Journal of paediatrics and child health最新文献

{"title":"Delivery-Room Prophylactic Thin-Catheter Surfactant in Extremely Preterm Infants: A Multicentre Pilot Randomised Controlled Trial.","authors":"Joseph K Tauro, David A Osborn, Jennifer Middleton, Haribalakrishna Balasubramanian, Mohamed E Abdel-Latif","doi":"10.1111/jpc.70573","DOIUrl":"https://doi.org/10.1111/jpc.70573","url":null,"abstract":"<p><strong>Aim: </strong>To determine the effectiveness and feasibility of prophylactic thin-catheter surfactant (TC-S) in the delivery room in preventing intubation and mechanical ventilation in the first week after birth in extreme preterm infants.</p><p><strong>Methods: </strong>The Extreme Preterm Infants Non-invasive Surfactant Trial (EPINIST) was a pilot randomised controlled trial conducted from 2018 to 2023. We included infants from 24⁺⁰ to 27⁺⁶ weeks' gestation with valid informed consent obtained before delivery. Infants who were unlikely to survive, had congenital anomalies affecting breathing or survival or whose mothers had clinical chorioamnionitis or mid-second-trimester prolonged rupture of membranes were excluded. Infants were randomised to nasal continuous positive airway pressure with prophylactic TC-S while spontaneously breathing (intervention arm) or intubation, prophylactic surfactant and brief mechanical ventilation (ETT-S; control arm). The primary outcome measures were the need for intubation and mechanical ventilation within the first week after birth, as well as the occurrence of serious adverse events during the intervention.</p><p><strong>Results: </strong>Sixty-two infants were randomised, 33 infants to the TC-S and 29 infants to the intubation and surfactant group. Of the infants randomised to the TC-S group, only 11 (33.3%) required intubation and mechanical ventilation within the first week after birth, compared with 28 (96.6%) in the ETT-S group. No severe adverse events were noted in the TC-S group.</p><p><strong>Conclusion: </strong>Delivery-room prophylactic TC-S was feasible and reduced exposure to protocol-directed mechanical ventilation. A larger definitive trial powered for clinical outcomes is warranted.</p><p><strong>Trial registration: </strong>Australia and New Zealand Clinical Trials Registry: ACTRN12617001204336p.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039523","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}

{"title":"The Quality of Life Impact of Vascular Anomalies on Patients and Their Families: Experience of a Tertiary Australian Centre.","authors":"Kwan Lam Genevieve Chow, Gloria Fong, Kelvin Truong, William Luu, Li-Chuen Wong","doi":"10.1111/jpc.70557","DOIUrl":"https://doi.org/10.1111/jpc.70557","url":null,"abstract":"<p><strong>Aim: </strong>Chronic paediatric conditions often significantly impact the patients' and their families' quality of life (QoL). There is a paucity in the medical literature around the QoL impact of paediatric vascular anomalies on patients and their families in the Australian context. This study aims to address this gap.</p><p><strong>Methods: </strong>We conducted a three-month prospective questionnaire study using the children's dermatology life quality index (CDLQI), the outcome measures for vascular malformations (OVAMA), and the family dermatology life quality index (FDLQI).</p><p><strong>Results: </strong>Twenty-five paediatric patients and 27 family members were recruited for the study. The mean scores for CDLQI, FDLQI, and OVAMA were 5, 6, and 33 respectively. The most reported QoL impact reported by paediatric patients was change of clothing and participation in sports whilst the most reported QoL impact reported by family is emotional stress and other people's reactions. The OVAMA questionnaire results highlight the significant impact caused by the change of colour of the skin due to vascular anomaly, which corresponds to the QoL impact reflected by the CDLQI and FDLQI surveys.</p><p><strong>Conclusions: </strong>This study highlights the appearance-related quality-of-life impact of vascular anomaly experienced by both patients and their families within the Australian context. The findings underscore the potential benefit of cosmetic interventions in improving the overall well-being of this patient population.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039464","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}

