Klinische Padiatrie最新文献

What is the role of pulse oximetry screening in identifying neonatal morbidities other than critical heart diseases? 脉搏血氧仪筛查在识别除危重心脏病以外的新生儿疾病中的作用是什么？

IF 0.9 4区医学

Klinische Padiatrie Pub Date : 2025-10-16 DOI: 10.1055/a-2695-8865

Leyla Şero, Duygu Tunçel, Osman Akdeniz, Nilufer Okur

{"title":"What is the role of pulse oximetry screening in identifying neonatal morbidities other than critical heart diseases?","authors":"Leyla Şero, Duygu Tunçel, Osman Akdeniz, Nilufer Okur","doi":"10.1055/a-2695-8865","DOIUrl":"https://doi.org/10.1055/a-2695-8865","url":null,"abstract":"Pulse oximetry screening (POS) has been shown to be an effective, noninvasive screening method that can detect 50-70% of previously undiagnosed critical congenital heart diseases (CCHD). In this study, we sought to understand the role of POS in the detection of non-CCHD neonatal morbidities such as neonatal sepsis and polystemia. This cohort study was conducted in a central maternity hospital. Patients who failed POS were first evaluated by echocardiography, and then, other neonatal morbidities such as sepsis, polystemia and congenital pneumonia were evaluated. Overall, 29,840 infants had documented POS results in 34,806 live-born patients screened. A total of 301 (1%) infants had a positive test. A total of 23 (1.1%) patients had CCHD and significant congenital heart disease. Of those who failed pulse oximetry testing, noncardiac causes such as sepsis were observed in 101 (33.7%), congenital pneumonia in 16 (5.3%), polystemia in 32 (10.6%) and transient tachypnoea of the newborn in 52 (17.3%). POS can be a useful tool to aid clinical assessment in the diagnosis of significant non-cardiac morbidities such as sepsis, congenital pneumonia and polycythaemia in the newborn.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308429","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

[Perception of the transition process from pediatric to adult care in preterm and full-term infants]. [对早产儿和足月婴儿从儿科到成人护理过渡过程的感知]。

IF 0.9 4区医学

Klinische Padiatrie Pub Date : 2025-10-09 DOI: 10.1055/a-2685-7208

Achim Fieß, Sandra Gißler, Alexander K Schuster, Julia Winter, Michael Urschitz, Norbert Pfeiffer, Eva Mildenberger, Alica Hartmann

{"title":"[Perception of the transition process from pediatric to adult care in preterm and full-term infants].","authors":"Achim Fieß, Sandra Gißler, Alexander K Schuster, Julia Winter, Michael Urschitz, Norbert Pfeiffer, Eva Mildenberger, Alica Hartmann","doi":"10.1055/a-2685-7208","DOIUrl":"https://doi.org/10.1055/a-2685-7208","url":null,"abstract":"The number of premature births is rising globally, and medical needs are often complex. The transition from pediatric to adult healthcare is a critical phase that, without adequate support, may lead to difficulties. Especially extremely preterm infants face long-term health challenges requiring specialized care. This retrospective study examined how mothers perceive the transition process of their preterm and term-born children. We analyzed whether perinatal factors such as low gestational age (GA) influence transition experiences and adult healthcare. Additionally, healthcare utilization and comorbidities were compared between preterm and term-born adults. The Gutenberg Prematurity Study (GPS) retrospectively analyzed 310 preterm and 296 term-born adults (aged 18-52), categorized into GA groups (≥37, 33-36, 29-32,≤28 weeks). Multivariable logistic regression assessed associations between perinatal factors, transition ratings, and healthcare utilization. Mothers of children born at≤28 and 29-32 weeks GA rated the transition to adult healthcare more negatively than mothers of term-born children. In addition, care five years after transition was also rated significantly worse for the≤28 weeks group. Extremely preterm adults had more GP visits and more comorbidities, such as hypertension. Transition programs should be tailored to the needs of preterm individuals, especially those born extremely preterm, to improve long-term care and address comorbidities early.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258511","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

