TY - JOUR T1 - The influence of deprivation on asthma control: findings from the WATCH study JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2019.PA5069 VL - 54 IS - suppl 63 SP - PA5069 AU - Matt Harvey AU - Adnan Azim AU - Colin Newell AU - Kerry Gove AU - Deborah Knight AU - Karen Long AU - Han Michael Hitachi AU - Ramesh Kurukulaaratchy Y1 - 2019/09/28 UR - http://erj.ersjournals.com/content/54/suppl_63/PA5069.abstract N2 - Background: The UHSFT (Southampton, UK) Adult Regional Difficult Asthma Clinic receives referrals from a wide region. The majority of these patients come from the Wessex area, which is heterogeneous in terms of geography, urbanisation and deprivation. Deprivation has previously been linked to poor asthma outcomes, particularly in children and young adults.Aim: To assess the relationship between deprivation and disease characteristics and outcomes in patients in the WATCH cohort of Difficult Asthma, particularly in the under 40 age group.Methods: Patients were assigned to “most deprived”, “mid deprived” and “least deprived” according to the IMD (Index of Multiple Deprivation 2015) Rank of their home postcode. K Wallis and X2 statistical analyses were used to look for differences in clinical parameters between groups.Results: Patients from the most deprived tertiles were younger (p<0.05), had a higher BMI (p<0.001) and fewer never smokers (p<0.005). These patients also had lower FeNO (p<0.05) but higher ACQ6 scores (<0.005). When considering patients aged 18-40 only, we found no significant differences in demographics, ACQ6 or healthcare utilisation (hospitalisations or OCS courses in the past 12 months).Conclusions: Patients from the WATCH cohort are representative of a wide spectrum of deprivation. It is recognised that there are complex relationships between social economic status/deprivation and asthma outcomes. However, in contrast to previous studies, we find little influence of deprivation on asthma outcomes. This may reflect the fact that our cohort recruits exclusively from a regional asthma clinic, where patients are already under specialist care.FootnotesCite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA5069.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). ER -