{"title":"Maternal and Child Nutrition in Low- and Middle-Income Countries: A Comparative Review of India and Palestine With Policy Implications.","authors":"Ali Jebreen, Huma Parveen","doi":"10.1111/jpc.70574","DOIUrl":"https://doi.org/10.1111/jpc.70574","url":null,"abstract":"<p><strong>Background: </strong>Maternal and child malnutrition is a serious public health problem in low and middle-income countries (LMICs) and can cause cycles of poverty, disease, and developmental delays.</p><p><strong>Objective: </strong>This comparative narrative review explores maternal and child nutrition indicators, determinants, interventions and policies in India and Palestine and identifies common lessons and transferable recommendations for LMICs.</p><p><strong>Methods: </strong>A structured, non-exhaustive search of the PubMed, Scopus, Web of Science, and WHO/UNICEF data repositories and some relevant grey literature published from 2010 to 2024 was used to obtain these narratives. Records were reviewed with background eligibility criteria and the evidence included was then thematically synthesised in a narrative format rather than systematically.</p><p><strong>Key findings: </strong>India has achieved significant improvement in addressing child stunting and maternal anaemia through key initiatives like POSHAN Abhiyaan, ICDS, and Anaemia Mukt Bharat. However, there are still significant geographic and socioeconomic gaps, and the double burden of malnutrition (undernutrition and overweight) is growing. Palestine is experiencing a unique but significant nutrition crisis, due to prolonged conflict, occupation, and economic turmoil: Around 19.6% of Palestinian children are stunted and IDA is common among pregnant women. Both countries face issues of micronutrient deficiencies, poor infant and young child feeding practices, and gender inequities which negatively impact maternal nutrition.</p><p><strong>Policy implications: </strong>The two successful interventions have complementary lessons for each other: the convergence model in India, which is community based, and the integration of nutrition into primary healthcare in Palestine, which benefits from international partnerships. Multi-sectoral responses involving collaboration between the health, agriculture, education, and social protection sectors are needed, with a strong governmental commitment and monitoring systems.</p><p><strong>Conclusions: </strong>This review highlights that nutrition-specific clinical interventions are essential but that sustainable nutrition improvements need to be implemented through policies that address the underlying structural, socioeconomic, and, in Palestine, the political determinants of malnutrition. The lessons learned from India and Palestine are broadly relevant to other LMICs in a similar context of nutrition transitions.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025210","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}

{"title":"Nutrition and Hydration Decisions in Neonatal Palliative Care.","authors":"Amit Trivedi, Nadia Badawi, Brian S Carter, Ahmed Moustafa, Anne Preisz","doi":"10.1111/jpc.70577","DOIUrl":"https://doi.org/10.1111/jpc.70577","url":null,"abstract":"<p><p>Medically administered nutrition and hydration (MANH) is a routine component of neonatal intensive care, yet it becomes ethically and emotionally complex when an infant's condition is recognised as life-limiting and care is reoriented towards comfort. Decisions to continue, withhold, or withdraw MANH are challenging because feeding carries profound physiological, emotional, cultural, and relational meaning for families, while neonates cannot reliably communicate hunger, thirst, or discomfort. This commentary examines the ethical, clinical, and legal considerations surrounding MANH at the end of life in neonates and proposes a practical, individualised approach to decision-making. Evidence specifically addressing MANH withdrawal in dying neonates remains limited, requiring clinicians to draw substantially on pediatric and adult palliative care literature. MANH should be regarded as a medical intervention guided by the infant's comfort, proportionality, goals of care, and best interests rather than an assumed moral obligation. Its potential benefits, including relief of hunger or thirst, preservation of parental caregiving roles, and cultural or spiritual significance, warrant explicit recognition. Comfort feeding should be considered where tolerated, with MANH continued when it provides meaningful benefit and reconsidered when it causes discomfort, imposes significant burdens, or prolongs dying without corresponding benefit. Australian and international legal frameworks broadly support withdrawal where MANH is non-beneficial. Clear communication, shared decision-making, cultural humility, multidisciplinary consensus, and regular reassessment are essential. Further prospective research is needed to better understand hunger, thirst, comfort, survival trajectories, and parental experiences following MANH withdrawal in dying neonates.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025272","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}

