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Risks of poor asthma outcome in 14,405 children and young people in London
This is a 12-month retrospective data analysis (2018/19) of asthma risk factors in 350 North West London general practices. Fourteen thousand four hundred and five of the 482,029 (40% female) children and young people (CYP) had diagnosed asthma. Exacerbations are as follows: (i) 749 (5%) CYP had 797...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Nature Publishing Group UK
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846552/ https://www.ncbi.nlm.nih.gov/pubmed/33514720 http://dx.doi.org/10.1038/s41533-020-00215-7 |
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author | Levy, Mark L. |
author_facet | Levy, Mark L. |
author_sort | Levy, Mark L. |
collection | PubMed |
description | This is a 12-month retrospective data analysis (2018/19) of asthma risk factors in 350 North West London general practices. Fourteen thousand four hundred and five of the 482,029 (40% female) children and young people (CYP) had diagnosed asthma. Exacerbations are as follows: (i) 749 (5%) CYP had 797 hospital admissions; 32 (<1%) had 2–6; (ii) 910 (6%) had 1168 recorded asthma attacks; 170 (1%) had 2–12; (iii) 1485 (10%) had 2123 oral corticosteroid courses; 408 (3%) had 2–11. Excess short-acting bronchodilators were prescribed in over half of the CYP. Of the 10,077 (70%) CYP prescribed inhaled corticosteroid preventers, 7279 (72%) were issued with <4 ICS inhaler prescriptions during the year; these CYP accounted for 11% of the admission spells. In all, 30% of CYP had poor symptom control. At least 10% of the CYP having had recent attacks are at risk and dashboards such as those available in North West London could easily facilitate recognition of risk and optimisation of care. |
format | Online Article Text |
id | pubmed-7846552 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-78465522021-02-11 Risks of poor asthma outcome in 14,405 children and young people in London Levy, Mark L. NPJ Prim Care Respir Med Article This is a 12-month retrospective data analysis (2018/19) of asthma risk factors in 350 North West London general practices. Fourteen thousand four hundred and five of the 482,029 (40% female) children and young people (CYP) had diagnosed asthma. Exacerbations are as follows: (i) 749 (5%) CYP had 797 hospital admissions; 32 (<1%) had 2–6; (ii) 910 (6%) had 1168 recorded asthma attacks; 170 (1%) had 2–12; (iii) 1485 (10%) had 2123 oral corticosteroid courses; 408 (3%) had 2–11. Excess short-acting bronchodilators were prescribed in over half of the CYP. Of the 10,077 (70%) CYP prescribed inhaled corticosteroid preventers, 7279 (72%) were issued with <4 ICS inhaler prescriptions during the year; these CYP accounted for 11% of the admission spells. In all, 30% of CYP had poor symptom control. At least 10% of the CYP having had recent attacks are at risk and dashboards such as those available in North West London could easily facilitate recognition of risk and optimisation of care. Nature Publishing Group UK 2021-01-29 /pmc/articles/PMC7846552/ /pubmed/33514720 http://dx.doi.org/10.1038/s41533-020-00215-7 Text en © The Author(s) 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article Levy, Mark L. Risks of poor asthma outcome in 14,405 children and young people in London |
title | Risks of poor asthma outcome in 14,405 children and young people in London |
title_full | Risks of poor asthma outcome in 14,405 children and young people in London |
title_fullStr | Risks of poor asthma outcome in 14,405 children and young people in London |
title_full_unstemmed | Risks of poor asthma outcome in 14,405 children and young people in London |
title_short | Risks of poor asthma outcome in 14,405 children and young people in London |
title_sort | risks of poor asthma outcome in 14,405 children and young people in london |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846552/ https://www.ncbi.nlm.nih.gov/pubmed/33514720 http://dx.doi.org/10.1038/s41533-020-00215-7 |
work_keys_str_mv | AT levymarkl risksofpoorasthmaoutcomein14405childrenandyoungpeopleinlondon |