Acta Paediatrica

Josefine Fengler, Matthias Heckmann, Anja Lange, Axel Kramer, Steffen Flessa
AIM: This study analysed the comparative cost of feeding donor human milk to preterm infants compared to mother's own milk and formula. METHODS: A document and process analysis and a time measurement study were carried out at the milk bank of the Level 1 Perinatal Center of the University Hospital of Greifswald, Germany, from April to June 2017. The cost analysis data was provided by the University's financial department. RESULTS: The total cost per year was €92,085...
November 8, 2019: Acta Paediatrica
Jonas F Ludvigsson, Benjamin Lebwohl
No abstract text is available yet for this article.
November 8, 2019: Acta Paediatrica
Marie Friedel, Marleen Renard, Hugo Devlieger, Gaston Verellen
We read with interest the paper by Dombrecht et al (1) on the complex issues surrounding active end-of-life practices for fetuses and neonates with life-limiting conditions. The authors explored this sensitive topic, by surveying the self-reported attitudes of neonatologists and neonatal nurses in the Flanders region of Belgium.
November 6, 2019: Acta Paediatrica
Magnus Karlsson, Björn Rosengren
No abstract text is available yet for this article.
November 6, 2019: Acta Paediatrica
M Treider, S Ohnesorge, K Bjørnland
Cholecystectomy is a major gastrointestinal surgical procedure which is infrequently performed in paediatric patients. Therefore, it is difficult for paediatric surgeons to get experience with this operation which may have serious complications. The main aim of this study was therefore to register postoperative complications after cholecystectomies in children.
November 5, 2019: Acta Paediatrica
Trond Markestad
No abstract text is available yet for this article.
November 3, 2019: Acta Paediatrica
Khen Moscovici, Tamar Wainstock, Eyal Sheiner, Gali Pariente
AIM: The aim of the present study was to determine whether being born to non-diabetic mother with a family history of diabetes mellitus (DM), is associated with higher rates of long-term neurological hospitalizations of the offspring. METHODS: A retrospective analysis of all live births and pediatric hospitalizations at Soroka University Medical Center between 1991-2014 was performed. Family history of DM was collected from prepartum women using anamnesis. During the study period 208,728 deliveries met the inclusion criteria, of them 8...
November 2, 2019: Acta Paediatrica
Hilde Mjell Donkor, Jacob Holter Grundt, Petur Benedikt Júlíusson, Geir Egil Eide, Jørgen Hurum, Robert Bjerknes, Trond Markestad
AIM: To examine the effect of a family-oriented multidisciplinary intervention program to curtail weight increase in young children with obesity. METHODS: Children who weighed more than one kilogram above the 97th percentile for height at the pre-school assessment in Oppland County, Norway, were identified. Parents residing in one part of the county were invited to participate in a group-based three-year intervention program while the rest had no interventions. Body mass index (BMI) and family characteristics at entry and measurements at birth were explanatory variables, and change in BMI standard deviation score (SDS) the outcome measure...
November 2, 2019: Acta Paediatrica
Livio Provenzi, Monica Fumagalli, Giunia Scotto di Minico, Roberto Giorda, Francesco Morandi, Ida Sirgiovanni, Paola Schiavolin, Fabio Mosca, Renato Borgatti, Rosario Montirosso
AIM: The main goal of this study was to assess the association between pain-related increase in serotonin transporter gene (SLC6A4) methylation and emotional dysregulation in 4.5-year-old preterm children compared to full-term matched counterparts. METHODS: Preterm (n=29) and full-term (n=26) children recruited from two Italian hospitals were followed-up from October 2011 to December 2017. SLC6A4 methylation was assessed from cord blood at birth from both groups and peripheral blood at discharge for preterm ones...
October 31, 2019: Acta Paediatrica
Emily S Hoyle, Francesca Patino, Charles W Yoxall
AIM: CPAP (continuous airway pressure) use as respiratory support from birth increases the proportion of babies who survive without Bronchopulmonary Dysplasia. Although we introduced a guideline for CPAP use in 2015, our intubation rate remained high (61.7%). We aimed to reduce the intubation rate into the interquartile range for the Vermont Oxford Neonatal (VON) network. METHODS: A multi-disciplinary team was established. Data relating to resuscitation in all babies born before 32 weeks gestation or with a birth weight below 1500g during 2017/2018 were collected prospectively...
October 26, 2019: Acta Paediatrica
Charlotte Ward, Kevin Baker, Helen Smith, Alice Maurel, Dawit Getachew, Tedila Habte, Cindy McWhorter, Paul LaBarre, Jonas Karlstrom, Jim Black, Quique Bassat, Agazi Ameha, Abraham Tariku, Max Petzold, Karin Källander
AIM: Manually counting respiratory rate (RR) is commonly practiced by community health workers to detect fast breathing, an important sign of childhood pneumonia. Correctly counting and classifying breaths manually is challenging, often leading to inappropriate treatment. This study aimed to determine the usability of a new automated RR counter (ChARM) by health extension workers (HEWs), and its acceptability to HEWs, first-level health facility workers (FLHFWs) and caregivers in Ethiopia...
