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Title: High prevalence of abnormal lung function is seen in children managed for asthma in primary care
Authors: Lo, David
Danvers, Lesley
Harcombe, Nichola
Roland, Damian
Richardson, Matthew
Yang, Yaling
Beardsmore, Caroline
Wilson, Andrew
Gaillard, Erol
First Published: 1-Sep-2017
Presented at: European-Respiratory-Society (ERS) International Congress, Milan, ITALY
Start Date: 9-Sep-2017
End Date: 13-Sep-2017
Publisher: European Respiratory Society: ERJ
Citation: European Respiratory Journal, 2017 50: PA4499;
Abstract: Introduction: Most children treated for asthma in the UK are managed by primary care practice nurses (PN) where paediatric spirometry is not universally available. It is not known what proportion of these children have abnormal lung function, or how spirometry can impact on decision making. Objectives: To investigate a) the proportion of children managed for asthma in primary care with abnormal lung function, and b) the subjective impact spirometry has on PN decision making. Methods: 7 general practices in Leicestershire, UK were trained to perform and interpret paediatric spirometry. Children (5-16yrs) who were a) diagnosed with asthma or b) undiagnosed but prescribed asthma medications in the past year (possible asthma) were invited for review. Spirometry was attempted in all children. The PN used this data to inform their assessment. After each review, PN were asked if their management would have differed if no spirometry was available. Results: Useable data was obtained in 210/225 (93%) children (table). 16% of reportedly well controlled asthmatics had abnormal lung function. PN reported that availability of spirometry altered their clinical management in 22% of children. Conclusion: Overall, 28% of our cohort had abnormal lung function. Obstructed spirometry was seen in both diagnosed and undiagnosed children in similar proportions. Spirometry altered clinical management in over one fifth of cases. This study supports the usefulness of paediatric spirometry in primary care.
DOI Link: 10.1183/1393003.congress-2017.PA4499
ISSN: 0903-1936
eISSN: 1399-3003
Version: Post-print
Status: Peer-reviewed
Type: Conference Paper
Rights: Copyright © 2017, European Respiratory Society: ERJ. Deposited with reference to the publisher’s open access archiving policy. (
Description: Abstract only
Appears in Collections:Conference Papers & Presentations, Dept. of Health Sciences

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