February 26, 2021
- Original researchQuality of life of children treated for unilateral hearing loss: a systematic review and meta-analysis
This systematic review and meta-analysis of children with moderate to severe unilateral hearing loss showed quality of life was significantly improved with hearing rehabilitation.
February 25, 2021
- Images in paediatricsMethaemoglobinaemia due to food protein-induced enterocolitis syndrome
- Original researchLong-term outcomes in children with absent pulmonary valve syndrome: it is not just fixing the heart
This single centre study reports a 10 year experience of management of children with the 'Absent Pulmonary Valve' variant of Tetralogy of Fallot. This peculiar variant mainly has respiratory implications including long term ventilation due to its strong association with trachea-bronchomalaica, but some also have significant neurodevelopmental problems. This paper highlights the strong multidisciplinary team approach required for the care of many cardiac patients, and we should also consider the psychosocial comorbidities this can engender.
- Original researchUK paediatric oncology Pneumocystis jirovecii pneumonia surveillance study
This paper looks at the mortality, outcomes and use of prophylaxis associated with Pneumocystis jirovecii Pneumonia (PJP)in children being treated for malignancies across the UK. A quarter of patients had not been receiving PJP prophylaxis.
- Original researchAdjuvant corticosteroids for prevention of kidney scarring in children with acute pyelonephritis: a systematic review and meta-analysis
In this systematic review and meta-analysis, the authors found that adjuvant corticosteroids can prevent renal scarring to antibiotic therapy in febrile UTI. Because of moderate-quality evidence, further multicentric randomized trials with adequate sample size are needed.
February 23, 2021
February 18, 2021
- Original researchCan TEN4 distinguish bruises from abuse, inherited bleeding disorders or accidents?
This paper evaluates the utility of the TEN4 categorisation of bruises (Torso, Ear, Neck and any bruise in < 4 month-old) in differentiating between abuse, accidents and inherited bleeding disorders.
February 17, 2021
- Original researchUnexpected death in children with severe congenital heart defects in Norway 2004–2016
Norway is a 'microcosm' for congenital heart disease with a stable population & largely complete data. So of the 67 under 2's with severe CHD (29% of deaths 2004-2016) who died 'unexpectedly and unrelated to a cardiac intervention', many had clear risk factors for deterioration which were not highlighted in their discharge summaries or monitored for. The implications are obvious.
- Original researchGlobal trends in adolescents’ road traffic injury mortality, 1990–2019
Using an ecological design, the authors determined trends in road traffic mortality among adolescents (younger and older age groups) across different country income levels. They noted downward trends in mortality from 1990 to 2019 globally, at all income levels, for all types of road users. Although this decrease is encouraging, the burden of mortality remains high, and prevention efforts should continue.
- ReviewKeeping young people connected during COVID-19: the role of online groups
This paper presents relevant literature on the effectiveness of online groups for young people with chronic health conditions and practical and clinical considerations on how to adapt groups for online delivery.
- ViewpointRacism, history and medical education
February 16, 2021
- Original researchParents’ perspectives on conflict in paediatric healthcare: a scoping review
This scoping review collates parental views on conflict in paediatric healthcare, during palliative and end of life care. Parents reported many causes of conflict including the importance for parents to have their expertise recognised, interpretation of suffering, views of ‘best interest’, and shared decision making. This review also maps the views of parents onto what is already known about health professionals' views and demonstrates how parents have unique views that may contribute to the dynamics of conflict.
- Global child healthClinical characteristics, treatment and outcomes of paediatric COVID-19: a systematic review and meta-analysis
A review of studies of paediatric COVID-19 infection, including data on 10,000 children from 129 studies from 31 countries (more than half the studies from USA and China). Describes the clinical features, comorbidities and outcomes of the pandemic infection among children.
February 15, 2021
February 12, 2021
- Short reportSearching for the true attrition rate of UK paediatric trainees
With challenges facing the UK paediatric work force, an understanding of the flow of trainees through training is essential for work force planning. This report explores the departure of trainees from UK paediatric training programmes, and is notable for the challenges the authors faced in obtaining reliable data.
February 11, 2021
- Global child healthHow to do no harm: empowering local leaders to make care safer in low-resource settings
Describes how local leaders can improve quality and safety in paediatric care by focusing in 4 areas: critical clinical processes, improving the organisation of care, controlling risks and enhancing responses to hazards. Provides practical advice and examples from newborn care.
February 10, 2021
February 09, 2021
February 08, 2021
February 04, 2021
- Images in paediatricsWormian bones: thinking beyond osteogenesis imperfecta