Online First
March 18, 2021
- Original researchSharing a household with children and risk of COVID-19: a study of over 300 000 adults living in healthcare worker households in Scotland
Many parents know that having young children in the house means they get frequent respiratory viral infections. Is this the same for COVID, which is less frequent and less severe in children? This cohort study finds that having young children in the house reduces the risk of COVID.
March 16, 2021
- Original researchPost-COVID-19 paediatric inflammatory multisystem syndrome: association of ethnicity, key worker and socioeconomic status with risk and severity
In a cohort of children from South East England, there was some evidence for potentially higher risk & severity in groups with higher deprivation and in ethnic minoritys. The finding warrant further investigation.
- Original researchRisk factors for intellectual disability in children with spastic cerebral palsy
Using valuable data from the Northern Ireland Cerebral Palsy (CP) Register collected over more then 20 years, the authors demonstrate that severe intellectual disability is more common in children with bilateral compared to unilateral cerebral CP, with a greater risk in children born near term. As well as guiding the focus of screening for such problems in this population, this serves to demonstrate the value of well curated registry data for children with CP.
- Original researchInfluence of agents and mechanisms of injury on anatomical burn locations in children <5 years old with a scald
This cross-sectional study collected standardised data from 20 hospital sites in England and Wales on over 1000 children presenting acutely with scalds. Mechanisms of injury and distribution of scalds are described, with data on referrals to child protection agencies.
March 12, 2021
- Original researchGestational age on trajectories of social competence difficulties into adolescence
In a large cohort study, children born at earlier gestational age had greater social competence difficulties at 14 years. The earlier the gestational age the greater the difficulties. Some of this difference was mediated by the presence of maternal psychological distress.
March 11, 2021
- Short reportBronchiolitis and SARS-CoV-2
SARS-CoV-2 was not already circulating among infants with bronchiolitis and asymptomatic infants before the official outbreak of SARS-CoV-2 before February 2020.There is an association between SARS-CoV-2 and bronchiolitis
March 10, 2021
- Original research‘Do I, don’t I?’ A qualitative study addressing parental perceptions about seeking healthcare during the COVID-19 pandemic
A qualitative study of parents accessing acute paediatric services. Delays in seeking help were primarily driven by fear of infection. Parents had experienced delays in accessing primary care, but once at secondary care were satisfied with care received.
March 09, 2021
March 08, 2021
- Original researchReducing negative emotions in children using social robots: systematic review
Social robots may reduce stress and anxiety in children admitted to hospital, but better quality research is needed before widespread adoption
March 02, 2021
- Original researchHealth of mothers of children with a life-limiting condition: a comparative cohort study
A large cohort study showing a mother's health can be adversely affected when caring for these children.
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
- 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.
- 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.
February 23, 2021
February 18, 2021
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.
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.
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.