P101 Paediatric bronchiectasis – Disparity in care? A retrospective cohort study of children and young people (CYP) with bronchiectasis in a regional centre

• DOI: 10.1136/thorax-2024-btsabstracts.262
• Publication Date: 2024-11-04T09:40:54Z
• Authors: T Telford; H Smith; J Prashant Andharia; R Sharma; P Nagakumar; P Kenia; C Hine

<h3>Background</h3> Non-cystic fibrosis (CF) bronchiectasis is an under-served, under-researched disease with significant morbidity and poor quality-of-life in affected children young people (CYP), (Chang:ERJ:2021). Ethnicity socio-economic disparities contribute to adverse health outcomes (Spencer:BMJ Open:2015). <h3>Aims</h3> This study aims describe the clinical characteristics of a cohort CYP varying ethnic deprivation backgrounds managed at regional multidisciplinary paediatric service UK. <h3>Methods</h3> computerised tomography (CT)-confirmed were included analysis. Data collected from digital records demographic details, anthropometry, spirometry, airway microbiology treatment exacerbations previous year. The index multiple (IMD) score was calculated using patient's registered postcode. IMD scores 1–5 classed as 'more deprived' 6–10 'less deprived'. Analysis carried out T-tests chi-square tests. <h3>Results</h3> We identified 102 CT-confirmed diagnosis bronchiectasis. Median age 12.5 years (IQR 10–14 years); 59 (57.8%) male. Sixty-six (64.7%) patients self-identified White, while 36 (35.3%) Black, Asian other Minority Ethnicities (BAME). BAME background had significantly higher (p&lt;0.001). established for 98/102 (96%) 66 (67.3%) classified 32 (32.7%) Among patients, 33 (50%) compared 2 (6.3%) cohort. Thirty-three least one bacterial pathogen isolated 39 (59.1%) needing course oral antibiotics past year 20 (30.3%) requiring intravenous any time. No difference found based on ethnicity or (table 1). <h3>Conclusion</h3> cross-sectional analysis shows that non-CF are unaffected by deprivation. specialist care provided these may have reduced inequalities our Larger longitudinal studies needed prevalence, guide future practice. <h3>References</h3> Chang, <i>et al.</i> DOI: 10.1183/13993003.02990-2020. Spencer NJ, 10.1136/bmjopen-2014-007062.