P110 Diagnosis and management of ILO and BPD from specialist complex breathlessness clinic service improve patient clinical outcomes

Introduction and Objectives Patients with Inducible laryngeal obstruction (ILO) and Breathing pattern disorder (BPD) can mimic severe asthma. ILO and/or BPD can co-exist in patients with severe asthma. Therefore a multidisciplinary team (MDT) approach from Respiratory Physicians, Respiratory specialist nurses, Speech and Language therapists, Physiotherapists and Psychologists to accurately diagnose and manage these conditions is essential. The MDT optimises the patient outcomes as well as reducing healthcare utilisation and costs of pharmacotherapy. Methods Eighty six patients who attended Bolton complex breathlessness clinic between Apr2017 - July 2019 were involved in this service evaluation. Hospitalisations, Emergency departmental (ED) visits, oral steroid and antibiotic courses 12 months before and after review in the clinic were analysed using paired t-testing with p value Conclusions Accurate diagnosis and appropriate interventions for ILO and BPD undertaken from Specialist Complex breathlessness clinic resulted in significant reduction of hospitalisations, booster courses of oral steroids and antibiotics in our cohort of patients.