{"title":"Paediatric Upper Respiratory Infection in Colombia: 10-Year Nationwide Trends in Healthcare Utilization From Administrative Data (2015-2024).","authors":"Jefferson Antonio Buendía, Diana Guerrero Patiño","doi":"10.1111/jpc.70598","DOIUrl":"https://doi.org/10.1111/jpc.70598","url":null,"abstract":"<p><strong>Background: </strong>Upper respiratory tract infections (URTIs) are amongst the commonest reasons for paediatric care, yet national evidence from Latin American middle-income health systems remains limited. We used the COVID-19 pandemic as a system shock to examine whether paediatric URTI care returned to its pre-pandemic trajectory or settled into a new service configuration.</p><p><strong>Methods: </strong>We performed a nationwide population-based time-series study using Colombia's administrative healthcare registry (RIPS) linked to official population projections (DANE) for children and adolescents aged 0-17 years from 2015 to 2024 (ICD-10 J00-J06). We estimated crude and age-standardized utilization rates per 100 000, characterized diagnostic and service-type composition, quantified service-mix reconfiguration and fitted segmented Poisson models with population offsets by age group.</p><p><strong>Results: </strong>We analyzed 14 173 511 URTI attended-person records. National rates increased from 11 139 per 100 000 in 2015 to 14 421 in 2019, fell to 4993 in 2020, and plateaued near 9806 by 2024. By 2024, observed utilization was approximately 50% below the trajectory expected from 2015 to 2019 growth. Children aged 0-4 years accounted for 56.4% of all records and had the largest absolute burden (pooled rate approximately 21 000 per 100 000). Croup/epiglottitis represented only 2.1% of all contacts but 11.3% of URTI hospitalizations, with a hospitalization enrichment ratio of 5.44.</p><p><strong>Conclusions: </strong>Colombia's paediatric URTI utilization did not simply recover after the pandemic shock; it reconfigured. By 2024, emergency-department and hospitalization rates remained 45% and 40% below their 2019 levels, respectively, while procedure-based contacts made up a larger share of care. This persistent shift, together with the concentration of severe-service use in children under 5 years and in croup-like diagnoses, identifies actionable targets for respiratory capacity planning, surveillance and post-shock health-system monitoring.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012482","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}

{"title":"Patterns of Ultra-Processed Food Consumption and Their Associations With Body Composition in Primary School Children in Semarang City, Indonesia.","authors":"Sulistiyani Sulistiyani, Mursid Raharjo, Bagoes Widjanarko, Saliza Mohd Elias, Muhammad Auliya Rahman","doi":"10.1111/jpc.70590","DOIUrl":"https://doi.org/10.1111/jpc.70590","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to examine the association between ultra-processed food (UPF) consumption and body composition among primary school children in Semarang City, Indonesia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among primary school children selected from schools in Semarang City using a random sampling method. Anthropometric measurements were used to assess the body mass index (BMI), BMI-for-age Z-score, body fat percentage and muscle mass. Dietary behaviours, including UPF consumption frequency, and lifestyle factors were assessed using structured questionnaires. Multivariable linear regression analyses were performed to assess the independent association between UPF consumption and body composition outcomes after adjusting for age, sex, physical activity, screen time and meal frequency.</p><p><strong>Results: </strong>A total of 334 children (mean age, 10.02 ± 0.77 years) were included in the analysis. UPF consumption was consistently associated with all body-composition indicators. Higher UPF intake was significantly associated with increased BMI (B = 1.449; 95% CI: 1.174-1.723), BMI-for-age Z-score (B = 0.589; 95% CI: 0.505-0.672) and body fat percentage (B = 3.334; 95% CI: 2.766-3.902) and decreased muscle mass (B = -1.497; 95% CI: -1.880 to -1.115) after adjustment for confounders. Other dietary and lifestyle variables were not significantly associated with the body composition.</p><p><strong>Conclusions: </strong>Higher UPF consumption was consistently associated with less favourable body composition among primary school children in Semarang City, including higher BMI, BMI-for-age Z-score, and body fat percentage and lower muscle mass. These findings highlight the importance of improving the school food environment and promoting healthier food choices among school-aged children.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012530","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}