October 22, 2019: Acta Paediatrica
P Lago, C Spada, L Lugli, E Garetti, A Pirelli, P Savant Levet, G Ancora, D Merazzi
Therapeutic hypothermia (TH) has become the standard neuroprotective intervention for newborn infants with hypoxic-ischaemic encephalopathy (HIE) and it is recommended in resuscitation guidelines (1). Adeguate analgesia and sedation is fundamental to maximise the efficacy of TH. Animal studies have shown that stress may have adverse effects and influence the therapeutic effect of hypothermia. (2) Robust scientific evidence is lacking on human analgesia and sedation during TH, and clinical practices vary widely...
October 22, 2019: Acta Paediatrica
Sverre Morten Zahl, Knut Wester, Steven Gabaeff
AIM: Benign external hydrocephalus (BEH), hygroma, and chronic subdural haematoma are extra-axial fluid collections in infants. MRI studies have shown that almost half of all new-borns have perinatal subdural blood, generally referred to as subdural haematoma (SDH) or perinatal SDH. Epidemiologically there are striking similarities between chronic SDH and BEH in infants. METHODS: Discussion of pathophysiological mechanisms for BEH and chronic SDH, based on existing literature...
October 22, 2019: Acta Paediatrica
Eric Scheier, Alex Guri, Uri Balla
We read with great interest Dr. DeVito and Dr. Mankad's case of optic nerve atrophy after subgaleal hematoma caused by a hairpull (1). Orbital involvement of a subgaleal hematoma is rarely encountered, and can be vision threatening. Furthermore, proptosis from the subgaleal hematoma can cause corneal abrasions, which require emergent evaluation.
October 20, 2019: Acta Paediatrica
Kalwa Munthali, Catherine Harrison
AIM: The Yorkshire and Humber operational delivery network (ODN) aims to ensure 85% of preterm babies are delivered in tertiary centres. Auditing in-utero transfers provides key data for streamlining this process. Our study aimed to determine reasons and outcomes of in-utero transfers as well as review the impact of staffing on capacity transfer requests. METHODS: All in-utero transfer referrals between September 2014 and August 2015 were reviewed and delivery outcome data was sought from the national data platform, Badgernet...
October 20, 2019: Acta Paediatrica
Hercília Guimarães, Hector Boix, Carina Rodrigues, Teresa Tomé, Gustavo Rocha, Maximo Vento
No abstract text is available yet for this article.
October 20, 2019: Acta Paediatrica
Kjell Helenius, Naho Morisaki, Satoshi Kusuda, Prakesh S Shah, Mikael Norman, Liisa Lehtonen, Brian Reichman, Brian A Darlow, Akihiko Noguchi, Mark Adams, Dirk Bassler, Stellan Håkansson, Tetsuya Isayama, Elettra Berti, Shoo K Lee, Maximo Vento, Kei Lui
AIM: We surveyed care practices for critically ill very preterm infants admitted to neonatal intensive care units (NICUs) in the International Network for Evaluating Outcomes in Neonates (iNeo) to identify differences relevant to outcome comparisons. METHODS: We conducted an online survey on care practices for critically ill very preterm infants and infants with severe intracranial haemorrhage (ICH). The survey was distributed in 2015 to representatives of 390 NICUs in 11 countries...
October 20, 2019: Acta Paediatrica
Sigurdur Arnason, Malou Hultcrantz, Anna Nilsson, Åsa Laestadius
AIM: To identify the incidence, etiology and prognosis of acute peripheral facial nerve palsy in children in the Borrelia high-endemic region of Stockholm. METHODS: The present study identified children from 0-18 years of age who visited a pediatric emergency department for acute peripheral facial nerve palsy during a one-year period from 2014-2015. Data was collected retrospectively. The Sunnybrook and House-Brackmann facial grading systems were used to measure clinical outcome...
October 20, 2019: Acta Paediatrica
Alejandro Avila-Alvarez, Sonia Pertega-Diaz, Lorena Vazquez Gomez, Andrea Sucasas Alonso, Henar Romero Rey, Dolores Eiriz Barbeito, Montserrat Cabana Vazquez
AIM: To assess changes in skin conductance during retinopathy of prematurity screening and to study the correlation between the skin conductance and a validated pain scale. METHODS: Prospective observational study. Fifty-three eye examinations were performed in 32 preterm infant candidates for retinopathy of prematurity screening. Outcome measures were changes in Premature Infant Pain Profile Revised (PIPP-R) scale and number of skin conductance fluctuations. RESULTS: There was a significant increase from baseline in the number of skin conductance fluctuations and PIPP-R during the procedure...
October 20, 2019: Acta Paediatrica
Jurrianne C Fahner, Judith A C Rietjens, Agnes van der Heide, Johannes J M van Delden, Marijke C Kars
AIM: Advance care planning (ACP) is a strategy to align future care and treatment with preferences of patients and families. This study assesses the experiences of ACP among paediatricians caring for children with life-limiting conditions. METHODS: Paediatricians from six Dutch university hospitals completed a survey during May to September 2017 which investigated experiences with ACP in their most recent case of a deceased child and with ACP in general. RESULTS: A total of 207 paediatricians responded (36%)...
October 18, 2019: Acta Paediatrica
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