Skip Polysomnography Before Adenotonsillectomy for Snoring?
To the Editor In December 2023, results of the Pediatric Adenotonsillectomy Trial for Snoring (PATS) were published in JAMA and JAMA Otolaryngology –Head& Neck Surgery. Like other elegantly designed and executed clinical trials, PATS triggers more questions than the answers provided. The novel term mild sleep-disordered breathing (SDB) is introduced that combines snoring with an apnea-hypopnea index (AHI) of less than 1 event/h (primary snoring) and AHI 1 to less than 3 events/h (mild obstructive sleep apnea [OSA]). Although both subgroups are indistinguishable regarding symptoms and morbidity, this term could confus...
Source: JAMA Otolaryngology - Head and Neck Surgery - April 18, 2024 Category: ENT & OMF Source Type: research
Skip Polysomnography Before Adenotonsillectomy for Snoring? —Reply
In Reply We thank Kaditis et al for bringing attention to the insights and clinical complexities illuminated by the results of the Pediatric Adenotonsillectomy Trial for Snoring (PATS), as published in JAMA and JAMA Otolaryngology –Head& Neck Surgery. As elucidated by the authors, PATS introduced the term mild sleep-disordered breathing (SDB) to encompass children with both primary snoring (AHI,<1) and mild obstructive sleep apnea (OSA) (apnea-hypopnea index [AHI], 1-3), distinct from the conventional definition of mild OSA typically denoted by an AHI of 1 to 5. It is noteworthy that all participants in PATS under...
Source: JAMA Otolaryngology - Head and Neck Surgery - April 18, 2024 Category: ENT & OMF Source Type: research
Cancers, Vol. 16, Pages 1548: Oral Mucositis Management in Children under Cancer Treatment: A Systematic Review
ilva
Children undergoing antineoplastic treatment often present severe side effects due to the dosage and duration of treatments, with oral mucositis emerging as one of the most prevalent and painful inflammatory conditions. There is a growing body of evidence on therapeutic interventions such as cryotherapy, low-level laser therapy, and natural compounds for this condition. The aim of this systematic review was to identify and compare therapies for the management of cancer treatment-induced oral mucositis in pediatric patients. From 2655 articles obtained in initial searches, 39 articles were considered in this system...
Source: Cancers - April 18, 2024 Category: Cancer & Oncology Authors: Ricardo Bragu ês Maria Francisca Marv ão Patr ícia Correia Raquel M. Silva Tags: Systematic Review Source Type: research
Long-Term Outcomes after Behavior-Analytic Intervention for Pediatric Feeding Disorders
AbstractMany children with autism spectrum disorder experience feeding difficulties that can lead to increased health risks (e.g., severe nutrition deficiencies, obesity-related illnesses) if left untreated. Intensive feeding programs that use behavior-analytic interventions have reported positive outcomes for treating challenging behavior associated with pediatric feeding disorders at discharge and up to 1 year post discharge. Whether these children achieve and maintain long-term goals is unknown. The purpose of the current study was to evaluate outcomes of behavior-analytic intervention for pediatric feeding disorders am...
Source: Journal of Developmental and Physical Disabilities - April 18, 2024 Category: Disability Source Type: research
Current management of neonatal abstinence syndrome: a survey of practice in the UK and Ireland
Conclusion and relevance
Compared with the previous survey, improvements in evidence-based practices were noted, highlighting the benefits of this type of research. Nonetheless, significant variation still exists in some aspects of the management of NAS. Post-discharge follow-up varies widely, with particular deficits in ophthalmology follow-up. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition)
Source: Archives of Disease in Childhood - Fetal and Neonatal Edition - April 18, 2024 Category: Perinatology & Neonatology Authors: Dempsey, S., O Grady, M. J. Tags: Original research Source Type: research
Characteristics and outcomes of neonates hospitalised with SARS-CoV-2 infection in the UK by variant: a prospective national cohort study
Conclusions
Inpatient care for neonates with SARS-CoV-2 was uncommon. Although rare, severe neonatal illness was more common during the delta variant period, potentially reflecting more severe maternal disease and associated preterm birth.
Trial registration number
ISRCTN60033461. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition)
Source: Archives of Disease in Childhood - Fetal and Neonatal Edition - April 18, 2024 Category: Perinatology & Neonatology Authors: Gale, C., Sharkey, D., Fitzpatrick, K. E., Mactier, H., Morelli, A., Nakahara, M., Hurd, M., Placzek, A., Knight, M., Ladhani, S. N., Draper, E. S., Doherty, C., Quigley, M. A., Kurinczuk, J. J., Neonatal complications of COVID-19 Collaborative Group Tags: Open access, COVID-19 Original research Source Type: research
Paediatric intensive care admissions of preterm children born
Conclusions
Most babies born <32 weeks and discharged home from neonatal care do not require PICU admission in the first 2 years. The odds of unplanned admissions to PICU were greater in the most preterm and those with significant neonatal morbidity. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition)
Source: Archives of Disease in Childhood - Fetal and Neonatal Edition - April 18, 2024 Category: Perinatology & Neonatology Authors: van Hasselt, T. J., Gale, C., Battersby, C., Davis, P. J., Draper, E., Seaton, S. E., On behalf of the United Kingdom Neonatal Collaborative and the Paediatric Critical Care Society Study Group (PCCS-SG) Tags: Open access Original research Source Type: research
Atoms
Reining in—October 2023 The hazel door swung ajar onto the penumbrally-lit corridor, the guttural scream of the hinges piercing the silence. The line of mute, quietly agitated applicants for the post uncomfortably positioned on the hard, lime green plastic chairs, reminiscent of museum pieces of 1960s furnishing, their survival having been secured wholly through their durability, providing the institution with a perfect excuse to ‘save resources for priority areas’. "Please come in, doctor." Grateful for the cursory introduction to the panel (mouth so dry as to glue tongue to palate) the interrogation beg...