{"title":"Clinical Symptomatology, Cognition and Psychosocial Wellbeing in Adolescents With Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Cross-Sectional Observational Study.","authors":"Tracey Chau, Elisha K Josev, Adam Scheinberg, Natalie Thomas, Fiona McDonald, Colette Reveley, Paul R Gooley, Christopher Armstrong, Sarah Knight","doi":"10.1111/jpc.70587","DOIUrl":"https://doi.org/10.1111/jpc.70587","url":null,"abstract":"<p><strong>Aim: </strong>Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a disabling illness that frequently begins in adolescence, yet adolescents with ME/CFS remain an under-researched population. We aimed to characterise the cognitive and psychosocial wellbeing of adolescents with ME/CFS relative to normative benchmarks and unaffected age-peers.</p><p><strong>Methods: </strong>Adolescents with mild-to-moderate ME/CFS (n = 25) and healthy controls (n = 25) aged 10-19 years were recruited in Melbourne, Australia. Each completed a set of clinical questionnaires and cognitive assessments to assess ME/CFS symptomatology, school functioning, psychosocial wellbeing and cognition. Their caregivers also completed questionnaires regarding their psychosocial wellbeing and everyday executive functioning.</p><p><strong>Results: </strong>Adolescents with ME/CFS showed significantly reduced information processing speed, though other measures of intellectual functioning did not differ consistently between groups. The ME/CFS group also reported significantly poorer sleep, quality of life and higher levels of anxiety and depression. Caregivers further identified significant attention and working memory concerns in the ME/CFS group, but reported no differences in internalising behaviours between groups.</p><p><strong>Conclusion: </strong>Adolescents with ME/CFS experience substantial psychosocial and physical burden because of their illness. Cognitive difficulties in ME/CFS may reflect inefficiencies in information processing speed and fluctuating symptom burden. Discrepancies between adolescent self-report and caregiver ratings underscore the importance of inclusive perspectives in ME/CFS management. These findings support the need for flexible, paced educational and clinical accommodations and for further research into the dynamic cognitive profile of adolescents with ME/CFS across a more representative population.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012533","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}

{"title":"Recognising Inborn Errors of Metabolism Beyond the Newborn Screening Net: A Practical Guide for the General Paediatrician and Neonatologist.","authors":"Ayhan Çeri","doi":"10.1111/jpc.70595","DOIUrl":"https://doi.org/10.1111/jpc.70595","url":null,"abstract":"<p><p>Inborn errors of metabolism (IEMs) are individually rare but collectively significant contributors to neonatal and paediatric morbidity. While expanded newborn screening, urine metabolic screening and broad molecular testing have transformed diagnostic capability, a substantial proportion of IEMs remain outside the reach of these tools, and clinical suspicion at first contact, typically the general paediatrician or neonatologist, remains essential to timely diagnosis. This review offers a practical overview for the non-specialist clinician: the scope and limits of newborn and urine metabolic screening, clinical presentations that should prompt consideration of an IEM despite reassuring results, first-line biochemical investigations, the complementary role of molecular diagnosis, and current and emerging treatments. Family-centred communication and, where relevant, early palliative care integration are discussed alongside diagnosis and treatment. An illustrative case highlights the consequences of normal screening results in a child later diagnosed with a treatable metabolic condition. The review aimed to equip general paediatric and neonatal clinicians to maintain appropriate suspicion, initiate first-line investigations promptly and engage specialists in a timely manner, recognising that early diagnosis remains the single greatest determinant of outcome for children affected by IEMs.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012485","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}

