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Asthma and allergy in children: evaluating outcomes across ethnicity and socioeconomic status

Key points

  • A review of over 300 patient notes compared asthma and allergy outcomes and A&E attendances with ethnicity and socioeconomic status.
  • Certain ethnic groups were more likely to have more severe asthma on an asthma severity scale and more likely to come into A&E.
  • Next steps are to look at barriers to accessing asthma and allergy clinics and at parents and carers experiences.

Jordan Nicolle, paediatric nurse at Brighton and Sussex Medical School, provides insights into a service evaluation project focused on asthma and allergy in children and young people. The discussion highlights findings from a retrospective review of over 300 patient notes, examining clinical outcomes and A&E attendances in relation to ethnicity and socioeconomic status. The evaluation found that certain ethnic groups were more likely to have more severe asthma, as measured by an asthma severity scale, and were also more likely to present to A&E. Jordan Nicolle emphasizes the importance of understanding these differences and outlines the next steps, which include exploring barriers to accessing asthma and allergy clinics and investigating the experiences of parents and carers. This interview took place at the RCPCH conference 2025 in Glasgow, Scotland.

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Automatic transcript, lightly edited for readability. It may contain errors, so check it against the video before quoting.

I'm looking at asthma and allergy in children and young people. I did a retrospective service evaluation and looked at over 300 patient notes and looked at clinical outcomes and A&E attendances and compared that to ethnicity and socioeconomic status based on the postcode the child lived in.

And we found that there were differences in clinical outcomes. We found that certain ethnic groups were more likely to have more severe asthma based on an asthma severity scale. And we also found that they were more likely to come into A&E.

So it's only the start of my project. The next steps will be looking at what barriers there are to children accessing asthma allergy clinics and parents and carers' experiences of looking after a child with asthma allergy.

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Cite this video

Jordan Nicolle. “Asthma and allergy in children: evaluating outcomes across ethnicity and socioeconomic status.” The Paediatric Video Journal, 22 June 2025. https://paediatricvj.com/videos/asthma-and-allergy-in-children-evaluating-outcomes-across-nicolle/

This interview is educational content intended for healthcare professionals and is not medical advice. Views expressed are those of the speaker. © The Paediatric Video Journal. All rights reserved.