RT Journal Article SR Electronic T1 Prediction & management of respiratory co-morbidities following congenital tracheoesophageal fistula repair: a multidisciplinary approach JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP PA990 DO 10.1183/13993003.congress-2019.PA990 VO 54 IS suppl 63 A1 Georgina King A1 Jayesh Mahendra Bhatt A1 Marie Bolton A1 Leah Locke A1 Kirsty Croft A1 Sandeep S Motiwale A1 Brian W Davies YR 2019 UL http://erj.ersjournals.com/content/54/suppl_63/PA990.abstract AB Background: Respiratory complications occur in a variable number of children with tracheoesophageal fistula (TOF) and are multifactorial in origin.Objective: A service evaluation was carried out to study the evolution of respiratory morbidity over time; identify any association with oesophageal morbidity; and to develop a score to quantify this.Methods: Retrospective analysis of medical records for patients treated for TOF at Nottingham University Hospitals from 2009-2017. A scoring system was devised to quantify oesophageal and respiratory morbidity respectively.Results: Of 57 patients, 84% of patients experienced respiratory morbidity (n=48).View this table:Conclusions: The presence of oesophageal co-morbidities is associated with symptomatic respiratory co-morbidities. These appear to present prior to respiratory co-morbidities & can be used as a predictor of the onset of respiratory morbidity. Prospective validation of the score should be undertaken.FootnotesCite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA990.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).