P122 An evaluation of the transition service between paediatric and adult regional severe asthma care in Leeds
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Abstract:
Introduction
Over one million children have asthma in the UK and a recognised need for support transitioning into adult services. Poor transition with uncoordinated processes risks disengagement from services, and poorer health outcomes. Transition processes are embedded for children with diabetes and transplantation, but less established for severe asthma. We aim to explore the patient experience of transition for young people with severe asthma and evaluate the impact of a transition service in reducing emergency department (ED) presentations with asthma.Methods
A questionnaire containing Likert scale and free text questions was developed based on the 'ready, steady, go'1 programme. This was given to patients aged 14–15 years attending asthma transition clinic. ED records for the years 2016–2018 were reviewed to identify patients aged 16–19 that presented with asthma symptoms. These data were cross-referenced with the registry of patients known to the transition service and demographic data was analysed.Results
9 patients completed questionnaires, with two thirds of respondents reporting confidence about the transition process. All respondents reported good knowledge of their condition and treatment. Key themes that emerged were concerns about potential limits asthma may place upon their future achievements and a desire for understanding of management of their asthma during the transition process. During the years analysed for ED attendances, none (0%) of the 17 children who underwent transition through the service presented to the emergency department with asthma. During that time, 131 young people (mean (SD) age 17.5 (0.7) years, 56% female) presented to the emergency department with asthma who were not known to the transition service.Conclusion
The transition service for young people with severe asthma is successful in preventing emergency department attendances with asthma symptoms. We have identified a need to expand the transition service to young people not already known to the regional severe asthma service.Reference
Nagra A, McGinnity PM, Davis N, et al. 2015. Implementing transition: ready steady go. Arch Dis Child Educ Pract Ed 2015;0:1–8.Keywords:
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