Journal of paediatrics and child health
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J Paediatr Child Health · Oct 2014
Comparative Study Observational StudyPredicting patient disposition in a paediatric emergency department.
The aim of this study is to directly compare published prediction tools with triage nurse (TN) predictions within a defined paediatric population. ⋯ When compared with validated prediction tools, the TN is the most accurate predictor of need to admit. This study provides valuable information in planning efficient flow of patients through the ED.
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J Paediatr Child Health · Oct 2014
Comparative StudyImproving junior doctors' confidence in paediatric musculoskeletal assessment.
Musculoskeletal symptoms are a common cause for presentation of children and adolescents to health-care settings. Junior doctors report lack of confidence in assessment of the paediatric musculoskeletal system. Our aim was to assess the confidence of junior medical officers (JMOs) working in the emergency department (ED) with paediatric musculoskeletal assessment and determine if a readily available teaching module would improve confidence. ⋯ A clinical examination teaching intervention resulted in a trend towards an increase in confidence for JMOs in paediatric musculoskeletal assessment. Formal evaluation of a teaching module was feasible within the ED.
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J Paediatr Child Health · Oct 2014
Comparative StudyPopulation study of neurodevelopmental outcomes of extremely premature infants admitted after office hours.
The aim of the study was to compare neurodevelopmental outcomes of extremely preterm infants admitted during (OH) and after (AH) office hours. ⋯ There is little circadian variation in mortality and adverse neurodevelopmental outcomes in an NICU network with the current model of after hours staffing and support, and sharing of NICU workload within a network.
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J Paediatr Child Health · Oct 2014
Nursing perceptions of high-flow nasal cannulae treatment for very preterm infants.
This study aims to assess nursing perceptions of high-flow nasal cannulae (HFNC) in comparison with nasal continuous positive airway pressure (NCPAP) as post-extubation respiratory support for very preterm infants. ⋯ Neonatal nurses preferred NCPAP for post-extubation support of infants <28 weeks' gestation and HFNC for infants of 28 or 30 weeks' gestation. Nurses accurately predicted varying efficacy of HFNC across different gestational ages, consistent with the findings of a contemporaneous randomised trial. In the context of clinical non-inferiority, as shown in the randomised trial, nursing preference for HFNC over NCPAP in preterm infants ≥28 weeks' gestation supports the use of HFNC as post-extubation support in this population.
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J Paediatr Child Health · Oct 2014
Infantile hypertrophic pyloric stenosis: does size really matter?
Pyloric stenosis is a common infantile disorder typically occurring between 2 weeks and 8 weeks of age. Presentation outside this range and in premature infants is uncommon and often atypical. ⋯ We highlight that despite their difference in size and weight, ultrasound examination remains a reliable diagnostic tool. However, pyloric measurements should be interpreted in combination with the other dynamic features on ultrasound.