Source: Archives of Disease in Childhood - April 18, 2024 Category: Pediatrics Authors: Brown, N. Tags: Highlights from this issue Source Type: research
Defining treatment success in children with surgical conditions
Conclusions
The CSOR TSS summarises how successfully children with surgical conditions have been treated, and can therefore be used to compare hospitals’ observed and expected outcomes. (Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - April 18, 2024 Category: Pediatrics Authors: Rivero-Arias, O., Buckell, J., Knight, M., Craig, B. M., Ramakrishnan, R., Kenny, S., Allin, B., on behalf of the CSOR Collaborative Group, Allin, Ayman, Bradnock, Brennan, Buckell, Giuliani, Grimaldo-Giraldo, Hall, Hinton, Jenkinson, Jester, Kenny, Knigh Tags: Open access, Editor's choice Original research Source Type: research
Don't 'take consent. Provide disclosure
The purpose of consent English courts have confirmed the importance of consent prior to clinical interventions. Accepting that this is an essential prerequisite for lawful treatment, does consent serve any further purpose other than providing information? Children’s doctors have a duty to take reasonable steps to put the patient (or their parent) into a position where they can make an informed decision about whether to subject themselves to the proposed treatment. Court judgements echo the tone of ‘taking consent’ (a phrase so often used by doctors), construed as an acquisition. Lord Donaldson, in Re W [1...
Source: Archives of Disease in Childhood - April 18, 2024 Category: Pediatrics Authors: Wheeler, R. Tags: Ethics and law for clinical practice Source Type: research
Defining surgical success
Although Benjamin Franklin opined that death and taxation are the only certainties in this life, for most of us, the need to undergo a surgical procedure at some point is also inevitable. Society consequently has a vested interest in the outcomes of surgery being successful. Through recorded history, just surviving an operative intervention was regarded as near miraculous. Aseptic technique, anaesthesia and understanding of resuscitation made surgery safe, at least for first world populations, but the objective analysis of what surgeons do and the outcome of their activity is a relative novelty in historical terms. While t...
Source: Archives of Disease in Childhood - April 18, 2024 Category: Pediatrics Authors: Jaffray, B. Tags: Editorial Source Type: research
Hospital care in the first 10 years of life of children with congenital anomalies in six European countries: data from the EUROlinkCAT cohort linkage study
Conclusions
Children with a congenital anomaly consume a significant proportion of hospital care resources. Priority should be given to public health primary prevention measures to reduce the risk of congenital anomalies. (Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - April 18, 2024 Category: Pediatrics Authors: Morris, J. K., Loane, M., Wahlich, C., Tan, J., Baldacci, S., Ballardini, E., Cavero-Carbonell, C., Damkjaer, M., Garcia-Villodre, L., Gissler, M., Given, J., Gorini, F., Heino, A., Limb, E., Lutke, R., Neville, A., Rissmann, A., Scanlon, l., Tucker, D. F Tags: Open access Original research Source Type: research
Communicative development inventory in type 1 and presymptomatic infants with spinal muscular atrophy: a cohort study
Conclusions
These results suggest that language and communication development may follow a similar pattern to that observed in motor function with the possibility to develop skills (eg, ability to say clear words) that are not usually present in untreated infants but with a level of performance that does not reach that of their typically developing peers. (Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - April 18, 2024 Category: Pediatrics Authors: Buchignani, B., Cicala, G., Cumbo, F., Ricci, M., Capasso, A., Ticci, C., Mazzanti, S., Brolatti, N., Tosi, M., Dosi, C., Antonaci, L., Coratti, G., Pera, M. C., Leone, D., Palermo, C., Berti, B., Frongia, A. L., Sacchini, M., Bruno, C., Masson, R., DAmic Tags: Original research Source Type: research
Are children living with obesity more likely to experience musculoskeletal symptoms during childhood? A linked longitudinal cohort study using primary care records
Conclusions
Girls living with obesity at the start or end of primary school are more likely to attend their GP for a musculoskeletal consultation. Routine linkage of NCMP data to EHRs provides useful insights into childhood health conditions related to excess weight in early childhood. Recognition of obesity as a contributing factor for musculoskeletal symptoms may inform clinical management, particularly in girls. (Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - April 18, 2024 Category: Pediatrics Authors: Firman, N., Homer, K., Harper, G., Robson, J., Dezateux, C. Tags: Press releases Original research Source Type: research
Wales Infants and childreNs Genome Service (WINGS): providing rapid genetic diagnoses for unwell children
Conclusion
This study demonstrates that trio rWGS is having a positive impact on the care of acutely unwell infants and children in an NHS setting. In particular, the study shows that rWGS can be applied in an NHS setting, achieving a diagnostic yield comparable with the previously published diagnostic yields achieved in research settings, while also helping to improve patient care and management. (Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - April 18, 2024 Category: Pediatrics Authors: Sloper, E., Jezkova, J., Thomas, J., Dawson, K., Halstead, J., Gardner, J., Burke, K., Oruganti, S., Calvert, J., Evans, J., Anderson, S., Corrin, S., Pottinger, C., Murch, O. Tags: Original research Source Type: research
