Paediatrics & child health最新文献_第9页

The management of very mild and mild asthma in preschoolers, children, and adolescents 学龄前儿童、儿童和青少年极轻微和轻度哮喘的管理

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2024-04-05 DOI: 10.1093/pch/pxae006

Connie L Yang, Zofia Zysman-Colman, Estelle Chétrit, Anne Hicks, Joseph Reisman, Amy Glicksman

引用次数: 0

La prise en charge de l’asthme léger et très léger chez les enfants d’âge préscolaire, les enfants et les adolescents 学龄前儿童、儿童和青少年轻度和极轻度哮喘的管理

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2024-04-05 DOI: 10.1093/pch/pxae005

Connie L Yang, Zofia Zysman-Colman, Estelle Chétrit, Anne Hicks, Joseph Reisman, Amy Glicksman

{"title":"La prise en charge de l’asthme léger et très léger chez les enfants d’âge préscolaire, les enfants et les adolescents","authors":"Connie L Yang, Zofia Zysman-Colman, Estelle Chétrit, Anne Hicks, Joseph Reisman, Amy Glicksman","doi":"10.1093/pch/pxae005","DOIUrl":"https://doi.org/10.1093/pch/pxae005","url":null,"abstract":"Résumé Le présent point de pratique résume la mise à jour des lignes directrices de la Société canadienne de thoracologie publiée en 2021 sur le diagnostic et la prise en charge de l’asthme chez les enfants d’âge préscolaire, les enfants et les adultes. Ces nouvelles recommandations incluent, parmi les critères de contrôle de l’asthme, une diminution de la fréquence des symptômes diurnes et de l’utilisation de médicaments pour soulager l’asthme à un maximum de deux fois par semaine. Elles comprennent également l’évaluation du risque d’exacerbation de l’asthme, la non-utilisation de bêta-agonistes à courte durée d’action seuls au besoin chez les patients à plus fort risque d’exacerbation et la possibilité d’administrer du budésonide-formotérol au besoin aux jeunes de 12 ans ou plus qui sont incapables de prendre des corticostéroïdes inhalés au quotidien malgré une éducation sur l’asthme et un soutien importants. La préférence pour la prise quotidienne de corticostéroïdes inhalés afin de traiter l’asthme léger chez les enfants et la recommandation d’éviter les courts traitements intermittents de corticostéroïdes inhalés ne changent pas.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"116 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140582151","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

Medical cannabis for children: Evidence and recommendations 儿童医用大麻：证据和建议

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2024-04-05 DOI: 10.1093/pch/pxad078

Lauren E Kelly, Michael J Rieder, Yaron Finkelstein

引用次数: 0

Les données probantes et les recommandations sur le cannabis à des fins médicales chez les enfants 关于儿童医用大麻的证据和建议

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2024-04-05 DOI: 10.1093/pch/pxad077

Lauren E Kelly, Michael J Rieder, Yaron Finkelstein

{"title":"Les données probantes et les recommandations sur le cannabis à des fins médicales chez les enfants","authors":"Lauren E Kelly, Michael J Rieder, Yaron Finkelstein","doi":"10.1093/pch/pxad077","DOIUrl":"https://doi.org/10.1093/pch/pxad077","url":null,"abstract":"Résumé L’intérêt envers l’utilisation des produits du cannabis à des fins médicales chez les enfants de moins de 18 ans augmente. De nombreux produits du cannabis à des fins médicales contiennent du cannabidiol, du delta-9-tétrahydrocannabinol ou ces deux produits. Malgré les nombreuses prétentions thérapeutiques, peu d’études rigoureuses guident la posologie, l’innocuité et l’efficacité du cannabis à des fins médicales en pédiatrie clinique. Le présent document de principes passe en revue les données probantes à jour et expose les recommandations sur l’utilisation du cannabis à des fins médicales chez les enfants. Les rapports à plus long terme (deux ans) souscrivent à la tolérabilité et à l’efficacité soutenues d’un traitement au cannabidiol chez les patients ayant le syndrome de Lennox-Gastaut ou le syndrome de Dravet. Les extraits de cannabis enrichis de cannabidiol qui renferment de petites quantités de delta-9-tétrahydrocannabinol ont été évalués auprès d’un petit nombre de patients d’âge pédiatrique, et d’autres recherches devront être réalisées pour éclairer les guides de pratique clinique. Étant donné l’utilisation répandue du cannabis à des fins médicales au Canada, les pédiatres devraient être prêts à participer à des échanges ouverts et continus avec les familles au sujet de ses avantages potentiels et de ses risques, ainsi qu’à préparer des plans individuels en vue d’en surveiller l’efficacité, de réduire les méfaits et de limiter les interactions médicamenteuses.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"23 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140582250","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

