Journal of paediatrics and child health
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J Paediatr Child Health · Jul 2013
Acute costs and predictors of higher treatment costs for major paediatric trauma in New South Wales, Australia.
To describe the costs of acute trauma admissions for children aged ≤15 years in trauma centres; to identify predictors of higher treatment costs and quantify differences in actual and state-wide average cost in New South Wales (NSW), Australia. ⋯ The high financial cost of paediatric patient treatment highlights the need to ensure prevention remains a priority in Australia. Hospitals tasked with providing trauma care should be appropriately funded and future funding models should consider trauma severity.
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J Paediatr Child Health · Jul 2013
Treatment of a simulated child with anaphylaxis: an in situ two-arm study.
This study aims to determine whether junior medical staff correctly identify and treat paediatric anaphylaxis and whether the presence or absence of hypotension influenced the treatment, using a standardised simulated patient encounter. ⋯ Anaphylaxis is a life-threatening presentation and requires prompt recognition and appropriate adrenaline administration. Junior medical staff may require more emphasis on recognition and prompt adrenaline administration in both undergraduate and in hospital training and education. Simulated scenarios may provide a platform to deliver this training to ultimately improve patient care.
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J Paediatr Child Health · Jun 2013
Randomized Controlled Trial Comparative StudyUsefulness of the fluid balance: a randomised controlled trial in neonates.
To assess the effects of fluid balance charts in neonates with moderate disease severity on duration of hospitalisation and medical interventions. ⋯ Routinely keeping fluid balances in neonates with moderate disease severity does not affect duration of hospitalisation or medical treatment.
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J Paediatr Child Health · Jun 2013
Three years of neonatal morbidity and mortality at the national hospital in Dili, East Timor.
The aim of this study was to undertake a retrospective review of admissions and discharges to the neonatal unit at the National Hospital Guido Valadares, Dili, in order to gain insight into the epidemiology of hospitalised neonates in East Timor, as the information cannot be obtained from the hospital health management information system. ⋯ The study provides, for the first time, an insight into the admissions and outcomes of the largest neonatal unit in East Timor. It is a baseline from which improvements to the quality of clinical care and data collection can be made.