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The Assessment of Comprehensive Care for Autistic Children Provided by Polish Primary Healthcare Physicians in Parental View. 从家长角度评估波兰初级保健医生为自闭症儿童提供的综合护理。
IF 1.4 Q3 PEDIATRICS Pub Date : 2024-07-30 eCollection Date: 2024-01-01 DOI: 10.1177/2333794X241258657
Patryk Domarecki, Katarzyna Plata-Nazar

Objectives. Important factor in caring for ASD patients is the successful cooperation between the physician and the parent. Methods. The online survey has been conducted. For statistical analysis the t-student test and the U-Mann Whitney test were performed to compare 2 variables, then the Kruskal-Wallis test or ANOVA as well as The Pearson correlation and Sperman's rank correlation were performed. Results. 80.5% of respondent's PHPs did not notice the child's developmental difficulties. 22.02% of respondents can speak to their PHP about a child's difficulties. PHPs take different strategies to make patient contact with the healthcare system easier. We discovered statistically significant differences in the assessment of PHPs' abilities depending on the physicians' specialty, the children's age, the age at ASD diagnosis. Conclusion. The care for autistic patients provided by Polish PHPs is insufficient and the topic needs to be addressed immediately.

目的。护理 ASD 患者的重要因素是医生和家长之间的成功合作。方法进行在线调查。统计分析采用 t 检验和 U-Mann Whitney 检验对两个变量进行比较,然后采用 Kruskal-Wallis 检验或方差分析以及皮尔逊相关性和 Sperman 等级相关性。结果80.5%的受访 PHP 没有注意到儿童的发育障碍。22.02%的受访者可以向其家长讲述孩子的困难。儿童保健医生采取了不同的策略,使病人更容易与医疗系统接触。我们发现,在对 PHP 能力的评估上,医生的专业、儿童的年龄和 ASD 诊断年龄都存在统计学意义上的显著差异。结论波兰 PHPs 为自闭症患者提供的护理是不够的,这个问题需要立即解决。
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引用次数: 0
Clinical Characteristics and Cytogenetics of Childhood Acute Lymphoblastic Leukemia in a Single Center in Pakistan. 巴基斯坦单个中心儿童急性淋巴细胞白血病的临床特征和细胞遗传学。
IF 1.4 Q3 PEDIATRICS Pub Date : 2024-07-27 eCollection Date: 2024-01-01 DOI: 10.1177/2333794X241256863
Najia Tabassum, Sadia Muhammad, Talat Mirza, Zainab Butt, Neelum Mansoor

Objectives. This study aimed to find the association between clinical characteristics, cytogenetics, and post-induction outcomes of childhood acute lymphoblastic leukemia. Methods. The study was conducted at the Indus Hospital in Karachi. Initial total leukocyte count (TLC), cytogenetics, CNS status, and post-induction remission status were recorded. Results. Out of 108 children diagnosed with ALL, 66 (61.1%) were male and 42 (38.9%) were female. The majority 90 (83.3%) had B-ALL. CNS1 status was observed in 76 (84.4%) B-ALL and 18 (88.9%) T-ALL. All T-ALL and 89 (98.8%) B-ALL achieved remission post-induction. In B-ALL, 50 (55.5%) had a normal diploid karyotype, and 22 (24.4%) had numerical abnormalities. No typical gene rearrangement was observed in 66 (73.3%), 11 (12.2%) had BCR::ABL1, 10 (11.1%) had ETV6::RUNX1 and 3 (3.3%) KMT2A on FISH. No significant difference was observed between cytogenetics and clinical characteristics (P > .05). Conclusion. The study provides valuable data on childhood acute lymphoblastic leukemia in the Pakistani population.

研究目的本研究旨在发现儿童急性淋巴细胞白血病的临床特征、细胞遗传学和诱导后结果之间的关联。研究方法研究在卡拉奇的印度河医院进行。记录了初始白细胞总数(TLC)、细胞遗传学、中枢神经系统状况和诱导后缓解状况。结果。在确诊为 ALL 的 108 名儿童中,66 名(61.1%)为男性,42 名(38.9%)为女性。大多数 90 名(83.3%)患儿为 B 型 ALL。在76例(84.4%)B-ALL和18例(88.9%)T-ALL中观察到CNS1状态。所有 T-ALL 和 89 例(98.8%)B-ALL 在诱导后均获得缓解。在B-ALL中,50例(55.5%)的二倍体核型正常,22例(24.4%)有数字异常。66例(73.3%)未观察到典型的基因重排,11例(12.2%)有BCR::ABL1,10例(11.1%)有ETV6::RUNX1,3例(3.3%)有KMT2A。细胞遗传学与临床特征之间无明显差异(P > .05)。结论该研究提供了巴基斯坦儿童急性淋巴细胞白血病的宝贵数据。
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引用次数: 0
Pediatric Surgery Workforce Around the World: A Need to Revise Residency Programs? 世界各地的小儿外科医师队伍:是否需要修订住院医师培训计划?
IF 1.4 Q3 PEDIATRICS Pub Date : 2024-07-25 eCollection Date: 2024-01-01 DOI: 10.1177/2333794X241263169
Ahmad Khaleghnejad Tabari, Leily Mohajerzadeh, Manoochehr Ebrahimian, Mohsen Rouzrokh, Fariba Jahangiri, Saghar Rouzrokh, Reyhaneh Eghbali Zarch, Arian Ahmadi Amoli

