Related Experiment Video

Updated: May 9, 2026

A Method of Trigonometric Modelling of Seasonal Variation Demonstrated with Multiple Sclerosis Relapse Data
10:46

A Method of Trigonometric Modelling of Seasonal Variation Demonstrated with Multiple Sclerosis Relapse Data

Published on: December 9, 2015

10.9K

Marked Variation in Paediatric Problematic Severe Asthma Services Across Australia and New Zealand

Ajay Kevat1,2, Samuel Dalton3, Bernadette Goddard4

  • 1Department of Respiratory and Sleep Medicine, Queensland Children's Hospital, Brisbane, Australia.

Journal of Paediatrics and Child Health
|September 22, 2025
PubMed

Insights

Children with severe asthma in Australia and New Zealand face inconsistent care due to varied services. Most centers lack multidisciplinary teams (MDTs), impacting management and transition to adult care.

Area of Science:

  • Pediatric Respiratory Medicine
  • Severe Asthma Management
  • Healthcare Service Delivery

Background:

  • Severe asthma affects over 10% of children in Australia and New Zealand (NZ), posing significant management challenges.
  • A subset of these children (up to 5%) have problematic severe asthma (PSA), requiring specialized care.

Purpose of the Study:

  • To survey tertiary pediatric respiratory services across Australia and NZ.
  • To assess the prevalence of children with problematic severe asthma (PSA).
  • To evaluate the availability of biologic therapies, multidisciplinary team (MDT) services, investigations, and transition care processes.

Main Methods:

  • A cross-sectional observational study utilizing a custom-designed online survey.
  • The survey was distributed to Directors of 14 public pediatric respiratory services across Australia and NZ.
  • Data collection occurred over three months with regular email reminders.

Main Results:

  • All 14 sites responded to the survey.
  • An estimated 561 children with PSA were seen across 12 sites, with 53 receiving biologic treatment.
  • Most sites (8/14) lacked MDT approaches, managing patients in general or asthma clinics. Only 4/14 sites had established transition-to-adult care processes.

Conclusions:

  • Significant heterogeneity exists in service availability and PSA management across tertiary centers in Australia and NZ.
  • The lack of MDT models of care in most centers deviates from international best-practice standards for PSA management.
  • Children with PSA may experience variable quality of care depending on their geographic location.
Abstract

Keywords:
AustraliaNew Zealandasthmachild

More Related Videos

Collection, Expansion, and Differentiation of Primary Human Nasal Epithelial Cell Models for Quantification of Cilia Beat Frequency11:13

Collection, Expansion, and Differentiation of Primary Human Nasal Epithelial Cell Models for Quantification of Cilia Beat Frequency

Published on: November 10, 2021

4.7K
Author Spotlight: Assessing the Feasibility of Using Amplitude-Integrated EEG During Neonatal Transport05:15

Author Spotlight: Assessing the Feasibility of Using Amplitude-Integrated EEG During Neonatal Transport

Published on: June 21, 2024

1.2K

Related Concept Videos

Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
Asthma I: Introduction01:28

Asthma I: Introduction

Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...