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  • Retrospective cohort observational study to assess the impact of as-required versus regular weaning inhaled salbutamol postattack wheeze plan in paediatric acute wheeze

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Retrospective cohort observational study to assess the impact of as-required versus regular weaning inhaled salbutamol postattack wheeze plan in paediatric acute wheeze
  1. Dylan Whitaker1,
  2. Kah Wee Teo2,3,
  3. Karena Fraser4
  1. 1Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambs, UK
  2. 2Children’s Respiratory Department, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  3. 3Paediatric Respiratory Medicine, Royal Brompton and Harefield Hospitals, London, UK
  4. 4Paediatrics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  1. Correspondence to Dr Kah Wee Teo; kahwee.teo{at}nhs.net

https://doi.org/10.1136/archdischild-2024-328152

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    We have read the article titled ‘Emergency department discharge practices for children with acute wheeze and asthma: a survey of discharge practice and review of safety netting instructions in the UK and Ireland’1 by the Paediatric Emergency Research in the UK and Ireland (PERUKI) group with interest, and we would like to contribute our exploratory work with regards to bronchodilator regime postdischarge.

    At Cambridge University Hospitals, we carried out a service evaluation project to monitor the clinical outcomes of patients presenting to the paediatric emergency department (PED) with asthma or wheeze, after a change of practice from a regular weaning inhaled salbutamol (RWIS) regime to a patient-led as-required inhaled salbutamol (ARIS) regime.

    On 12 September 2023, the discharge management plan was changed to giving …

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    Footnotes

    • Contributors All authors were involved in study design, approval applications and giving final approval. The following authors were involved in analysis of data, drafting and editing the manuscript: DW and KWT. KF is the guarantor.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.