{"title":"Preoperative Medical Evaluation and Optimisation of Children and Adolescents With Cerebral Palsy (GMFCS IV and V) With Complex Medical Comorbidity Undergoing Lower Limb Orthopaedic Surgery: Results of a Combined Rehabilitation Orthopaedic Paediatric Service.","authors":"Jennifer Armstrong, Emre Ilhan, Verity Pacey, Paula Bray, Matthias Axt, Jacqueline Dalby-Payne","doi":"10.1111/jpc.70571","DOIUrl":"10.1111/jpc.70571","url":null,"abstract":"<p><strong>Aim: </strong>To describe preoperative medical evaluation, optimisation and acute postoperative outcomes in children and adolescents with cerebral palsy (CP) undergoing lower limb orthopaedic surgery managed in a Combined Rehabilitation Orthopaedic Paediatric Service (CROPS).</p><p><strong>Methods: </strong>A retrospective medical record review of children and adolescents with CP managed in CROPS between 1 January 2019 and 1 June 2024.</p><p><strong>Inclusion criteria: </strong>patients were between 0 and 19 years of age, had CP (Gross Motor Function Classification System IV or V) and had lower limb orthopaedic surgery.</p><p><strong>Results: </strong>Fifty-three patients were included in the analysis. Median age at preoperative medical review was 8 years 9 months (range 2 years 2 months to 18 years 3 months, IQR 6 years 5 months). Twenty patients needed seizure management (n = 20/42, 37.7%), eighteen needed feeding input (n = 18/53, 34.0%), fourteen required respiratory optimisation (n = 14/53, 26.4%) and thirteen needed nutritional supplementation (n = 13/53, 24.5%) prior to surgery. There was only one intraoperative complication. Postoperatively, thirteen patients (n = 13/53, 24.5%) required antibiotics for respiratory infections, nine (n = 9/53, 17.0%) had feed intolerance, five (n = 53, 9.4%) developed pressure injuries and one (n = 1/53, 1.9%) developed a urinary tract infection.</p><p><strong>Conclusions: </strong>There were minimal intraoperative complications, most occurring postoperatively, supporting the need for preoperative medical evaluation and shared care in the postoperative period.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990346","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}

{"title":"Association Between Caregiver Responses to the Six-Item Adult ADHD Self-Report Scale (ASRS-5) and Caregiver-Reported Adverse Childhood Experiences in Their Children.","authors":"Cuc Do, Mudita Tiwari, Carsten Joerck, Vishal Gupta, Sowmya Gandham, Anthony Liu, Arman Babajanyan, Habib Bhurawala, Alison Poulton","doi":"10.1111/jpc.70555","DOIUrl":"https://doi.org/10.1111/jpc.70555","url":null,"abstract":"<p><strong>Aim: </strong>To examine associations between caregiver ASRS-5 summed item scores, caregiver-reported anger/irritability and adverse childhood experiences (ACEs) reported for their children.</p><p><strong>Methods: </strong>A cross-sectional, anonymous online survey (February 2022-March 2025). Adults who identified as the caregiver of a child were recruited through posters and QR codes through paediatric inpatient, outpatient, community and developmental services in Western Sydney. Caregiver ASRS-5 responses were summed (range 0-24); ≥ 14 was defined as a higher ASRS score. Caregivers also completed an ACE checklist.</p><p><strong>Results: </strong>Among 162 caregivers (mean age 36.8 years, SD 8.5; 84.2% mothers/maternal figures), 66 (40.7%) had an ASRS-5 summed item score ≥ 14. An ACE score ≥ 4 was reported for 35% of children of these caregivers versus 17% of the remainder (OR 2.7; p = 0.012). Compared with caregivers ASRS-5 scoring 0-9, the adjusted odds of child ACE burden ≥ 4 were higher among those scoring 10-19 (OR 2.7, 95% CI 1.00-7.10) and ≥ 20 (OR 6.7, 95% CI 1.82-24.67). Each additional ACE was associated with a 0.45-point higher ASRS-5 summed item score (p < 0.001). Anger/irritability was associated with ACE burden ≥ 4 (OR 2.25, 95% CI 1.11-4.56), and exploratory stratified analyses showed an association between ASRS-5 summed item score and ACE score only in the higher anger/irritability stratum (p = 0.020).</p><p><strong>Conclusions: </strong>In this self-selected sample, higher caregiver ASRS-5 item sums were associated with greater caregiver-reported ACE burden in their children. Further research should evaluate whether caregiver ASRS-5 response patterns and anger/irritability have potential utility in family-centred support.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148977003","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}