Indian Journal of Pediatrics最新文献

Risk Factors Associated with Extrauterine Growth Restriction (EUGR) Among Hospitalised Preterm Neonates <34 Weeks of Gestational Age: A Prospective Cohort Study. 住院<34周胎龄早产儿中与宫外生长受限（EUGR）相关的危险因素：一项前瞻性队列研究

IF 2 4区医学

Indian Journal of Pediatrics Pub Date : 2026-05-08 DOI: 10.1007/s12098-026-06158-0

Sowmya Devaram, Rajesh Balan, Trinity Deepak Francis, Padmasani Venkat Ramanan, Prakash Amboiram, Umamaheswari Balakrishnan

{"title":"Risk Factors Associated with Extrauterine Growth Restriction (EUGR) Among Hospitalised Preterm Neonates <34 Weeks of Gestational Age: A Prospective Cohort Study.","authors":"Sowmya Devaram, Rajesh Balan, Trinity Deepak Francis, Padmasani Venkat Ramanan, Prakash Amboiram, Umamaheswari Balakrishnan","doi":"10.1007/s12098-026-06158-0","DOIUrl":"https://doi.org/10.1007/s12098-026-06158-0","url":null,"abstract":"Objectives: To estimate the incidence of extrauterine growth restriction (EUGR) in neonates born before 34 wk of gestation and identify associated risk factors.Methods: A prospective cohort study was conducted in a Level III neonatal intensive care unit (NICU) from December 2019 to October 2021, including preterm neonates (<34 wk gestation) admitted and survived at least three weeks and crossed birth weight. Neonates with congenital malformations or those transferred before three weeks were excluded. Anthropometric measurements were taken at birth and discharge, and clinical, nutritional, and comorbidity data were analysed. Univariate and multivariate logistic regression identified risk factors for EUGR.Results: Among 152 eligible preterm neonates, the incidence of EUGR was 54.6% (n = 83), with higher rates in extreme preterm (68.9%; n = 20) and very low birth weight (VLBW) infants (75%; n = 63). Lower gestational age, lower birth weight, prolonged total parenteral nutrition (TPN) use, delayed full feeds, and later Kangaroo mother care (KMC) initiation were significantly associated with EUGR. Multivariate analysis identified gestational age {(aOR-14.5 (4.7-45)} and delayed KMC initiation {(aOR-1.3 (1.1-1.5)} as independent predictors of EUGR.Conclusions: EUGR remains a major concern in preterm neonates, particularly in extremely low birth weight infants. Delayed initiation of KMC was identified as a modifiable risk factor. Early initiation of KMC in NICU settings could be prioritized to reduce EUGR incidence.","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

High Risk Follow-Up of NICU Graduates - A Quality Improvement Study at a Tertiary Care Centre. 新生儿重症监护室毕业生的高风险随访——三级护理中心的质量改进研究。

IF 2 4区医学

Indian Journal of Pediatrics Pub Date : 2026-05-05 DOI: 10.1007/s12098-026-06162-4

Hemant Namdeo Patil, Amol Kalyanrao Joshi, Laxmikant Sheshrao Deshmukh, Atul C Londhe, Sumit Jeena

{"title":"High Risk Follow-Up of NICU Graduates - A Quality Improvement Study at a Tertiary Care Centre.","authors":"Hemant Namdeo Patil, Amol Kalyanrao Joshi, Laxmikant Sheshrao Deshmukh, Atul C Londhe, Sumit Jeena","doi":"10.1007/s12098-026-06162-4","DOIUrl":"https://doi.org/10.1007/s12098-026-06162-4","url":null,"abstract":"Objectives: To increase the facility-based follow-up rate of high-risk neonates at the first visit and subsequent visits until 24 mo of age.Methods: This quality improvement study was conducted in a tertiary neonatal intensive care unit between July 2023 and May 2025. Baseline data were collected, and multiple plan-do-study-act cycles were implemented, including structured pre-discharge counseling, voice call reminders, standard operating procedures, and integration with the District Early Intervention Center. Statistical process control charts were used to monitor the monthly follow-up rates at scheduled visits through 12 mo of age.Results: A total of 1083 high-risk infants were discharged during the study (mean 46 per mo). Follow-up attendance improved significantly at the first visit (from 38% to 100%), at 1 mo (from 36% to 79%), 4 mo (from 32% to 62%), 8 mo (from 26% to 48%), and 12 mo (from 24% to 45%). The pre-discharge counseling rate increased from 40% to > 85%. Voice calls successfully reached 79% of families, and video consultations enabled the assessment of 30-40% of missed visits. Staff transitions lead to special cause variations, underscoring the need for systematic training.Conclusions: Multipronged low-cost interventions can achieve substantial and sustained improvements in the follow-up rate of high-risk infants in a resource-limited public hospital setting.","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inherited Metabolic Disorders in India: Progress and Priorities. 印度的遗传性代谢紊乱：进展和优先事项。

IF 2 4区医学

Indian Journal of Pediatrics Pub Date : 2026-05-05 DOI: 10.1007/s12098-026-06161-5

Neerja Gupta, Seema Kapoor

引用次数: 0

When the Eye Peels: An Unusual Harbinger of Kawasaki Disease. 当眼睛脱落：川崎病的不寻常预兆。

IF 2 4区医学

Indian Journal of Pediatrics Pub Date : 2026-05-02 DOI: 10.1007/s12098-026-06150-8

