Archives of Disease in Childhood最新文献_第3页

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2024-11-19 DOI: 10.1136/archdischild-2024-328204

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Retrospective validation of the SPOT PEWScore using over 2 million inpatient observations. 利用 200 多万住院病人的观察结果对 SPOT PEWScore 进行回顾性验证。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2024-11-19 DOI: 10.1136/archdischild-2024-327393

Samiran Ray, Duncan Shepherd

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Improving knowledge of rare disorders since 1993: the Australian Paediatric Surveillance Unit. 自 1993 年以来对罕见疾病的认识不断提高：澳大利亚儿科监测单位。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2024-11-19 DOI: 10.1136/archdischild-2023-326116

Elizabeth J Elliott, Suzy Teutsch, Carlos Nunez, Anne Morris, Guy D Eslick

{"title":"Improving knowledge of rare disorders since 1993: the Australian Paediatric Surveillance Unit.","authors":"Elizabeth J Elliott, Suzy Teutsch, Carlos Nunez, Anne Morris, Guy D Eslick","doi":"10.1136/archdischild-2023-326116","DOIUrl":"10.1136/archdischild-2023-326116","url":null,"abstract":"The Australian Paediatric Surveillance Unit (APSU), established in 1993 to address the paucity of national data on rare childhood disorders, has become an invaluable research resource. It facilitates prospective, active surveillance for a variety of rare disorders, with monthly reporting by ~1500 paediatricians, who are invited to notify incident cases and provide demographic and clinical data. APSU is highly collaborative (used by >400 individuals/organisations), patient-informed and productive (>300 publications). In 30 years, 72 studies have been initiated on rare infections, and genetic, psychological and neurological disorders, and injuries. Return rates of monthly report cards were >90% for 30 years and paediatricians have provided data for >90% of notified cases. Although there are limitations, including case underascertainment in remote regions, APSU often provides the only available national data. APSU has assisted the government in reporting to the WHO, developing national strategies, informing inquiries and investigating disease outbreaks. APSU data have informed paediatrician education, practice, policy, and service development and delivery. APSU was integral in establishing the International Network of Paediatric Surveillance Units (INoPSU) and supporting development of other units. APSU's expanded remit includes one-off surveys, hospital audits, systematic reviews, studies on the impacts of rare disorders on families, surveillance evaluations, and joint studies with INoPSU members. Paediatricians value the APSU, reporting that APSU data inform their practice. They must be congratulated for an outstanding collective commitment to the APSU, in providing unique data that contribute to our understanding of rare disorders and support optimal, evidence-based care and improved child health outcomes.","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":"967-979"},"PeriodicalIF":4.3,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Triage tools in the paediatric emergency department. 儿科急诊室的分诊工具。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2024-11-19 DOI: 10.1136/archdischild-2024-328198

引用次数: 0

Rare presentation of large lymphatic malformation of left orbit. 罕见的左眼眶大淋巴畸形。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2024-11-19 DOI: 10.1136/archdischild-2024-327705

Cheryl Keel, Kathryn Mullan, Katherine Shirley, Andrew Thompson, David Cummins

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Time to take it 'out' side: delabelling allergy to penicillin and other beta-lactams in children and young people. 是时候把它 "拿 "出来了：取消儿童和青少年对青霉素和其他β-内酰胺类药物过敏的标签。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2024-11-18 DOI: 10.1136/archdischild-2024-327206

Paul Turner

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Incidence of sudden unexplained death in childhood for children aged 1-14 years in England and Wales during 2001-2020: an observational study. 2001-2020 年间英格兰和威尔士 1-14 岁儿童不明原因猝死的发生率：一项观察性研究。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2024-11-18 DOI: 10.1136/archdischild-2024-327840

Joanna Jane Garstang, Merve Tosyali, Marivjena Menka, Peter S Blair

{"title":"Incidence of sudden unexplained death in childhood for children aged 1-14 years in England and Wales during 2001-2020: an observational study.","authors":"Joanna Jane Garstang, Merve Tosyali, Marivjena Menka, Peter S Blair","doi":"10.1136/archdischild-2024-327840","DOIUrl":"10.1136/archdischild-2024-327840","url":null,"abstract":"Objective: The objective is to determine the incidence of sudden unexplained death in childhood (SUDC) for children aged 1-14 years in England and Wales during 2001-2020.Design: Observational study using official national statistics on death registrations and child population.Setting: England and Wales.Patients: Children dying of SUDC, aged 1-14 years, registered as International Classification of Disease version 10 codes R95-99.Main outcome measures: Incidence of SUDC, proportion of child mortality due to SUDC.Results: A total of 582 children aged 1-14 years died of SUDC, 450 (77.3%) deaths were in children aged 1-4 years, 55 (9.5%) in those aged 5-9 years and 77 (13.2%) in those aged 10-14 years. The number of SUDC was relatively stable with a mean of 29 cases per year (range 21-38, SD 4.2). Overall child mortality fell from 1482 deaths in 2001 to 826 in 2020. The incidence of SUDC for children aged 1-14 years ranged between 0.002 and 0.004 per 1000. The relative proportion of child mortality due to SUDC increased from 1.96% of all child deaths in 2001 to 3.03% in 2020 (p=0.103), SUDC accounted for 5.8% of deaths of children aged 1-4 years by 2020. At all ages, SUDC was more common in male children than female children.Conclusion: The incidence of SUDC has remained static despite overall child mortality almost halving in the last two decades. SUDC is now more widely recognised due to improved investigation, but there has been limited research into SUDC; potential causes and associated risk factors remain unknown. As the relative proportion of child deaths due to SUDC increases, child health professionals must be aware of SUDC to support bereaved families.","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Therapeutic privilege. 治疗特权。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2024-11-15 DOI: 10.1136/archdischild-2024-327976

