A continuously ascertained, record level dataset of paediatric patients aged 1-18 years admitted to hospital in England, Wales and Scotland  since June 2019 with an asthma attack.

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https://www.hqip.org.uk/a-z-of-nca/national-asthma-and-copd-audit-programme-nacap/

A continuously ascertained, record level dataset of paediatric patients aged 1-18 years admitted to hospital in England, Wales and Scotland since June 2019 with an asthma attack.

HDR UK

Data has been provided by the Healthcare Quality Improvement Partnership from the National Asthma and COPD Audit Programme

Arrival Date

Data fields for children and young people asthma clinical audit dataset - Hospital/site data collection

Children and young people asthma: Clinical audit dataset

Arrival Time

Did the patient arrive by ambulance? (Options: Yes – from the community, Yes – transferred from another
hospital, No, Not recorded)

Arrive by Ambulance

NHS/CHI number

Date of Birth

Patient gender (Options: Male, Female, Transgender, Other, Not recorded)

Gender

Postcode

What was the smoking status of the patient, as documented for the current admission? [Question only applies to patients aged 11 years and over on the date of arrival] (Options: Never smoked, Ex-smoker, Current smoker, Ex-smoker and current vaper, Never smoked and current vaper and Not recorded.)

Smoking

Is the patient regularly exposed to second-hand smoke? (Options: Yes, No, Not recorded)

Smoking exposure

What was the first recorded heart rate for the patient following arrival at hospital?

Heart Rate (BPM)

What was the first recorded respiratory rate for the patient following arrival at hospital?

Respiratory Rate (BPM)

What was the first recorded oxygen saturation (SpO2) measurement for the patient following arrival at hospital? (Option: Number value or Not recorded)

Oxygen Saturation (%)

Was this measurement taken whilst the patient was on supplementary oxygen? (Options: No - room air, Yes, Not recorded)

Supplementary oxygen

What was the first recorded peak flow measurement (PEF) for the patient following arrival at hospital? [Question only applies to those patients aged 6 years and over on the date of arrival] (Options: Numeric value ___L/min (on arrival) or Patient too unwell or Not recorded)

Peak Flow (Post Arrival)

What was the patient’s previous best PEF? [Question only applies to those patients aged 6 years and over on the date of arrival] (Options: Numeric value ___L/min  or Not recorded)

Previous Best Peak Flow

If previous best PEF = ‘Not recorded’ please give predicted PEF: [Question only applies to those patients aged 6 years and over on the date of arrival] (Options: Numeric value ___L/min  or Not recorded)

Predicted Peak Flow

Was the patient reviewed by a member of the MDT trained in asthma care during their admission?

MDT/Specialist Review

Was the patient administered systemic steroids prior to their arrival at hospital for this asthma attack? (Options: Yes, No, Not recorded)

Steroids Pre Arrival

Was the patient administered systemic steroids (including oral or IV) following arrival at hospital? (Options: Yes AND date and time values; or Not recorded or Not administered)

Steroids

Was the patient administered β2 agonists prior to their arrival at hospital for this asthma attack? (Options: Yes, No, Not recorded)

Agonists B2 Pre Arrival

Was the patient administered β2 agonists following arrival at hospital?  (Options: Yes AND date and time values; or Not recorded or Not administered)

Agonists B2 On Arrival

Did the patient receive any of the following medications intravenously during their hospital admission? (Options: multiple medications or No)

Intravenous Medications

Was the patient transferred to a critical care setting at any point during their admission? (Options: multiple settings or No)

Critical Care Transfer

Was the patient alive at discharge from your hospital? (Options: Yes or died as inpatient)

Discharge Life Status

Discharge Date

Discharge Time

Was a discharge bundle completed for this admission? (Options: Yes, Parental/carer/self-discharge, Patient transferred to another hospital, No)

Discharge Bundle

Which of the following elements of good practice care were undertaken as part of the patient’s discharge? (Options: Inhaler technique checked, Maintenance medication reviewed, Adherence discussed, PAAP issued/reviewed, Triggers discussed, Tobacco dependency addressed [Should grey out if under 11 years or not Current smoker], Parent/carer tobacco dependency addressed [Should grey out if not exposed to second-hand smoke], Community follow up requested within 2 working days, Paediatric asthma clinic requested within 4 week)

Discharge Elements

Was the patient in receipt of inhaled steroids at discharge? (Options: Yes, No - not medically indicated, No - reason not given, Offered but patient/parent/carer declined)

Inhaled Steroids At Discharge

Had the patient been prescribed more than 2 courses of rescue/emergency oral steroids in the last 12 months for acute attacks of asthma? (Options: Yes, No, Not recorded)

Rescue Oral Steroids > 2

Was the patient referred for hospital assessment/follow up of asthma? (Options: Yes, No - not medically indicated, Not recorded, Patient/parent/carer declined, Already being seen in secondary care clinic)

National Asthma and COPD Audit (NACAP): secondary care – CYP asthma (clinical)

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