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":"<p><p>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.</p>","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}
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":"<p><p>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.</p>","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}
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":"<p><p>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.</p>","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}
Hilal Aydin, Isinsu Bicakcioglu, Ibrahim Hakan Bucak, Aysen Orman, Mehmet Akkus
{"title":"Evaluation of Serum Uric Acid Levels in Pediatric Migraine Patients.","authors":"Hilal Aydin, Isinsu Bicakcioglu, Ibrahim Hakan Bucak, Aysen Orman, Mehmet Akkus","doi":"10.1055/a-2684-2552","DOIUrl":"https://doi.org/10.1055/a-2684-2552","url":null,"abstract":"<p><p>This study examined serum uric acid levels in children with migraine compared to healthy controls, and explored links with gender and attack frequency.A retrospective analysis was conducted on pediatric migraine patients and controls seen between August 2019 and January 2025. Uric acid, Hb, Hct, iron, and TIBC levels were recorded.No significant difference in uric acid levels was found between groups or by attack frequency. However, male patients had higher uric acid levels than females (p=0.046). Other blood parameters were similar.Uric acid is not a reliable standalone marker for pediatric migraine, though gender differences suggest potential hormonal influences. Further research is needed.</p>","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145176213","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":"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":"<p><p>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.</p>","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}
{"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":"<p><p>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.</p>","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}
Sarah Valerie Schnee, Detlef Klein, Pia Paul, Thomas Meyer, Sabine Drossard
{"title":"[Hematemesis and anemia in a premature infant: A case report on pediatric gastric teratoma].","authors":"Sarah Valerie Schnee, Detlef Klein, Pia Paul, Thomas Meyer, Sabine Drossard","doi":"10.1055/a-2656-0594","DOIUrl":"https://doi.org/10.1055/a-2656-0594","url":null,"abstract":"","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033673","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":"Hemophagocytic Lymphohistiocytosis Triggered by Influenza B in a Child with ARFGEF2 mutation.","authors":"Nihal Akçay, Demet Tosun, İlyas Bingöl","doi":"10.1055/a-2674-2911","DOIUrl":"https://doi.org/10.1055/a-2674-2911","url":null,"abstract":"","PeriodicalId":17846,"journal":{"name":"Klinische Padiatrie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033643","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}