Objectives:The study aimed to address the shortage of pediatric surgery specialists globally by investigating the discrepancies in training programs and population metrics across different countries and regions. Methods: An international survey of pediatric surgeons gathered data on training duration, examination procedures, certification, and population metrics like mortality rate and surgeon-to-population ratio. Results: The study included 44 countries. The average length of pediatric surgery training was 5.7 years, with no significant difference between different regions. The pediatric mortality rate and surgeons count per 100 000 people were inversely correlated, while training duration was associated with GDP and life expectancy, but not pediatric mortality rate or surgeons' count. Conclusion: Many countries' pediatric surgery training programs do not align with their actual need for pediatric surgeons. Nations with limited economic resources may opt to shorten residency programs or offer pediatric surgery as a direct specialty after medical school to mitigate the shortage effectively.

目的:本研究旨在通过调查不同国家和地区在培训计划和人群指标方面的差异,解决全球小儿外科专家短缺的问题。方法:对小儿外科医生进行国际调查,收集他们的培训时间和人群指标数据:一项针对小儿外科医生的国际调查收集了有关培训时间、考试程序、认证以及死亡率和外科医生与人口比例等人口指标的数据。结果:研究包括 44 个国家。小儿外科培训的平均时间为 5.7 年,不同地区之间没有显著差异。儿科死亡率与每 10 万人中的外科医生人数呈反比,而培训时间与国内生产总值和预期寿命相关,但与儿科死亡率或外科医生人数无关。结论:许多国家的小儿外科培训计划与其对小儿外科医生的实际需求不符。经济资源有限的国家可选择缩短住院医师培训项目或在医学院毕业后直接开设小儿外科专业,以有效缓解短缺问题。
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引用次数: 0
Prevalence and Associated Factors of Anemia in Children Aged 6 to 59 Months in the Eastern Region of Burkina Faso. 布基纳法索东部地区 6 至 59 个月大儿童贫血症患病率及相关因素。
IF 1.4 Q3 PEDIATRICS Pub Date : 2024-07-24 eCollection Date: 2024-01-01 DOI: 10.1177/2333794X241263163
Ousmane Ouédraogo, Ella Wendpouigoudinkondo Rakièta Compaoré, Ousmane Ouédraogo, Mediatrice Kiburente, Mamoudou Hama Dicko

Background. Anemia in children aged 6 to 59 months is a public health problem in Burkina Faso with a prevalence well above the 40% estimated by WHO globally for this age group. Aim. The objective of this study was to evaluate the prevalence and associated factors of anemia in children aged 6 to 59 months. Methods. This was a cross-sectional descriptive and analytical study. The rapid diagnostic test "hemocue" was used to measure the hemoglobin level in the blood of 486 children aged 6 to 59 months. The cut-off point for any anemia was a hemoglobin level of less than 11.0 g/dL. The chi-square test was used to analyze the anemia prevalence differences in different characteristic groups, and the multivariate logistic regression was used to analyze the relationship between the household and sociodemographic characteristics and anemia in children. The data was processed using the SPSS software. Results. Nine out of 10 children were anemic, with a prevalence of 90.9%. Prevalences were high in both Gnagna and Gourma, respectively 89.9% and 91.6%. The results of the bivariate analysis showed that the age of the child, the household head education level and the participation of the mother in activities to prevent malnutrition were significantly associated with anemia. In multivariate analysis, children aged 6 to 12 months were 3 times more likely to have anemia than children aged over 36 months. Those aged 13 to 36 months were twice as likely to have anemia as those aged over 36 months. Conclusion. There was a need to strengthen anemia interventions taking into account the age of children.

