshane, Doxa Kotzia
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3930; DOI: 10.1183/13993003.congress-2021.PA3930
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