The most common referral to Pediatric Respirology is ‘cough’ and the most common diagnosis is asthma.
Asthma affects up to almost 1 in 5 younger children and almost as many older children. It accounts for the most Pediatric hospital admissions and the most likely reason for parents to miss work. Children’s hospital has inpatient, outpatient clinics in London as well as outreach clinics to Windsor,
Cystic Fibrosis is a more deadly disease and affects 1/3000 children. Since April 2008 the Ontario government has screened all newborns in Ontario. CHWO is the regional center for those positive screens and Dr. April Price interest both clinically and research is CF newborn screening. The clinic has (approximately) 100 patients with transitioned care to the adult program also here in London. The prognosis of CF patients has considerably improved over the last 30 years from an expected life span of 15 years to about 45 years. Children’s hospital is one of the clinics that network across Canada with support both from the CF Foundation as well as LHSC and the Department of Paediatrics’.
Although asthma and CF form the bulk of referred patients, there is expertise in the diagnosis and management of congenital malformations, immune deficiency, aspiration, assisted ventilation as well as those in need of bronchoscopy and supplemental oxygen with close association with the Departments of ENT, Allergy and Immunology, Cardiology, Infectious Disease and Neurology.
Asthma: London, Windsor, Exeter, Goderich
Clinical Management of asthma and CF