Online First

February 28, 2022

February 25, 2022

February 24, 2022

February 23, 2022

February 22, 2022

  • Original research
    Cost-effectiveness of patient observation on cranial CT use with minor head trauma
    Sonia Singh, Stephen Hearps, Daniel K Nishijima, John Alexander Cheek, Meredith Borland, Stuart Dalziel, James Holmes, Nathan Kuppermann, Franz E Babl, Jeffrey S Hoch On behalf of the Paediatric Research in Emergency Departments International Collaborative (PREDICT)

    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.

February 21, 2022

February 17, 2022

  • Original research
    Rate and severity of radiological features of physical abuse in children during the first UK-wide COVID-19 enforced national lockdown
    Free
    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.

February 16, 2022

  • Short report
    Epidemiology and mapping of child road casualties
    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.

  • Original research
    Evidence supporting safe diagnosis of coeliac disease in children with antitissue transglutaminase titre ≥5 times upper limit of normal
    Free
    Siba Prosad Paul, Daniyal Isam Raja, Bhupinder Kaur Sandhu, Srinivasa R Rao, Christine H Spray, Anthony Edward Wiskin, Lakshmipriya Selvarajan, Eleni Volonaki, Pramila Ramani, Lina Bourhan Tashtoush, Dharamveer Basude

    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.

February 10, 2022

February 07, 2022

February 03, 2022

February 01, 2022

January 28, 2022

January 27, 2022

January 25, 2022

January 24, 2022

January 21, 2022

January 19, 2022

January 10, 2022

December 30, 2021

December 21, 2021

December 20, 2021

December 17, 2021

  • Original research
    Clinical impact of a gastrointestinal PCR panel in children with infectious diarrhoea
    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.

December 16, 2021

  • Original research
    Community health worker service delivery for maternal and child health: an observational study from Afghanistan
    Clare B Kelly, Shafiqullah Hemat, Malalai Naziri, Khaksar Yousufi, Karen M Edmond

    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.

December 10, 2021

  • Short report
    A new model to deliver scheduled outpatient care
    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.

December 08, 2021

December 01, 2021

  • Original research
    Informed consent and assent guide for paediatric clinical trials in Europe
    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.

November 30, 2021

November 22, 2021

November 19, 2021

November 15, 2021

November 12, 2021

November 05, 2021

November 01, 2021

  • Review
    Clinical management of complex motor stereotypies
    Raj Seraya Bhatoa, Osman Malik, Sally Robinson, Tammy Hedderly

    Children with repetitive abnormal movements are often referred to paediatric clinics and this paper is a helpful account of how to identify those that need further care with guidelines on assessment and management.

  • Global child health
    National scale of neonatal CPAP to district hospitals in Malawi improves survival for neonates weighing between 1.0 and 1.3 kg
    Jennifer Carns, Sara Liaghati-Mobarhan, Aba Asibon, Alfred Chalira, Norman Lufesi, Elizabeth Molyneux, Maria Z Oden, Rebecca Richards-Kortum, Kondwani Kawaza

    This paper demonstrates the effectiveness of a quality improvement program for the use of early CPAP among neonates weighing 1.0-1.3 kg in Malawi. This nurse-led CPAP program showed a significant improvement in mortality rates that was sustained during the follow-up period.

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