Objective and subjective data on the real-world usage of pediatric robotic surgery in Germany. 客观和主观数据在现实世界中使用的儿童机器人手术在德国。

IF 0.9 4区医学

Klinische Padiatrie Pub Date : 2025-10-01 DOI: 10.1055/a-2684-2473

Elisabeth Ammer, Andrea Schmedding, Fritz Kahl, Ludger Tüshaus

{"title":"Objective and subjective data on the real-world usage of pediatric robotic surgery in Germany.","authors":"Elisabeth Ammer, Andrea Schmedding, Fritz Kahl, Ludger Tüshaus","doi":"10.1055/a-2684-2473","DOIUrl":"https://doi.org/10.1055/a-2684-2473","url":null,"abstract":"Twenty years after the first robotic pediatric surgery, robotic surgery still plays a limited role in pediatric surgery. A better understanding of the current application of robotic pediatric surgery, could be valuable for the further development and implementation of minimally invasive and robotic pediatric surgery. The aim of this study was to analyze the nationwide distribution of robotic surgery in children and its acceptance among pediatric surgeons. The national database of administrative claims data from the Institute for the Remuneration System in Hospitals (InEK) and the quality reports in Germany were analyzed to determine the number of pediatric patients who underwent surgery using a robotic system and the number of pediatric surgical departments having access to this system. Additionally, an electronic questionnaire was developed for a nationwide cross-sectional survey within the DGKCH. From 2019 to 2024, the number of robot-assisted surgeries in children increased from 105 cases in 2019 to 376 cases in 2024. The majority of procedures are urological surgeries. The online survey was completed by 39 pediatric surgeons between December 2022 and March 2023. The survey identified and mapped differences in the use of robotic systems, the patient population treated, and the assessment of outcomes, complication rates, and patient satisfaction. This study is the first to document the varying views on pediatric robotic surgery in Germany.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206624","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

Evaluation of Serum Uric Acid Levels in Pediatric Migraine Patients. 儿童偏头痛患者血清尿酸水平的评估。

IF 0.9 4区医学

Klinische Padiatrie Pub Date : 2025-09-26 DOI: 10.1055/a-2684-2552

Hilal Aydin, Isinsu Bicakcioglu, Ibrahim Hakan Bucak, Aysen Orman, Mehmet Akkus

引用次数: 0

When Immunodeficiency Isn't the Whole Story: CTLA-4 Haploinsufficiency and Munchausen by Proxy Syndrome. 当免疫缺陷不是故事的全部：CTLA-4单倍不全和代理综合症。

IF 0.9 4区医学

Klinische Padiatrie Pub Date : 2025-09-22 DOI: 10.1055/a-2684-7920

Şefika İlknur Kökcü Karadağ, Miraç Barış Usta, Koray Karabekiroğlu, Alişan Yıldıran

引用次数: 0

Toxic Storm Defused: Successful Use of Plasmapheresis and Continuous Renal Replacement Therapy in Propionic Acidemia. 毒性风暴解除：血浆置换和持续肾脏替代疗法在丙酸血症中的成功应用。

IF 0.9 4区医学

Klinische Padiatrie Pub Date : 2025-09-16 DOI: 10.1055/a-2674-1964

Ayça Burcu Kahraman, Damla Pınar Yavas-Kocaoglu, Ayşe Şimşek, Halil Celik, Emre Leventoğlu, Celebi Kocaoglu

