Journal of paediatrics and child health
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J Paediatr Child Health · Dec 2021
Paediatric playground and tree-related injuries: Hospital admissions in the Midland region of New Zealand.
To examine the incidence and outcomes of paediatric playground and tree-related injuries in the Midland region of New Zealand. ⋯ Children aged 5-9 years' experience high rates of costly hospitalisation for playground and tree-related injuries. Targeted injury prevention initiatives, particularly in the home and school environments, are imperative to reduce the incidence and burden of playground and tree-related injuries to affected children, their families and hospital resources.
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J Paediatr Child Health · Dec 2021
Progression from sepsis to septic shock and time to treatments in preterm infants with late-onset sepsis.
Late-onset sepsis (LOS) in preterm infants can progress rapidly from minimal clinical signs and symptoms to septic shock which is associated with high mortality. The aim of this study was to describe the progression from sepsis to septic shock and evaluate our management performance with emphasis on time to treatments. ⋯ Clinical recognition of the onset of sepsis in preterm infants remains difficult and contributes to delay of treatment. Once recognised, early administration of antibiotics, fluid bolus and vasopressors should be prioritised.
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J Paediatr Child Health · Oct 2021
Observational StudyCommunity use of paracetamol and ibuprofen in children with fever.
To establish, in children aged from 3 months to less than 13 years with a febrile illness, caregiver medication usage patterns and drivers. Secondary objectives assessed caregiver knowledge and concern about fever. ⋯ This study provides insight into current knowledge and practices of parents regarding fever and its treatment. The results of this study may be used to direct future interventions to educate caregivers on this topic.
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J Paediatr Child Health · Oct 2021
Emergency mental health presentations in children with autism spectrum disorder and attention deficit hyperactivity disorder.
To characterise the key features and management of young people presenting to the emergency department (ED) with a mental health (MH) complaint and a known diagnosis of autism spectrum disorder (ASD) or attention deficit hyperactivity disorder (ADHD). ⋯ Children with ASD and/or ADHD represent one-quarter of all children presenting to the ED with MH complaints. They experience high rates of acute severe behavioural disturbance. Future research is needed to co-design, implement and evaluate better approaches for their management.
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J Paediatr Child Health · Aug 2021
i-PATHWAY: Development and validation of a prediction model for childhood obesity in an Australian prospective birth cohort.
To develop and validate a model (i-PATHWAY) to predict childhood (age 8-9 years) overweight/obesity from infancy (age 12 months) using an Australian prospective birth cohort. ⋯ i-PATHWAY is a simple, valid and clinically relevant prediction model for childhood overweight/obesity. After further validation, this model can influence state and national health policy for overweight/obesity screening in the early years.