Table of contents

June 2022 - Volume 107 - 6





Clinical law for clinical practice

Paediatric emergency medicine

  • Epidemiology and mapping of child road casualties (16 February, 2022)
    Alexandra Celeste Smith, Sarah J Jones, David Hanna

    A short report presenting paediatric road traffic collision data from three sources in Wales. Compares reporting between datasets and discusses epidemiological factors associated with road traffic collisions.

Global child health

Original research

  • Association of childhood tracheomalacia with bronchiectasis: a case–control studyEditor's Choice (14 October, 2021) Free
    Rahul Thomas, Anne Chang, Ian Brent Masters, Keith Grimwood, Julie Marchant, Stephanie Yerkovich, Mark Chatfield, Christopher O'Brien, Vikas Goyal

    In this case-control study, Thomas et al identify a significant association between tracheomalacia and bronchiectasis (adjusted Odds Ratio 13) which should guide the investigation of children with tracheomalacia and chronic cough.

  • Daytime urotherapy in nocturnal enuresis: a randomised, controlled trial (24 January, 2022)
    Malin Borgström, Amadeus Bergsten, Maria Tunebjer, Barbro Hedin Skogman, Tryggve Nevéus

    Daytime wetting is distressing to parents and children who can feel powerless to fix the problem. This randomised trial suggests for those whose problem is significant enough to reach secondary care detailed advice-giving isn't helpful and alarms should be used first-line.

  • Rate and severity of radiological features of physical abuse in children during the first UK-wide COVID-19 enforced national lockdown (17 February, 2022)
    Stavros Stivaros, Michael Paddock, Azita Rajai, Helen Cliffe, Daniel JA Connolly, Robert A Dineen, Rachel Dixon, Harriet Edwards, Emily Evans, Katherine Halliday, Kandise Jackson, Caren Landes, Adam J Oates, Neil Stoodley, Amaka C Offiah

    There has been conflicting evidence on whether incidents of physical child abuse became more frequent during the 2020-21 Covid-related lockdowns. This study of abuse-related radiological investigations from hospitals in northern England revealed no such increase.

  • Informed consent and assent guide for paediatric clinical trials in Europe (1 December, 2021)
    Pirkko Lepola, Maxine Kindred, Viviana Giannuzzi, Heidi Glosli, Martine Dehlinger-Kremer, Harris Dalrymple, David Neubauer, Geraldine B Boylan, Jean Conway, Jo Dewhurst, Diane Hoffman

    Young people and researchers gathered together to synthesise and rate the advice from all the EU systems they could find about paediatric clinical trials to create a simpler, patient-led, framework for information to aid meaningful trial consent discussions.

  • Income support for parents of children with chronic conditions and disability: where do we draw the line? A policy review (22 November, 2021)
    Clara Chua, Claudia Bull, Emily Joy Callander

    International comparisons of income support policies across seven nations show unemployed parents or carers of children with chronic conditions or disability qualified for 32 of the 58 policies. Most policies required a child tohave an impaired ability to function, not just a chronic condition or disability.

  • Five-year follow-up of new cases after a coeliac disease mass screening (17 December, 2021)
    Olof Sandström, Fredrik Norström, Annelie Carlsson, Lotta Högberg, Maria van der Palz, Lars Stenhammar, Charlotta Webb, Anneli Ivarsson, Anna Myléus

    This Swedish study of children screened for coeliac disease and followed up five years later showed that around a third with positive serology but normal biopsy had since developed coeliac disease. Conversely, very few children with negative serology became coeliac.

  • Clinical impact of a gastrointestinal PCR panel in children with infectious diarrhoea (17 December, 2021)
    Jeanne Truong, Aurélie Cointe, Enora Le Roux, Philippe Bidet, Morgane Michel, Julien Boize, Patricia Mariani-Kurkdjian, Marion Caseris, Claire Amaris Hobson, Marie Desmarest, Luigi Titomanlio, Albert Faye, Stéphane Bonacorsi

    A prospective study of rapid PCR testing for stool pathogens in children with diarrhoea. Results were generally available two days more quickly than standard culture. This allowed more rational decisions about use of antibiotics in quarter of cases.

  • Extensive use of on-pack promotional claims on commercial baby foods in the UK (28 February, 2022)
    Ada Lizbeth Garcia, Rebekah Menon, Alison Parrett

    This study reports an online survey of promotional claims made on packaging of commercial baby foods. Claims were very common and often made to suggest foods were 'healthy'. The authors suggest regulation is needed to prevent inappropriate marketing

Short reports

  • Why are children with asthma bullied? A risk factor analysis (30 November, 2021)
    Rebecca Charles, Paul L P Brand, Francis J Gilchrist, Johannes Wildhaber, Will Carroll
  • A new model to deliver scheduled outpatient care (10 December, 2021)
    Tiffany Martin, Sandra Hapca, Nikita Mistry, Ruqayyah Steel, Yi Tse, Thomas Lumsden, Adrian Crofton, Stephen W Turner

    Enhanced referral vetting and joint primary/secondary care paediatric clinics, delivered across clusters of networked primary care practice, are a feasible means of managing secondary care demand.