Robert Wheeler

引用次数: 0

Short-term weight variability in infants and toddlers: an observational study. 婴幼儿的短期体重变化：一项观察性研究。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2024-11-14 DOI: 10.1136/archdischild-2024-327659

Charlotte Margaret Wright, Ford Hope-McGill, Harshine Sivakanthan, Tim J Cole

{"title":"Short-term weight variability in infants and toddlers: an observational study.","authors":"Charlotte Margaret Wright, Ford Hope-McGill, Harshine Sivakanthan, Tim J Cole","doi":"10.1136/archdischild-2024-327659","DOIUrl":"10.1136/archdischild-2024-327659","url":null,"abstract":"Aims: To explore short-term weight variability in young children; (1) how it relates to expected weight gain and (2) how it is affected by age, time of day and dietary intakes and outputs.Methods: Twenty healthy infants aged 2-10 months and 21 healthy toddlers aged 12-35 months were weighed at home by their parents six times over 3 days. The toddlers' parents also recorded whether they had eaten, drunk, urinated or passed stool in the previous 2 hours. The primary outcome was 'noise': the within-subject weight SD pooled separately for infants and toddlers, compared with their expected weight gain over 4 or 8 weeks. Analysis by successive pairs of weights was used to assess the extent of short-term weight gain and loss associated with time of day and eating, drinking and excretion.Results: In infants, noise (117 g) was much less than the expected weight gain over 4 weeks (280-1040 g) but in toddlers, noise (313 g) was higher than the expected gain over 4 weeks (180-230 g) and around three-quarters the expected gain over 8 weeks (359-476 g). In toddlers, weight tended to fall overnight and rise by day, and recent eating and passage of stool were associated with increased weight gain, even after adjustment for time of day.Conclusions: In toddlers, the recorded weight may be 300 g higher or lower than the underlying weight trajectory, so that their weight gain based on measurements collected fewer than 8 weeks apart will often be misleading.","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Are virtual wards for children safe and effective? A 3-year retrospective service evaluation of an urban Hospital at Home service for children and young people. 儿童虚拟病房是否安全有效？对城市儿童和青少年 "在家医院 "服务的 3 年回顾性服务评估。

IF 4.3 3区医学

Archives of Disease in Childhood Pub Date : 2024-11-14 DOI: 10.1136/archdischild-2024-327582

C Ronny Cheung, Laura Farnham, Rania Al-Mukhtar, Anudeep Chahal, Klaudia Karcz, Chihiro Nagano, Beth Abraham

{"title":"Are virtual wards for children safe and effective? A 3-year retrospective service evaluation of an urban Hospital at Home service for children and young people.","authors":"C Ronny Cheung, Laura Farnham, Rania Al-Mukhtar, Anudeep Chahal, Klaudia Karcz, Chihiro Nagano, Beth Abraham","doi":"10.1136/archdischild-2024-327582","DOIUrl":"https://doi.org/10.1136/archdischild-2024-327582","url":null,"abstract":"Objective: Service evaluation of an urban 'Hospital at Home' service which provides care in patients' homes that would traditionally be delivered in the hospital setting.Design: Retrospective longitudinal review of routinely collected data recorded contemporaneously for clinical use, analysed to elicit utilisation patterns and service impact.Setting: A paediatric 'Hospital at Home' service delivered across two large acute hospitals, treating a total of 4427 patients across both primary and secondary care in South London from January 2018 to June 2022.Patients: Children managed by the Hospital at Home service, aged 0-16 years MAIN OUTCOME MEASURES: We describe patient outcomes and service performance including data on demographics, diagnoses, referral sources, hospital reattendances and bed day savings.Results: Over the evaluation period, 11 092 bed days were saved as a direct result of this service at a cost of 1.09-1.25 nursing contacts required per bed day. Reattendance to hospital was 11.1% over the study period, however, parent/carer-initiated reattendance resulting in hospital admission was only 2.7%.Conclusion: Hospital at Home services are a policy priority for the English National Health Service because of their potential to reduce admissions to and enable early discharge from hospital. This evaluation provides insight into an urban population of children managed under Hospital at Home care and demonstrates its feasibility and effectiveness. Our novel approach to the analysis of hospital reattendance data may have the potential as a template for future performance analysis of similar services.","PeriodicalId":8150,"journal":{"name":"Archives of Disease in Childhood","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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