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Lockdown during the COVID-19 pandemic: impact on infants with pyloric stenosis
  1. Paediatric Surgery Trainee Research Network1,
  2. Felicity Arthur2,
  3. Rachel Harwood3,
  4. Benjamin Allin4,
  5. George Stephen Bethell5,
  6. Tristan Boam6,
  7. Sumita Chhabra7,
  8. Mary Patrice Eastwood8,
  9. Kathryn Ford9,
  10. Hannah Rhodes10,
  11. Sesi Hotonu11,
  12. Aileen Rooney12,
  13. Jennifer Billington13,
  14. Joseph Rutherford Davidson14,
  15. Greg Dewar10,
  16. Ciaran Durand8,
  17. Nick Engall15,
  18. Patrick Green3,
  19. Matthew Jobson16,
  20. Anthony Starr17,
  21. Lucinda GC Tullie18
  22. PSTRN Collaborative Group
    1. 1 Collaborative Trainee Research Group, Paediatric Surgery Trainees, UK, UK
    2. 2 Paediatric Surgery, Royal Hospital for Children, Glasgow, UK
    3. 3 Paediatric Surgery, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
    4. 4 Oxford Radcliffe Hospitals NHS Trust, Oxford, Oxfordshire, UK
    5. 5 University Surgery Unit, University of Southampton, Southampton, UK
    6. 6 Norfolk and Norwich University Hospital NHS Trust, Norwich, Norfolk, UK
    7. 7 Paediatric Surgery, Alder Hey Children's Hospital, Liverpool, Merseyside, UK
    8. 8 Paediatric Surgery, Royal Belfast Hospital for Sick Children, Belfast, UK
    9. 9 Paediatric Surgery, John Radcliffe Hospital, Oxford, Oxfordshire, UK
    10. 10 Department of Paediatric Surgery, Bristol Royal Hospital for Children, Bristol, UK
    11. 11 Edinburgh Royal Infirmary, Edinburgh, UK
    12. 12 Paediatric Surgery, Glasgow Children's Hospital Charity, Glasgow, UK
    13. 13 St George's University Hospitals NHS Foundation Trust, London, UK
    14. 14 Paediatric Surgery, Guy's and St Thomas' Hospitals NHS Trust, London, UK
    15. 15 Paediatric Surgery, Manchester Children's Hospitals, Manchester, UK
    16. 16 Paediatric Surgery, Chelsea and Westminster Healthcare NHS Trust, London, UK
    17. 17 Paediatric Surgery, Morecambe Bay Health Authority, Manchester, UK
    18. 18 Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital NHS Foundation Trust, London, UK
    1. Correspondence to Miss Felicity Arthur, Royal Hospital for Children, Glasgow G51 4TF, UK; felicity.arthur2{at}ggc.scot.nhs.uk

    http://dx.doi.org/10.1136/archdischild-2020-320544

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      The COVID-19 pandemic has posed challenges for the delivery of healthcare for infants with disruption to 6-week health checks and health visitor services.1 An area of particular concern is late presentation to the hospital.2 However, current data do not offer an objective picture of how significant a problem this may be, with other reports showing low rates of delays in presentation.3 Infantile hypertrophic pyloric stenosis (IHPS) is a common, non-infective infantile condition with a predictable clinical course and therefore a good indicator condition to assess for delays in presentation. We aimed to assess whether infants with IHPS presented later during ‘lockdown’ compared with the same period the preceding year.

      Ten centres within the UK (England, Scotland and Northern Ireland) contributed data from babies with IHPS via …

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      Footnotes

      • Twitter @RachelHarwood10, @PaedSurgJoe

      • Collaborators PSTRN Collaborative Group: writing group: BA, FA, GB and RH. PSTRN Committee: BA, FA, GB, TB, SC, MPE, KF, RH, HR, SH and AR.

      • Contributors Writing group: BA, FA, GSB and RH. PSTRN committee: BA, FA, GSB, TB, SC, MPE, KF, RH, HR, SH and AR. Data contributors: FA, GSB, JB, TB, JRD, CD, GD, MPE, NE, PG, SH, MJ, AS and LGCT.

      • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

      • Competing interests None declared.

      • Provenance and peer review Not commissioned; internally peer reviewed.