引用次数: 0

An Evaluation of Magnesium Levels in Pediatric Migraine Patients. 儿童偏头痛患者镁水平的评估。

IF 0.9 4区医学

Klinische Padiatrie Pub Date : 2025-09-15 DOI: 10.1055/a-2508-4009

Hilal Aydin, Aysen Orman, Betul Calıskan

{"title":"An Evaluation of Magnesium Levels in Pediatric Migraine Patients.","authors":"Hilal Aydin, Aysen Orman, Betul Calıskan","doi":"10.1055/a-2508-4009","DOIUrl":"https://doi.org/10.1055/a-2508-4009","url":null,"abstract":"The purpose of this study is to compare serum magnesium levels between migraine patients and the control group and to examine the relationship between attack frequency and duration and average serum magnesium level.Patients diagnosed with migraine were included in the study retrospectively. Patients diagnosed with migraine were included as the study group and healthy children presenting to the pediatric neurology clinic in the same period as the control group. The demographic, clinical and laboratory characteristics were recorded.Sixty-one pediatric migraine patients and 50 healthy controls were included in the study. The mean age of the migraine patients was 13.39±3.47 years. Mean magnesium levels were 2.02±0.12 (1.7-2.3) mg/dl in the patient group and 2.05±0.13 (1.8-2.5) mg/dl in the control group, and the difference was not statistically significant (p=0.17). No significant association was determined between attack frequencies and durations and magnesium (p=0.89 and p=0.061, respectively).The role of magnesium among the triggering factors in the etiopathogenesis and in the treatment of migraine is well-established. However, very few previous studies have reported magnesium levels in pediatric migraine patients, and the present research determined no significant difference in serum levels between patients with migraine and a control group.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069895","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

Evaluation of Clinical and Hematological Findings of Pediatric Patients with Crimean-Congo Hemorrhagic Fever. 克里米亚-刚果出血热患儿临床和血液学表现的评价。

IF 0.9 4区医学

Klinische Padiatrie Pub Date : 2025-09-15 DOI: 10.1055/a-2669-8035

Emine Hafize Erdeniz, Yeter Düzenli Kar

{"title":"Evaluation of Clinical and Hematological Findings of Pediatric Patients with Crimean-Congo Hemorrhagic Fever.","authors":"Emine Hafize Erdeniz, Yeter Düzenli Kar","doi":"10.1055/a-2669-8035","DOIUrl":"https://doi.org/10.1055/a-2669-8035","url":null,"abstract":"Crimean-Congo hemorrhagic fever (CCHF) is one of the most common viral hemorrhagic fevers. After entering the body, the virus replicates in regional lymph nodes and tissues, then spreads via lymph and monocytes, causing systemic inflammatory response syndrome, septic shock, and disseminated intravascular coagulation (DIC).Sociodemographic, clinical, and hematological data of children (0-18 years) diagnosed with CCHF at the Pediatric Infectious Diseases Clinic of Erzurum Training and Research Hospital between September 2018 and June 2020 were analyzed.Of 19 patients, 14 were male and 5 female, with a mean age of 14.2±3.2 years. Common presenting symptoms included fever, fatigue, and myalgia. Initial lab results showed a white blood cell count of 3012±1559/mm³, platelet count of 102.105 ± 50.350/mm³, and PT of 17.3±3.5 seconds. Two patients with persistent fever (>5 days) developed CCHF-associated hemophagocytic syndrome and received intravenous immunoglobulin in addition to ribavirin. Eleven patients with severe thrombocytopenia and/or bleeding received apheresis platelet concentrates; six received fresh frozen plasma.CCHF should be considered in patients-regardless of tick exposure-presenting with sudden fever, fatigue, leukopenia, thrombocytopenia, abnormal coagulation, and elevated liver enzymes.","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069902","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

[Hematemesis and anemia in a premature infant: A case report on pediatric gastric teratoma]. [早产儿呕血和贫血：小儿胃畸胎瘤1例报告]。

IF 0.9 4区医学

Klinische Padiatrie Pub Date : 2025-09-10 DOI: 10.1055/a-2656-0594

Sarah Valerie Schnee, Detlef Klein, Pia Paul, Thomas Meyer, Sabine Drossard

引用次数: 0

Hemophagocytic Lymphohistiocytosis Triggered by Influenza B in a Child with ARFGEF2 mutation. 乙型流感引发的ARFGEF2突变儿童的噬血细胞性淋巴组织细胞增多症

IF 0.9 4区医学

Klinische Padiatrie Pub Date : 2025-09-10 DOI: 10.1055/a-2674-2911

Nihal Akçay, Demet Tosun, İlyas Bingöl

引用次数: 0