Journal of paediatrics and child health最新文献

{"title":"Population Incidence and Burden of Juvenile Idiopathic Arthritis on Australian Health System: Data Linkage Study.","authors":"S J Lain, L Ivancic, J Chaitow, D Singh-Grewal, D M Bond, A Von Huben, R Colagiuri, S Colagiuri, N Nassar","doi":"10.1111/jpc.70098","DOIUrl":"https://doi.org/10.1111/jpc.70098","url":null,"abstract":"<p><strong>Aim: </strong>There is a lack of population-based information on patterns of healthcare for children with juvenile idiopathic arthritis (JIA). The aim of this study was to examine the population incidence of health service utilisation for children with JIA.</p><p><strong>Methods: </strong>We conducted a population-based data linkage study that examined children aged < 16 admitted to hospital with a diagnosis of JIA in New South Wales, Australia between 2002 and 2019. The annual incidence of JIA hospitalisations was calculated using population denominators. Health service utilisation and associated costs to the health system 12 months before and after the first JIA admission were examined using linked hospital admission, emergency department (ED) and outpatient datasets.</p><p><strong>Results: </strong>A total of 1433 children were admitted to hospital with a first diagnosis of JIA; the highest annual incidence was 7.2/100 000 children. In the year before the first JIA admission, 29% were admitted to hospital, 43% presented to the ED and 48% attended an outpatient clinic. In the year following the first JIA admission, inpatient/outpatient attendance increased: 44% had at least one inpatient admission, 61% attended ≥ 1 outpatient clinics. ED presentations remained stable. The unadjusted total cost to the health system in the year before the first JIA admission was $4422 per child diagnosed with JIA compared to $11 806 in the year following the first JIA admission.</p><p><strong>Conclusion: </strong>Children with JIA have been demonstrated to be frequent users of hospital services, particularly just before and following their first admission for JIA, highlighting the impact of JIA both on the child and the health system.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191865","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":"A Clinical Prediction Model to Assist Screening Patients for Scabies in Primary Care.","authors":"Sanskruti Zaveri, Tarun Nambiar, Simon Thornley, Vanessa Selak, Gerhard Sundborn, Rachel Roskvist, Arthur J Morris","doi":"10.1111/jpc.70100","DOIUrl":"https://doi.org/10.1111/jpc.70100","url":null,"abstract":"<p><strong>Aim: </strong>To develop and test a clinical prediction model based on demography and symptoms to assist in screening for scabies diagnosis in primary care.</p><p><strong>Methods: </strong>Data from a scabies prevalence survey conducted in Auckland, New Zealand (NZ) were analysed using logistic regression to predict diagnosis, defined by either clinical criteria (International Alliance for the Control of Scabies, IACS) or quantitative polymerase chain reaction (qPCR) for scabies derived from a skin swab. Best subsets regression was used to select predictors in the final models, using Akaike's information criterion. Model performance was assessed using internal validation with bootstrap resampling.</p><p><strong>Results: </strong>From a survey of 181 children aged between 8 months and 14 years, 105 were available for analysis with complete questionnaires. Age and symptoms of itch (in the child and their close contacts) were retained as predictors of the model where clinical scabies diagnosis was the outcome. In addition to these predictors, whether household members were affected by insect bites, skin sores or blisters was also retained as a predictor of qPCR-based diagnosis. Accuracy was good for both models, with discrimination and calibration indices favourable (Harrell's concordance index 0.96 [IACS] and 0.85 [qPCR]; calibration slope 0.82 [IACS] and 0.77 [qPCR]).</p><p><strong>Conclusion: </strong>Simple logistic models based on common symptoms of scabies, especially itch in the child and 'simultaneous itch in the family', accurately predict scabies status. Such tools have potential use in supporting screening and improving diagnosis of scabies in community and primary care settings.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174168","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":"Poor Outcomes in Youth With Type 1 Diabetes Mellitus Before and After Transition at a Relatively Socioeconomically Advantaged Metropolitan Centre: Implications for Service Improvement.","authors":"Ann Nillsen, Ailsa Marshall, Nghi H Bui, Lesley Sharon Youde, Lena Lim, Allyson Macdonald, Sarah Bowes, Nancy Briggs, Darshika Christie-David, Sally-Anne Duke, Ohn Nyunt, Kim A Ramjan, Monique Stone, Amy Wanaguru, Shihab Hameed","doi":"10.1111/jpc.70099","DOIUrl":"https://doi.org/10.1111/jpc.70099","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159691","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 Health Needs and Management of Young People Accessing Paediatric Hauora Tāhine (Transgender Health) Services in Te Tai Tokerau","authors":"Carmella Catlow,&nbsp;Sarah Goffin,&nbsp;Vicki Cunningham,&nbsp;Ashley Abraham,&nbsp;Cameron Grant","doi":"10.1111/jpc.70078","DOIUrl":"10.1111/jpc.70078","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Gender diverse tamariki and rangitahi (children and young people) have unique medical care needs. It is essential that this group receives timely and individualised care, provided locally and includes access to psychological support. We sought to describe the health needs and management of young people accessing Paediatric Hauora Tāhine (Transgender Health) services in the Te Tai Tokerau region of Aotearoa (New Zealand).