P208 Clinical audit: are doctors treating asthma appropriately?

Background Asthma is still causing significant morbidity and mortality worldwide, only minimal improvement has been seen in the key outcomes over the last decade despite increasing treatment costs. Ireland has one of the highest rates of asthma in the world. Current estimates suggest that the prevalence of doctor-diagnosed asthma in children in Ireland is 21.5%. Physician’s role in asthma management and care is imperative, proper control of the disease depends on the doctor’s ability and experience in recognizing symptoms and defining the severity level as recommended by international guidelines. Objectives To look at the demographic characteristics of children admitted due to asthma in St Luke’s General hospital. To assess whether acute asthma management of children in St Luke’s General hospital was in line with the hospital guidelines. To evaluate whether the patients’ asthma had been appropriately classified according to the guidelines. To assess whether the patients were appropriately treated according to their classification. To suggest areas that require improvement in the management of acute asthma in St Luke’s hospital. Guidelines The management of acute asthma in St Luke’s General hospital is guided by the BTS/SIGN guidelines. Methods This was a retrospective review. Children admitted due to acute asthma to St Luke’s Hospital were identified from the HIPE department. Over the time period Jan 2018 to Dec 2018 (n=44). Charts were retrieved and reviewed Results and Discussion Pending References Reasons for inadequate asthma control in children: an important contribution from the ‘French 6 Cities Study’ Giuliana Ferrante and Stefania La Grutta, Multidisciplinary Respiratory Medicine20127:23, https://doi.org/10.1186/2049-6958-7-23, © Ferrante and La Grutta; licensee BioMed Central Ltd. 2012 What is New in the Management of Childhood Asthma? Gupta, A., Bhat, G. & Pianosi, P. Indian J Pediatr (2018) 85: 773. https://doi.org/10.1007/s12098-018-2705-1 Respiratory Health of the Nation 2018, Irish thoracic society