Improving patient-centred care in the emergency department: Implementation of a Sensory Toolkit for children with autism. 改善急诊科以患者为中心的护理：为自闭症儿童实施感官工具包。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-03-22 eCollection Date: 2024-07-01 DOI: 10.1093/pch/pxae010

Meagan A Roy, Ceilidh Kinlin, Myka Estes, Sarah J MacEachern

引用次数: 0

Developmental outcomes of preschool children requiring craniosynostosis surgery in Manitoba: a cohort study. 马尼托巴省需要进行颅骨发育不良手术的学龄前儿童的发育结果：一项队列研究。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-03-17 eCollection Date: 2024-09-01 DOI: 10.1093/pch/pxae009

Yael Ripstein, Christy Pylypjuk, Alexandra Conway, M Florencia Ricci

{"title":"Developmental outcomes of preschool children requiring craniosynostosis surgery in Manitoba: a cohort study.","authors":"Yael Ripstein, Christy Pylypjuk, Alexandra Conway, M Florencia Ricci","doi":"10.1093/pch/pxae009","DOIUrl":"10.1093/pch/pxae009","url":null,"abstract":"Craniosynostosis is a congenital abnormality resulting in the premature fusion of one or more cranial sutures and usually requires surgical correction in the first year of life. While the majority of craniosynostosis cases represent isolated, nonsyndromic defects, approximately 25% are linked to a genetic diagnosis. Craniosynostosis has been associated with developmental delay. Therefore, historically in Manitoba, all children with surgically managed craniosynostosis were referred to the Child Development Clinic (CDC) for developmental assessment. There are currently prolonged wait times for neurodevelopmental assessments at CDC, leading to the need to better prioritize children who require neurodevelopmental assessment. The aim of the study was then to determine the developmental outcomes of preschool children requiring craniosynostosis surgery in Manitoba from July 1, 2016 through December 1, 2021. In this retrospective cohort study, clinical records were reviewed to evaluate the developmental outcomes of patients who were assessed at CDC for surgically managed craniosynostosis. Out of 67 children included in this study, 18% demonstrated global developmental delay, 24% demonstrated mild developmental delay, and 58% were developmentally appropriate across all levels. The presence of a genetic syndrome, multisutural craniosynostosis, and parental socioeconomic status were associated with risk of global developmental delay. The findings of this study suggest that while not all children with craniosynostosis present with developmental delay, those with suspected or confirmed syndromic involvement, multisutural cranyosinostosis, and/or low SES, should be referred for neurodevelopmental evaluation.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 6","pages":"361-366"},"PeriodicalIF":1.8,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625600","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}

引用次数: 0

Pediatric inflammatory bowel disease: What’s new and what has changed? 小儿炎症性肠病：有哪些新变化？

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2024-03-09 DOI: 10.1093/pch/pxae013

Alexandra S Hudson, Hien Q Huynh

引用次数: 0

L'accès à des services d'interprétation appropriés, essentiel pour la santé des enfants. 获得适当的口译服务，这对儿童健康至关重要。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-02-06 eCollection Date: 2024-02-01 DOI: 10.1093/pch/pxad053

Charles Hui

{"title":"L'accès à des services d'interprétation appropriés, essentiel pour la santé des enfants.","authors":"Charles Hui","doi":"10.1093/pch/pxad053","DOIUrl":"10.1093/pch/pxad053","url":null,"abstract":"Puisque 20 % des Canadiens déclarent avoir une autre langue maternelle que le français ou l'anglais, il n'est pas rare que les professionnels de la santé et les patients maîtrisent des langues différentes. Lorsqu'un médecin et son patient ne peuvent pas communiquer correctement, ils courent le risque de mal se comprendre, ce qui peut se solder par de mauvais résultats cliniques et une réadmission hospitalière. Les services d'interprétation professionnels sont associés à une amélioration de la communication, de l'utilisation des soins, des résultats cliniques et de la satisfaction envers les soins. Il est démontré que le recours à des interprètes non formés ou improvisés, y compris les membres de la famille, accroît les erreurs d'omission, les substitutions, les modifications volontaires et les ajouts. Les enfants et les adolescents n'ont pas acquis une maturité développementale suffisante pour agir en qualité d'interprètes dans le milieu de la santé. Dans un tel contexte, ils sont mis dans une situation inappropriée avec laquelle il peut être difficile de composer et qui peut compromettre durablement à la fois leur propre santé mentale et leur relation avec les autres membres de la famille.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 1","pages":"43-49"},"PeriodicalIF":1.8,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10848121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139707498","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}

