August 2022 - Volume 107 - 8
Clinical law for clinical practice
Paediatric emergency medicine
- Cost-effectiveness of patient observation on cranial CT use with minor head trauma (22 February, 2022)
Using a cohort of 18,471 children <18 years with Glasgow Coma Scale scores 14-15 presenting less than 24 hours after blunt head trauma, the authors estimated the cost-effectiveness of planned observation on the adjusted mean costs per child and CT use reduction. They found that planned ED observation in selected children with minor head trauma is cost-effective for reducing CT use for the PECARN intermediate-risk and high-risk categories.
Global child health
- Diet and development among children aged 36–59 months in low-income countries (24 December, 2021)
This detailed analysis of Demographic and Health Survey data from children in 15 LMICs demonstrates remarkable connections between diet and cognitive development.
- Community health worker service delivery for maternal and child health: an observational study from Afghanistan (16 December, 2021)
A population-based study using routinely gathered health services data in Afghanistan showed that the number of community health workers (CHW) and access to antenatal care by CHWs were relatively higher in remote areas than in less remote areas. The CHW program in Afghanistan contributes greatly to health care in remote communities.
- National rates and disparities in childhood vaccination and vaccine-preventable disease during the COVID-19 pandemic: English sentinel network retrospective database study (31 March, 2022)
Concerns have been raised that immunisation rates for children have fallen during the COVID-19 pandemic. This study finds a <1% fall in immunisation rates for booster pneumococcal and 2nd MMR vaccines during the first 2 pandemic waves. This decrease varied by ethnicity and socio-economic status. Very little vaccine preventable disease occurred during this time. It will be important to continue to monitor trends in childhood vaccination coverage and vaccine preventable disease as the pandemic recedes.
- Childhood, teenage and young adult cancer diagnosis during the first wave of the COVID-19 pandemic: a population-based observational cohort study in England (22 March, 2022)
This study investigated children and young people diagnosed with cancer during the first wave of the COVID-19 pandemic in England. It reported a reduction in the incidence-rate-ratio of cancers and that the childhood cancers diagnosed during the pandemic were significantly more likely to have intensive care admissions.
- Evidence supporting safe diagnosis of coeliac disease in children with antitissue transglutaminase titre ≥5 times upper limit of normal (16 February, 2022)
This single centre retrospective study of anti-tissue transglutaminase titres in children with coeliac disease suggests that there is greater scope for safe diagnosis without endoscopy and biopsy by reducing the cut off for antibody titre from the currently recommended level.
- Birth prevalence of anorectal malformations in England and 5-year survival: a national birth cohort study (22 March, 2022)
A national birth cohort study describing the birth prevalence of anorectal malformations in England and their five-year survival.
- Weight loss during ambulatory tube weaning: don’t put the feeds back up (29 March, 2022)
Retrospective case series of outcomes of attempts to stop tube feeding in a cohort of 58 children: take-home message is that weight loss is common during weaning, and if one increases feed rate again, it just takes longer.