背景。在布基纳法索,6 至 59 个月大的儿童贫血是一个公共卫生问题,其发病率远远高于世界卫生组织估计的全球该年龄段儿童的 40%。研究目的本研究旨在评估 6 至 59 个月大儿童贫血症的患病率和相关因素。方法。这是一项横断面描述性分析研究。研究人员使用快速诊断测试 "血色素 "来测量 486 名 6 至 59 个月儿童血液中的血红蛋白水平。血红蛋白水平低于 11.0 克/分升是贫血的分界点。采用卡方检验分析不同特征组的贫血患病率差异,采用多元逻辑回归分析家庭和社会人口特征与儿童贫血之间的关系。数据使用 SPSS 软件进行处理。结果10 名儿童中有 9 名贫血,患病率为 90.9%。格纳纳和古尔马的患病率都很高,分别为 89.9% 和 91.6%。双变量分析结果显示,儿童的年龄、户主的受教育程度和母亲是否参与预防营养不良的活动与贫血有显著相关性。在多变量分析中,6 至 12 个月的儿童患贫血的几率是 36 个月以上儿童的 3 倍。13 至 36 个月的儿童患贫血的几率是 36 个月以上儿童的两倍。结论。有必要根据儿童的年龄加强贫血干预措施。
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引用次数: 0
Gastrointestinal Tolerance of Formula-Fed Infants During the Immediate Postnatal Period in Saudi Arabia: An Observational Study. 沙特阿拉伯产后初期配方奶喂养婴儿的胃肠道耐受性:观察研究。
IF 1.4 Q3 PEDIATRICS Pub Date : 2024-07-24 eCollection Date: 2024-01-01 DOI: 10.1177/2333794X241260261
Nicholas P Hays, Rasha Alenazi, Reham Al-Zaatreh, Luca Lavalle, Moustafa Sameer, Inez Sroda, Yvonne Vissers, Mohammad Mizyed

Objective. Feeding intolerance during the early postnatal period can be distressing for families. To assess this, infants (n = 150) of mothers who had previously decided to exclusively or partially formula feed were enrolled ≤24 hours after birth. Methods. Infants were fed with a single ready-to-feed, 100% partially hydrolyzed whey protein-based formula until discharge, in accordance with standard hospital practice. Parents recorded daily the presence/severity of gastrointestinal (GI) symptoms/behaviors, rated from 0 (never) to 5 (always). A validated questionnaire was completed at discharge to evaluate symptoms of GI discomfort; scores can range from 0 to ~140 (lower scores indicate fewer symptoms). Results. Mean ± SD daily scores ranged from 0.12 ± 0.40 (fussiness/irritability) to 1.26 ± 0.90 (spitting up), indicating that GI symptoms/behaviors occurred, on average, "never" or "almost never." Mean GI discomfort scores were also very low (9.9 ± 7.4). Conclusion. These results indicate that the ready-to-feed formula was very well accepted and well tolerated during this period among healthy newborns in Saudi Arabia.

目的。产后早期的喂养不耐受会给家庭带来困扰。为了对此进行评估,我们在婴儿出生后 24 小时内对之前决定完全或部分使用配方奶喂养的母亲的婴儿(n = 150)进行了登记。方法按照医院的标准做法,婴儿在出院前一直由100%部分水解乳清蛋白配方奶粉喂养。父母每天记录婴儿是否出现/严重的胃肠道(GI)症状/行为,评分从0分(从不)到5分(总是)不等。出院时填写一份经过验证的问卷,以评估胃肠道不适症状;得分范围从 0 到 ~140(得分越低表示症状越少)。结果。平均(± SD)日得分从 0.12 ± 0.40(烦躁/易怒)到 1.26 ± 0.90(吐奶)不等,表明平均 "从不 "或 "几乎从不 "出现胃肠道症状/行为。消化道不适的平均得分也很低(9.9 ± 7.4)。结论这些结果表明,沙特阿拉伯的健康新生儿在此期间对即食配方奶粉的接受度和耐受性都很高。
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引用次数: 0
The Cardiorespiratory Fitness of Children and the Anthropometric Determinants During Late Childhood Within South East Wales: Potential Implications for Future Health. 东南威尔士儿童晚期的心肺功能和人体测量决定因素:对未来健康的潜在影响
IF 1.4 Q3 PEDIATRICS Pub Date : 2024-07-24 eCollection Date: 2024-01-01 DOI: 10.1177/2333794X241259908
Stuart Jarvis, Helen Giles, Karl J New

Objective. This study investigated cardiorespiratory fitness (CRF) levels and the relationship with field-based measures of anthropometry in children aged 10 to 11 years. Methods. A total of 288 boys and 257 girls participated in the study. CRF (20 m shuttle run) and several field-based measures of anthropometry were assessed. Multiple regression was utilized for all data analysis. Results. Boys performed significantly better than girls on the CRF test (P < .001) and achieved higher classifications of CRF based on centile norms compared to girls. All measures of anthropometry were significant predictors of CRF, (P < .001), and each measure was significant in predicting a negative trajectory of CRF performance when they increased in value (P < .05). Conclusion. The study findings add to the international reporting of CRF and the use of simple field-based measures of anthropometry alongside the use of BMI to predict CRF for health with Welsh school children (UK).

