RT Journal Article
SR Electronic
T1 Multidisciplinary approach to paediatric Aerodigestive Disorders: A single centre longitudinal observational study
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 3122
DO 10.1183/13993003.congress-2020.3122
VO 56
IS suppl 64
A1 Nitin Kapur
A1 Amol Fuladi
A1 Rahul Thomas
A1 Matthew Wong
A1 Sandra Schilling
A1 Looi Ee
A1 Kelvin Choo
A1 Christopher Bourke
A1 Craig Mcbride
A1 Ian Brent Masters
YR 2020
UL http://erj.ersjournals.com/content/56/suppl_64/3122.abstract
AB Introduction: Aerodigestive clinics (ADC) provide multidisciplinary care to children with complex congenital or acquired conditions affecting breathing, swallowing, and growth. Our objective was to describe the demographic, clinical, etiological & investigational profile of children attending the inaugural ADC in Queensland.Methods: Children referred to the ADC at Queensland Children’s Hospital from August 2018 to December 2019 were included. Data on clinical, growth & lung function parameters, bronchoscopy & endoscopy findings, thoracic imaging, and co-morbidities were retrospectively analysed.Results: 56 children [median(range) age 4 years(3m-15years);18F] attended the ADC over 15 months. 48(86%) children had previous tracheoesophageal fistula with oesophageal atresia, 3(5%) had congenital diaphragmatic hernia, 3(5%) had congenital pulmonary malformation and 1(2%) child had isolated oesophageal atresia. 21(38%) also had a VACTERL/VATER association. Growth was adequate (mean weight & BMI Z score -0.63 & -0.48 respectively). 34(61%) reported ongoing wet cough with 12(21%) requiring previous hospital admission for respiratory tract infection. 14(25%) children had bronchiectasis, 33(59%) had clinical tracheomalacia with 23 confirmed on bronchoscopy. Dysphagia was reported in 15(27%) children with 11(20%) being gastrostomy fed; 5(9%) had biopsy proven eosinophilic oesophagitis. 35(63%) children were on gastric-acid suppressants and 9(16%) on macrolide therapy.Conclusion: This is the first description of a paediatric ADC from the southern hemisphere. Ongoing respiratory morbidity was common. Potential benefits of this model of care need to be studied prospectively.FootnotesCite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 3122.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).