Online First

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.

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.

A scoping review of apps related to children finds that data privacy and commercial features are rarely evaluated. These apps show frequent data sharing, manipulative delivery of In-app purchases and advertisements with content that is potentially harmful to child health.

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.

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.

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.

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.

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.