研究目的本研究调查了 10 至 11 岁儿童的心肺功能(CRF)水平及其与实地人体测量的关系。研究方法。共有 288 名男孩和 257 名女孩参加了研究。对 CRF(20 米往返跑)和几项实地人体测量指标进行了评估。所有数据分析均采用多元回归法。结果。男孩在 CRF 测试中的表现明显优于女孩(P P P P 结论:男孩在 CRF 测试中的表现明显优于女孩。研究结果为国际上关于 CRF 的报告以及使用简单的实地人体测量方法和体重指数来预测威尔士学童(英国)的 CRF 增添了新的内容。
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引用次数: 0
Fathers Nutrition Knowledge and Child Feeding Practices Associated with Childhood Overweight and Obesity: A Scoping Review of Literature From 2000 to 2023. 与儿童超重和肥胖有关的父亲营养知识和儿童喂养方式:2000 年至 2023 年文献综述》。
IF 1.4 Q3 PEDIATRICS Pub Date : 2024-06-22 eCollection Date: 2024-01-01 DOI: 10.1177/2333794X241263199
Siddique Gbanha Bawa, Lauren Haldeman

Objective. Childhood overweight/obesity is a serious global public health issue, demanding parental involvement to reverse trends. Despite fathers' crucial parenting roles, research on fathers and childhood overweight/obesity is limited. This scoping review examines the literature on fathers' nutrition knowledge and feeding practices with childhood overweight/obesity. Methods. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and Arksey and O'Malley (2005) framework, multiple databases were searched. Eligible father-child related studies focused on fathers' nutrition knowledge, feeding practices, and childhood overweight/obesity. Results. Of 26 eligible articles, 52% originated from the United States, and 44% focused on father-child dyads. Most studies were cross-sectional (64%) and survey-based (68%). Further, 11.5% assessed fathers' nutrition knowledge, and child feeding practices (53.4%). Conclusion. Literature on fathers' nutrition knowledge and feeding practices concerning childhood overweight/obesity is limited. Scaling-up fathers' inclusion in childhood nutrition research is encouraged for the design of holistic interventions.

目的儿童超重/肥胖症是一个严重的全球性公共卫生问题,需要父母的参与才能扭转这一趋势。尽管父亲在养育子女方面扮演着重要角色,但有关父亲与儿童超重/肥胖的研究却十分有限。本范围综述研究了有关父亲的营养知识和喂养方式与儿童超重/肥胖的文献。研究方法根据系统综述和元分析首选报告项目(PRISMA)指南以及 Arksey 和 O'Malley(2005 年)框架,对多个数据库进行了检索。符合条件的父子相关研究主要关注父亲的营养知识、喂养方式和儿童超重/肥胖问题。结果。在 26 篇符合条件的文章中,52% 来自美国,44% 以父子二人组为研究对象。大多数研究为横断面研究(64%)和调查研究(68%)。此外,11.5%的研究评估了父亲的营养知识和儿童喂养方式(53.4%)。结论有关儿童超重/肥胖的父亲营养知识和喂养方式的文献十分有限。鼓励扩大将父亲纳入儿童营养研究的范围,以设计全面的干预措施。
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引用次数: 0
Recovery Time From Severe Community Acquired Pneumonia and Risk Factors Among Pediatrics, Ethiopia: A Retrospective Follow-Up Study. 埃塞俄比亚儿科严重社区获得性肺炎的康复时间和风险因素:回顾性随访研究。
IF 2.2 Q3 PEDIATRICS Pub Date : 2024-06-13 eCollection Date: 2024-01-01 DOI: 10.1177/2333794X241256860
Addisu Dabi Wake

