Maintenance of Asthma Control in Adolescents with Severe Asthma After Transitioning to a Specialist Adult Centre: A French Cohort Experience

Maintenance of Asthma Control in Adolescents with Severe Asthma After Transitioning to a Specialist Adult Centre: A French Cohort Experience

The prevalence of severe asthma in adolescents is estimated at 6.7%. Transition to adult health services is a vulnerable period for adolescents where there is a risk of poor treatment adherence and loss to follow-up. This retrospective study evaluated the maintenance of asthma control in young sever...

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Bibliographic Details
Published in:Journal of asthma and allergy Vol. 15; pp. 327 - 340
Main Authors: Dufrois, Caroline, Bourgoin-Heck, Mélisande, Lambert, Nathalie, Just, Jocelyne, Bregeon, Aurore, Taillé, Camille, Wanin, Stéphanie
Format: Journal Article
Language:English
Published: New Zealand Dove Medical Press Limited 01-01-2022
Dove
Dove Medical Press
Subjects:
adolescents
Adults
Asthma
asthma control
Care and treatment
Medical law
Original Research
Patient compliance
Pediatrics
pulmonology
severe asthma
Teenagers
transition
Youth
France
severe asthma
asthma control
pulmonology
adolescents
transition
adults
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Summary:The prevalence of severe asthma in adolescents is estimated at 6.7%. Transition to adult health services is a vulnerable period for adolescents where there is a risk of poor treatment adherence and loss to follow-up. This retrospective study evaluated the maintenance of asthma control in young severe asthmatics, 6 months and 1 year after transition to a specialist adult centre. Patients with severe asthma treated in a paediatric pulmonology centre in the Île-de-France and referred at least 6 months previously to an adult service were included. Asthma control was evaluated by measuring the ACT score and respiratory function. Patients were asked to answer an on-line questionnaire about their experiences during transition. Fifty-four adolescents with severe asthma underwent transition to the adult service between 2014 and 2021. Thirteen patients (25%) were lost to follow-up after an average of 22.4 months of follow-up. Three-quarters (73%) of patients had well controlled asthma with an ACT score ≥20 during transition and the majority were able to maintain good control and respiratory function (>60% FEV >80%) during follow-up in adult pulmonology. Among the patients that answered the questionnaire, 64.8% were satisfied with the transition process. Asthma control and respiratory function were maintained 6 months and 1 year after transition to the adult centre in the majority of patients. Most patients were satisfied with the transition process, but several improvements can be proposed, including early discussion of the medical plan and the implementation of procedures to reduce loss to follow-up.
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ISSN:1178-6965
1178-6965
DOI:10.2147/JAA.S348369