Publishing the latest research in #neonatal #paediatrics and #childhealth Official journal @RCPCHtweets Companion #OpenAccess journal @BMJ_PO

Wherever you are
馃敁 Open Access How likely do liveborn babies with structural congenital heart disease survive? 馃珋 This cohort study evaluates the association between risk factors and infant mortality, with subanalyses for those with or without intervention. Read here: bit.ly/4izsCxh
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馃敁 Open access: How common is multimorbidity among children and young people (CYP) in England? Apart from illustrating its incidence and prevalence, this study also suggests that physical and mental health conditions co-exist in some cases. Read more: bit.ly/4Abkdr1
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Contrary to the conventional clinical symptomatology-guided treatment algorithm for managing paediatric asthma, Ruffles et al proposed an ADRB2 genotype-directed approach and evaluated its feasibility, acceptability and effectiveness. 馃珌 Read more here: bit.ly/4Bi27Fa
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Wet commercial baby food (WCBF): what's best for infants? 馃懚馃徏 Among the options, are those packaged in spouted pouches "better"? How does the nutritional value differ between WCBF and breastmilk? Read the study here to know more: bit.ly/4BDyQFk 馃搫 #ComplementaryFeeding
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馃敁 Open access Designed and validated by Elst et al, the Neonatal Recovery Of Sepsis Assessment (Neo-ROSA) score is a novel, user-friendly and standardised approach to evaluate clinical cure in infants with late-onset sepsis. Read more: bit.ly/3UEKJdn
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Pulmonary haemorrhage is rare but potentially lethal 馃珌 A French multi-centre retrospective observational study included 25 previously well infants with pulmonary haemorrhage; their aetiologies, clinical course and outcomes were analysed. Read more here: bit.ly/3TX4gpe
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How likely do children born with an orofacial cleft develop hearing loss? With the help of two national datasets, Butterworth et al revealed the early hearing outcomes of these children. Read their study here: bit.ly/48eLay7
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Lumbar puncture is one of the most common yet potentially challenging procedures. This article reviews current evidence in outcomes between preprocedural point-of-care ultrasound versus conventional landmark technique. Read the article: bit.ly/4s7NCzH
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AI, wearables, digital twins: why are children among the last to benefit from digital health? And what would it take to close the gap? In this new review Paul Dimitri examines the hurdles of ethics, regulations and adoption in paediatric technology: bit.ly/47VXX8w
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Does degree of prematurity affect body composition in later childhood? Br眉ckner et al. measured fat and fat-free mass in 237 children born before 32 weeks' gestation at age 6-10 years, comparing it with gestational age, size at birth and sex: bit.ly/4rVE9ez
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Would paying young people per correct inhaler dose help them stick to their asthma treatment? Hine et al., in their 2 new articles, report an RCT in 11-17 year olds with a recent asthma attack: bit.ly/4hwxGU0 - and a study of family experiences: bit.ly/4hShOdp
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S. pneumoniae haemolytic uraemic syndrome is a rare and serious complication of invasive pneumococcal disease in children. This case series reviews 17 years of cases in Aotearoa NZ: serotypes, vaccine valency, presentation, social determinants and outcomes bit.ly/47JVTAg
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Mean Arterial Pressure is a key physiological marker of perfusion in children, but how confident can we be in the reference ranges we use in acute care? Ramgopal et al. evaluated 4.7 million paediatric ED and prehospital encounters aiming the answer this: bit.ly/4hBbhVK
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Many young people who vape want to stop, but what can healthcare professionals offer them? This open access scoping review identifies and maps interventions to promote vaping cessation among children/young people under 18 years in healthcare settings: bit.ly/4zcxQGc
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Nasal or oral intubation in the NICU? This NEAR4NEOS study of 20,350 intubations across 29 centres in 7 countries compares success and safety, and finds that the answer may depend on more than just the route of intubation alone: bit.ly/4xUw0Zu
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A 2 year old with trisomy 21, no snoring, no known apnoeas, no parental concerns, yet a routine sleep study picked up a problem. Lucy Yurek asks: does routine polysomnography identify OSA in children who seem to have no symptoms? bit.ly/4hypC3T
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A teenager who is breathless during sport, inhalers don't help, and has normal investigations. Could it be dysfunctional breathing (breathing pattern disorder)? A new eDelphi asked experts which features matter, and what is should be called: bit.ly/4AB1E0t
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A 30-week preterm infant, no prenatal care, is born with blisters on the palms and soles. What's your next step? Hercberg et al. walk us through diagnosis and management. A quick, highly visual read for anyone working in neonatal or paediatric care: bit.ly/4rFBhTc
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Febrile neutropenia in children with cancer: what diagnostics are available and where is the future taking us with emerging diagnostics? Clifton et al. explore this question in their scoping review published in ADC: bit.ly/4hxJzrD
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Children with sepsis: guidelines say to consider hydrocortisone only for refractory shock. Following up on 5119 children from the SENTINEL study across EDs in Australia/NZ, Long et al. (PREDICT network) report on what's happening in real-life practice. bit.ly/4AFB2eJ
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