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective review of referrals and secondary care records of all patients referred to Te Tai Tokerau General Paediatric Department for Hauora Tāhine care from 1 January 2020 to 30 June 2023. Medical management provided, time to first assessment, access to mental health support, and fertility counselling were described.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-five young people living in this region received Hauora Tāhine care. Mean (range) age at referral was 13 (8–15) years. Ten (22%) were Māori. Twenty-seven (60%) had co-existing mental health diagnoses and 5 (11%) had had a previous suicide attempt. Fourteen (31%) had possible or confirmed autism spectrum disorder (ASD). Median (interquartile range) time from referral to first specialist appointment was 90 (53–157) days. All received psychological support. Fifteen (33%) did not require medical treatment to affirm gender identity. Twenty-one (68%) had pubertal suppression with Lucrin and 10 (36%) with other menstrual suppressants. Gender-affirming hormone treatment was prescribed to 11 (24%), who also had prior psychology assessment and fertility discussions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Gender diverse young people require a range of treatments to support their gender identity. There is a high level of co-existing mental health needs and ASD in this group.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 7","pages":"1122-1127"},"PeriodicalIF":1.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70078","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Australian Paediatric Retrieval Service Riding the Wave of Invasive Group A Streptococcal Disease From 2022 to 2024","authors":"Laura Scerri,&nbsp;Mandy Fletcher,&nbsp;Stuart Haggie,&nbsp;Tracey Lutz,&nbsp;Kathryn Browning Carmo","doi":"10.1111/jpc.70093","DOIUrl":"10.1111/jpc.70093","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>From late 2022, there was an increase in cases of invasive group A streptococcus (iGAS) reported in the Northern Hemisphere and there was a similar increase noted in the referrals to the Newborn and Paediatric Emergency Transport service (NETS NSW), in the state of New South Wales (NSW), Australia. This study describes the clinical characteristics and outcomes of children referred to NETS NSW with iGAS disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective cohort of children referred to NETS NSW for management of iGAS disease between 1st November 2022 to 29th February 2024. Patients included had a confirmed diagnosis of iGAS disease (i.e., on detection of S. <i>pyogenes</i> from a sterile site). Clinical characteristics and outcome data were collected from the medical record.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventy-seven cases were referred to NETS NSW of children with confirmed iGAS disease and seventy were retrieved by NETS NSW. Three patients died in the referring hospital; one was retrieved by an interstate service and three improved and stayed locally. A male predominance of 44/77 (57%) was noted, most were children of preschool age (median 4.2 years QR 1.95–8.05), presenting with pneumonia (52/77, 67.5%), septic arthritis (12/77, 16%), or rash 37/68 (54%). There were high rates of bacteraemia (38/77, 49%) and increased mean serum lactate (4.8 mmol/L ± 3.3). High clinical acuity was seen, with most cases retrieved to paediatric intensive care unit (52/77, 68%), often managed with mechanical ventilation (36/77, 47%), effusion drainage (50/77, 65%) and 24/77 (27%) referred via NETS NSW for the Kids ECMO Referral Service (KERS). IVIg was added for 31/64 cases (48%) as supportive care, along with antibiotic therapy. Four children did not survive.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The prevalence of iGAS disease referrals to NETS NSW significantly increased from late 2022 to early 2024. There was a high service demand for NETS NSW to retrieve critically unwell preschool-aged children requiring critical stabilisation and transfer to a paediatric intensive care unit (PICU).</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 7","pages":"1128-1133"},"PeriodicalIF":1.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents, Alcohol and Other Drugs: Assessment and Withdrawal Management Guidelines in a Paediatric Hospital.","authors":"Jessica W S Wong, Megan Joyce, Rene Vytialingam, Rachel Newton, Vince Martino, Matthew Edwards, Nicolene Shipton","doi":"10.1111/jpc.70086","DOIUrl":"https://doi.org/10.1111/jpc.70086","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127754","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":"Fatal Necrotising Enterocolitis Associated With IVIG Infusion in a Term Infant With Haemolytic Disease: Case Report.","authors":"Gökçe Çıplak, Büşra Yıldız, Feyza İnci, Eren Can Sarıtaş, Sevcan İpek, Cengiz Güney","doi":"10.1111/jpc.70096","DOIUrl":"https://doi.org/10.1111/jpc.70096","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127937","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":"COVID19-Related Onset and Relapses of Juvenile Systemic Lupus Erythematosus-Like Disease.","authors":"Chiara Cannata, Francesca Tirelli, Alessandra Meneghel, Francesco Zulian","doi":"10.1111/jpc.70087","DOIUrl":"https://doi.org/10.1111/jpc.70087","url":null,"abstract":"","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127930","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":"Letter to the Editor Concerning “Efficacy of Facilitated Tucking Position and Reiki Given to Preterm Infants During Orogastric Tube Insertion: A Randomised Controlled Trial”","authors":"Thomas J. Wheeler","doi":"10.1111/jpc.70090","DOIUrl":"10.1111/jpc.70090","url":null,"abstract":"&lt;p&gt;I am writing concerning the paper ‘Efficacy of facilitated tucking position and Reiki given to preterm infants during orogastric tube insertion: A randomised controlled trial’ [&lt;span&gt;1&lt;/span&gt;]. I am addressing only aspects of this paper dealing with reiki.