引用次数: 0

Health care utilization after enrollment in an outpatient structured clinical program for children with medical complexity 为病情复杂的儿童提供门诊结构化临床计划后的医疗保健使用情况

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2024-02-06 DOI: 10.1093/pch/pxae001

Stacey Cook, Matt Hall, Isabel Stringfellow, Jay G Berry

{"title":"Health care utilization after enrollment in an outpatient structured clinical program for children with medical complexity","authors":"Stacey Cook, Matt Hall, Isabel Stringfellow, Jay G Berry","doi":"10.1093/pch/pxae001","DOIUrl":"https://doi.org/10.1093/pch/pxae001","url":null,"abstract":"Objectives Although children with medical complexity (CMC) with high health resource utilization use outpatient structured clinical programs (SCP) to optimize their health, little is known about variation in trends of their health service use shortly after enrollment. We measured these trends and assessed the utility of patient characteristics to predict them. Methods Retrospective analysis of 506 CMC newly enrolled in an outpatient, academic SCP. We measured outpatient and inpatient health service use for the first 6 months following enrollment. Using cluster analysis, we categorized CMC with similar trends by health service. We assessed patient demographic (e.g., age) and clinical [type and number of complex chronic conditions (CCC)] characteristics with the cluster categories. Results Most (90.3%) CMC enrolled had ≥1 CCCs; 53.8% had ≥3 CCCs. For all CMC, outpatient specialty visits, phone calls, and hospitalizations (not involving ICU) decreased significantly over the first 6 months after enrollment. For example, the hospitalization rate decreased from 9.7% to 4.5% in the 1st and 6th months, respectively, (P &lt; 0.001). Cluster analysis revealed four categories of hospitalization trends, 6 months after enrollment: 72.9% of CMC had no hospital use; 16.0% had increased then decreased use; 8.3% had decreased use; and 2.8% had increased use. No patient and clinical characteristics clearly distinguished which hospitalization trend CMC experienced. Conclusions Although the overall population of CMC experienced decreased outpatient and inpatient health services utilization over time, this decrease was not uniformly experienced. Fundamental patient demographic and clinical characteristics did not predict health service trends.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"228 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139764842","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

Management of well-appearing febrile young infants aged ≤90 days. 对 90 天以下发热症状明显的幼儿进行管理。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-02-06 eCollection Date: 2024-02-01 DOI: 10.1093/pch/pxad085

Brett Burstein, Marie-Pier Lirette, Carolyn Beck, Laurel Chauvin-Kimoff, Kevin Chan

{"title":"Management of well-appearing febrile young infants aged ≤90 days.","authors":"Brett Burstein, Marie-Pier Lirette, Carolyn Beck, Laurel Chauvin-Kimoff, Kevin Chan","doi":"10.1093/pch/pxad085","DOIUrl":"10.1093/pch/pxad085","url":null,"abstract":"The evaluation and management of young infants presenting with fever remains an area of significant practice variation. While most well-appearing febrile young infants have a viral illness, identifying those at risk for invasive bacterial infections, specifically bacteremia and bacterial meningitis, is critical. This statement considers infants aged ≤90 days who present with a rectal temperature ≥38.0°C but appear well otherwise. Applying recent risk-stratification criteria to guide management and incorporating diagnostic testing with procalcitonin are advised. Management decisions for infants meeting low-risk criteria should reflect the probability of disease, consider the balance of risks and potential harm, and include parents/caregivers in shared decision-making when options exist. Optimal management may also be influenced by pragmatic considerations, such as access to diagnostic investigations, observation units, tertiary care, and follow-up. Special considerations such as temperature measurement, risk for invasive herpes simplex infection, and post-immunization fever are also discussed.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 1","pages":"50-66"},"PeriodicalIF":1.8,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10848123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139707499","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}

引用次数: 0