Archives of Disease in Childhood

OBJECTIVE: The relationship between low income and adverse perinatal outcomes, such as low birth weight and developmental delays, is well established making the search for protective factors important. One such factor may be neighbourhood greenspace. This study elucidates the role of urban neighbourhood greenspace in the relationship between income and perinatal outcomes in a nationally representative birth cohort from the UK. METHODS: Data on 14 050 infants participating in the initial wave at age 9 months of the Millennium Cohort Study were used (51% male, 20% non-white, 52% living in disadvantaged areas)...

Between July 2023 and June 2024, there were 540 publications from randomised controlled trials (RCTs) in child and adolescent health in low- and middle-income countries (LMICs), identified using a standardised process that has been in use for 21 years. This year, trials addressed a wide range of diseases and conditions impacting the health, development and well-being of children, newborns, adolescents and mothers. The RCTs reflected old, new and neglected problems, the rapidly changing epidemiology and the evolving social and economic circumstances in many countries...

OBJECTIVE: To assess natural history of otitis media with effusion (OME)-related hearing loss and OME causing hearing loss in children under 12 years. METHODS: Embase, MEDLINE, CINAHL, INAHTA database, CENTRAL, CDSR, Epistemonikos and PsycINFO were searched to identify observational single group studies, and comparative studies with untreated control arms published in English up to June 2022, reporting natural history of OME-related hearing loss and OME causing hearing loss...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

INTRODUCTION: A statutory system of medical examiners (ME) was introduced in England and Wales in September 2024. The next of kin will be given the opportunity to speak to the ME and all medical certificates of cause of death (MCCDs) will require an ME countersignature. In children, there is already established guidance for a comprehensive child death review (CDR) that encompasses best operational practice with statutory requirements that must be followed. OBJECTIVE AND DESIGN: A national survey of all paediatric intensive care units (PICUs) in England to evaluate the processes where both systems have been adopted...

No abstract text is available yet for this article.

OBJECTIVE: To evaluate the safety of short-term use of inhaled salbutamol in children under 2 years of age with acute wheezing. DATA SOURCES: Electronic databases (PubMed, Trip, MEDLINE) and the Cochrane Library were searched for studies published up to October 2022. STUDY SELECTION: The search was restricted to randomised controlled trials published in English regarding the safety of inhaled salbutamol in wheezing children under the age of 2...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

BACKGROUND: A bronchiolitis integrated care pathway (BICP) achieved an 87% reduction in the use of medications in our regional health service (RHS) during the 2019-2020 season. AIM: This study aimed to assess the sustainability of the changes in bronchiolitis management over 3 years after implementation of the BICP. METHODS: A prospective observational study on rates of medications prescribing in children diagnosed with bronchiolitis in 135 primary care (PC) centres and eight hospital emergency departments (EDs) in the Basque Country, Spain, was conducted during the four bronchiolitis seasons between 2019 and 2023...

OBJECTIVES: To identify clinical characteristics of patients with non-refractory Kawasaki disease (KD), which were defined as those who successfully responded to the standard initial intravenous immunoglobulin (IVIG) treatment (2 g/kg/day, single infusion) without any secondary or later additional specific treatments, and to investigate the factors associated with the development of coronary artery (CA) complications in patients with non-refractory KD. DESIGN: Retrospective cohort study...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

OBJECTIVE: To explore the trends and changes in the transport of children to paediatric intensive care units (PICUs) between 2013 and 2022. DESIGN: Retrospective analysis of routinely collected data. PATIENTS: Children transported for care in a PICU in the UK and Ireland aged<16 years. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: There were 43 058 transports to a PICU involving 36 438 children from 2013 to 2022 with the majority of children requiring only one transport...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

OBJECTIVE: The objective is to explore the journey to diagnosis and referral pathway from the onset of symptoms to the initial assessments at paediatric rheumatology (PR) centres, based on the experience of children with juvenile idiopathic arthritis (JIA) and their parents. DESIGN: We conducted a qualitative study with semistructured interviews. Our qualitative and phenomenological procedure applied interpretative phenomenological analysis. PARTICIPANTS: 19 families of children diagnosed with JIA 4-24 months before the study began (22 parents, 12 children>11 years), across 4 PR centres...