Divyasha Subhadarshini, Saikat Chakrabarty, Prabal Barman

引用次数: 0

Pediatric Nephrology in Clinical Practice. 临床儿科肾脏病学。

IF 2 4区医学

Indian Journal of Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-04-22 DOI: 10.1007/s12098-026-06152-6

Aditi Sinha, Arvind Bagga

引用次数: 0

The Utility of Face2Gene App for Syndrome Recognition in Indian Children with Dysmorphism. Face2Gene应用程序在印度畸形儿童综合征识别中的应用

IF 2 4区医学

Indian Journal of Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-01-28 DOI: 10.1007/s12098-026-05992-6

Mehak Malhotra, Suvarna Magar, Madhavi Shelke, Varsha Vaidya, Sandip Saraf, Ashka Prajapati, Udhaya Kotecha, Pratibha Pawal, Tushar Idhate, Avinash Sangle, Ghansham Magar, Anjali Kale, Gunjan Gandhi, Madhuri Engade, Saeed Siddique, Sachin Khambayate, Karthik Akunuri

{"title":"The Utility of Face2Gene App for Syndrome Recognition in Indian Children with Dysmorphism.","authors":"Mehak Malhotra, Suvarna Magar, Madhavi Shelke, Varsha Vaidya, Sandip Saraf, Ashka Prajapati, Udhaya Kotecha, Pratibha Pawal, Tushar Idhate, Avinash Sangle, Ghansham Magar, Anjali Kale, Gunjan Gandhi, Madhuri Engade, Saeed Siddique, Sachin Khambayate, Karthik Akunuri","doi":"10.1007/s12098-026-05992-6","DOIUrl":"10.1007/s12098-026-05992-6","url":null,"abstract":"Objectives: To determine the accuracy of Face2Gene (F2G) app in the diagnosis of a genetic syndrome as a first correct response, after uploading the image of the patient in the app (top 1 accuracy), first 3 responses (top 3 accuracy), and first 10 responses (top 10 accuracy) out of 30 differential diagnoses given by the app. Also, to determine the accuracy of the app for rare and ultra-rare diagnoses given by the app.Methods: Frontal facial images of individuals with the diagnosis of a genetic syndrome (established clinically or molecularly) were analysed with and without additional clinical features.Results: In this study, a total of 118 children were recruited. Overall, the molecularly confirmed eventual diagnosis appeared in the \"top 10\" suggested syndromes by Face2Gene in 75/118 cases, providing a diagnostic yield of 63.6%. In this study, the top 1 accuracy for correct first diagnosis by the app and clinician's first diagnosis was 45.8% (n = 54). The Mcnemar test was examined for the clinician's accurate diagnosis as compared to top 1, top 3, and top 10 accuracy by the app and the p-value was statistically significant for top 10 accuracy (0.0005) and not for the top 1 and 3 diagnoses. The top 10 accuracy for the app in the rare cases was 21/30 cases (70%), and for ultra-rare cases was 28/64 (43.8%).Conclusions: The Face2Gene app is useful as an assistant to clinicians in the diagnosis of rare and ultra-rare diseases. The top 10 accuracy is better than clinical diagnosis, and the yield is better for the ultra-rare cases and the single gene disease category, too.","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":"467-471"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146062665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Generalised Lymphatic Anomaly in a Child Masquerading as Chronic Osteomyelitis. 伪装成慢性骨髓炎的儿童全身性淋巴异常。

IF 2 4区医学

Indian Journal of Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-03-17 DOI: 10.1007/s12098-026-06087-y

Aarosh Dhamija, L M Supraja, Stuti Chandola, Pavneet Kaur, Narendra K Bagri, Manisha Jana

引用次数: 0

Traditional Blowpipe (Phukne) Use as a Risk Factor for Pediatric Inhalation Injury in the Himalayas. 传统吹管（Phukne）使用是喜马拉雅地区儿童吸入性损伤的危险因素。

IF 2 4区医学

Indian Journal of Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-03-12 DOI: 10.1007/s12098-026-06069-0

Smriti Saryan, Raman Sharma, P Sriram, Aditi Singh Thakur, Naveen Kumar Bhardwaj

引用次数: 0

Comparison of Lidocaine Spray, Buzzy^® Device with Conventional Technique to Reduce Pain of IV Cannulation in Pediatric Patients: A Randomised Controlled Trial. 利多卡因喷雾、Buzzy®装置与传统技术减少儿科患者静脉插管疼痛的比较：一项随机对照试验。

IF 2 4区医学

Indian Journal of Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-03-26 DOI: 10.1007/s12098-026-06096-x

Nehal C Singh, Shilpa Goyal, Ankur Sharma, Nikhil Kothari, Narendra Kaloria, Pradeep Bhatia

引用次数: 0

Sleep Behaviors and the Shape of Subcortical Brain Structures in Children with Overweight/Obesity: A Cross-Sectional Study - Authors' Reply-2. 超重/肥胖儿童的睡眠行为和皮质下脑结构的形状：一项横断面研究-作者回复2。

IF 2 4区医学

Indian Journal of Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-03-19 DOI: 10.1007/s12098-026-06072-5

Cristina Cadenas-Sanchez, Francisco B Ortega

引用次数: 0