PT - JOURNAL ARTICLE AU - Marie Wright AU - Felicity Mehendale AU - Edile Murdoch AU - Patricia Jackson AU - Sheila Javadpour AU - Don Urquhart TI - Early childhood outcomes of Robin sequence in United Kingdom & Ireland according to nature and management of upper airway obstruction AID - 10.1183/13993003.congress-2020.1170 DP - 2020 Sep 07 TA - European Respiratory Journal PG - 1170 VI - 56 IP - suppl 64 4099 - http://erj.ersjournals.com/content/56/suppl_64/1170.short 4100 - http://erj.ersjournals.com/content/56/suppl_64/1170.full SO - Eur Respir J2020 Sep 07; 56 AB - Background: Robin sequence (RS) is a congenital disorder resulting in upper airway obstruction (UAO) of variable severity, with no current consensus about best-practice management. We aimed to identify differences in outcomes of infants with RS according to how UAO was treated.Methods: 13-month surveillance study; a monthly reporting card was distributed to 3500 paediatricians and all cleft teams, with data collection at initial report and at median age 2 years.Results: Of 173 infants with RS, 74% required an airway adjunct (AA); nasopharyngeal airway (NPA) 57%, CPAP 25%, ETT 15%, tracheostomy 12%, multiple AA types 30%. 29% were discharged with NPA for median 5 months. 9 infants had NPA inserted aged >4 weeks (late NPA), including 6 after discharge.Non-isolated RS was more common in infants with tracheostomy (68%) than those discharged with NPA (42%) or no AA (36%). 7 infants died at median 43 days old; 86% required AA, 43% had a tracheostomy, all had non-isolated RS.Infants discharged with NPA had a longer duration of NG feeds than those with no AA (5 months vs 2 months) and were less likely to be orally fed at f/u (84% vs 98%). Less than half with tracheostomy were orally fed at f/u.Developmental delay (DD) was more common with tracheostomy (47%) than discharge with NPA (20%), late NPA (22%) or no AA (27%). DD was least common in isolated RS (15%).Conclusion: UAO requiring AA in RS is common and may be late in onset, with close f/u required post-hospital discharge. RS infants who required tracheostomy had higher mortality, delayed oral feeding and higher DD incidence. This likely reflects a more severe RS phenotype with increased rate of non-isolated RS.FootnotesCite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 1170.This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.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).