&lt;/p&gt;&lt;p&gt;Proponents of reiki claim that in reiki, some form of ‘universal life energy’ flows from the practitioner to the patient to bring about beneficial effects. Kurt Sezer et al. [&lt;span&gt;1&lt;/span&gt;] stated that ‘Reiki, therapeutic touch and good touch are defined as practices that regulate, strengthen, and balance energy fields with or without touching with the hands, which are used to heal the existing energy fields of human beings by helping other people’. However, the existence of such ‘energy’ that can be transmitted or ‘energy field’ that can be manipulated is not accepted by mainstream science.&lt;/p&gt;&lt;p&gt;Reiki has encountered a great deal of scepticism in the scientific community. For example, Dr. Edzard Ernst, the most accomplished researcher and research critic in the field of complementary and alternative medicine, wrote: ‘Amongst all the many forms of so-called alternative medicine (SCAM), Reiki is perhaps the most ridiculous scam’ [&lt;span&gt;2&lt;/span&gt;]. Dr. Stephen Barrett, another expert, wrote, ‘Reiki has no substantiated health value and lacks a scientifically plausible rationale’ [&lt;span&gt;3&lt;/span&gt;]. Dr. Steven Novella wrote, ‘We now have at least a century of scientific research that has failed to find any clue that such a mysterious life force or life energy exists. It cannot be detected, measured or confirmed in any way’ [&lt;span&gt;4&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Kurt Sezer et al. [&lt;span&gt;1&lt;/span&gt;] did not mention the lack of credibility of reiki among scientists, or even suggest that reiki is at all controversial. The paper would have been improved by including a discussion of this point.&lt;/p&gt;&lt;p&gt;While reiki is sometimes administered without touching, in this case it was performed entirely by placing the heated palms on ‘the soles of the feet, head, and stomach area’. Infants in the control group did not receive this treatment. The warm touch likely had a calming effect on the infants in the reiki group independent of any putative effects on their ‘energy fields’. The authors should have discussed this as a possible explanation of their findings. I suggest that in future studies the authors include a control group employing identical touch treatment but omitting any intent to manipulate ‘energy’.&lt;/p&gt;&lt;p&gt;The extent of blinding of the study was not clear. It was described as single-blind, and it was stated that ‘single blinding was applied by blinding the parents and infants’. However, parents did not appear to be involved in making assessments, and the infants would have been aware of whether they were being touched. It appears that the researchers (who collected most of the data) were not blinded, which could have introduced some bias in the subjective assessments. Scores at the end of the procedure were dete","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 7","pages":"1158-1159"},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Developmental Dysplasia of the Hip (DDH) and Congenital Talipes Equinovarus (CTEV)—A Retrospective Case Series","authors":"Andrew Gorrie,&nbsp;Natalie Tannos,&nbsp;Dean Morris,&nbsp;Andrew Leicester,&nbsp;Jeffrey S. Ling,&nbsp;Arnold Suzuki,&nbsp;Samya Lakis","doi":"10.1111/jpc.70089","DOIUrl":"10.1111/jpc.70089","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Backgrounds</h3>\u0000 \u0000 <p>There is no consensus if a relationship exists between idiopathic congenital talipes equinovarus (CTEV) and developmental dysplasia of the hip (DDH). Our research aim was to provide a contemporary Australian population statistical relationship between DDH and idiopathic CTEV, compared to published data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a retrospective data analysis of a continuous sample of infants with idiopathic CTEV, who attended a Ponseti Clinic at Sydney Children's Hospital, born between 2010 and 2019. The prevalence of DDH requiring treatment was diagnosed utilising screening ultrasonography and compared to the most valid population data from Australia. The relative risk compared to this data was also determined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 250 subjects who met the inclusion criteria and had complete datasets for analysis. The prevalence of DDH in our idiopathic CTEV study population was 52.9 (95% CI 27.6–90.5) per 1000. This represents a higher prevalence rate than Western Australian and South Australian datasets, with 9.5 (95% CI 8.9–10.1) and 5.0 (95% CI 4.6–5.5) per 1000, respectively. The relative risk of DDH in our idiopathic CTEV study population was 5.59 (95% CI 3.21–9.73, <i>p</i> &lt; 0.0001) and 10.50 (95% CI 6.01–18.34, <i>p</i> &lt; 0.0001), compared to Western Australian and South Australian population datasets, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study findings support a positive correlation between idiopathic CTEV and DDH. The relative risk of DDH in the idiopathic CTEV population is 5–10 times higher than the general Australian population. When selective hip ultrasound screening is used, we believe idiopathic CTEV should be considered a risk factor for DDH.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":"61 7","pages":"1116-1121"},"PeriodicalIF":1.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpc.70089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}