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• W2990147146 abstract "Background: A pilot service was established in May 2010, using a band 7 respiratory physiotherapist and a joint clinic to assess and treat children with complex neurodisability within the community. The service was initially evaluated in June 2012 however the service has subsequently developed. Aim: To re-evaluate the effectiveness of a rapid respiratory physiotherapy service in preventing admissions, AE attendances and length of stay in children with complex needs within Liverpool between 1st January 2015 and 31st December 2017. Methods: All children with GMFCS 4 and 5 residents within Liverpool who were known to the respiratory physiotherapists during the study period were included. For each child the number of AE attendances for respiratory illness, the number of hospital admissions for a respiratory illness, the length of stay were recorded. These data were compared to the pre pilot data and the initial service data. Results: In the first study period (SP1)(May 2010 -June 2012) 38 children were included using 3 days of band 7 physiotherapist time. In second study period (SP2)(January 2015- December 2017) 107 children were included using 5 days of band 8A and 4 days of band 7. The AE attendances (average episodes per child per year) for the prepilot, SP1 and SP2 were 4.3, 1.1 and 1.2 respectively. The hospital admissions (average episodes per child per year) for the prepilot, SP1 and SP2 were 3, 0.6 and 0.6. The Length of stay (average per child in days) for the prepilot, SP1 and 2 were 15.1, 7.3 and 4.1. Conclusions: A rapid response respiratory physiotherapy service has continued to reduce AE attendance, hospital admission and length of stay and had a cost saving." @default.
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• W2990147146 date "2019-09-28" @default.
• W2990147146 modified "2023-09-28" @default.
• W2990147146 title "A rapid response community respiratory service for children with complex needs reduces hospital admissions" @default.
• W2990147146 doi "https://doi.org/10.1183/13993003.congress-2019.pa5257" @default.
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