Introduction. Severe community acquired pneumonia (CAP) is a life-threatening condition, with high rates of morbidity and mortality. This study aimed to determine the recovery time from severe CAP and risk factors among pediatric patients. Methods. A retrospective follow-up study was conducted among 412 pediatric medical charts with severe CAP enrolled at Asella Referral and Teaching Hospital between January 01, 2021 and December 31, 2022. EpiData version 4.6.0.6 and STATA version 14.2 were used for data entry and statistical analysis, respectively. Bivariable and multivariable Cox proportional hazards regression analyzes were performed. Result. The median recovery time from severe CAP among pediatric patients was 5 days (IQR = 3-8 days). IDR of recovery from severe CAP was 13.089 per 100 [95%CI: 11.82, 14.49] pediatric days observations. The cumulative incidence of recovery from severe CAP was 89.56% [n = 369, 95%CI: 86.20, 92.18]. Age [AHR = 1.55, 95%CI: 1.12, 2.13, P = .007], vaccination status [AHR = 1.29, 95%CI: 1.03, 1.63, P = .027], presence of danger signs [AHR = 1.61, 95%CI: 1.26, 2.05, P = .000], presence of comorbidity [AHR = 1.67, 95%CI: 1.33, 2.10, P = .000], duration of seeking care [AHR = 1.71, 95%CI: 1.18, 2.47, P = .004], and oxygen therapy [AHR = 1.45, 95%CI:1.12, 1.87, P = .004] were statistically significant risk factors for recovery time from severe CAP. Conclusions. The median recovery time of patients with severe CAP is relatively high. Age, vaccination status, presence of danger signs, presence of comorbidities, duration of seeking care, and oxygen therapy were statistically significant risk factors of recovery time from severe CAP.

导言。重症社区获得性肺炎(CAP)是一种危及生命的疾病,发病率和死亡率都很高。本研究旨在确定重症 CAP 的恢复时间以及儿科患者的风险因素。研究方法在2021年1月1日至2022年12月31日期间,对阿塞拉转诊和教学医院收治的412例重症CAP儿科病历进行了回顾性随访研究。研究分别使用 EpiData 4.6.0.6 版和 STATA 14.2 版进行数据录入和统计分析。进行了二变量和多变量考克斯比例危险回归分析。结果儿科重症 CAP 患者的中位康复时间为 5 天(IQR = 3-8 天)。重症 CAP 康复 IDR 为每 100 个观察日 13.089 [95%CI: 11.82, 14.49]。重症 CAP 恢复的累积发生率为 89.56% [n = 369,95%CI:86.20,92.18]。年龄[AHR = 1.55,95%CI:1.12,2.13,P = .007]、疫苗接种情况[AHR = 1.29,95%CI:1.03,1.63,P = .027]、是否有危险征兆[AHR = 1.61,95%CI:1.26,2.05,P = .000]、是否有合并症[AHR = 1.67,95%CI:1.33,2.10,P = .000]、就医时间[AHR = 1.71,95%CI: 1.18,2.47,P = .004]和氧疗[AHR = 1.45,95%CI:1.12,1.87,P = .004]是严重 CAP 恢复时间的统计学显著风险因素。结论重症 CAP 患者的中位康复时间相对较长。年龄、疫苗接种情况、是否存在危险征兆、是否存在合并症、就医时间和氧疗是影响重症 CAP 恢复时间的具有统计学意义的危险因素。
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引用次数: 0
Maternal Education and Children Home Alone in 63 Low- and Middle-Income Countries. 63 个中低收入国家的孕产妇教育和独自在家的儿童。
IF 2.2 Q3 PEDIATRICS Pub Date : 2024-06-07 eCollection Date: 2024-01-01 DOI: 10.1177/2333794X241258179
Toufica Sultana, Mónica Ruiz-Casares, René Iwo, Magdalena Janus, José Ignacio Nazif-Muñoz

Background. Maternal education may influence child supervision practices in low-and middle-income countries (LMIC). However, little is known about the maternal factors that can improve child supervision in LMIC with scarce childcare facilities. Objective. To investigate the prevalence of children under 5 years home alone and examine the association between mother's formal education and children home alone across 63 LMIC. Methods. The study used data from 50 Multiple Indicator Cluster Surveys and 13 Demographic and Health Surveys with a sample of 501 769 children. We estimated Prevalence Ratios (PRs) for the association between maternal education and children home alone using multivariable Poisson regression, adjusting for covariates such as child's age and sex, mother's age and marital status, number of adults inhabiting the households, and urbanicity. Results. Prevalence of children home alone across 63 LMIC ranged from 1.1% to 50.1%. A significant negative association between mothers with more years of formal education and children home alone was found across 16 LMIC. However, the opposite trend was observed in Nigeria, Senegal, and Côte d'Ivoire. Null association was found across 44 LMIC. Conclusions. The varied pattern of the associations observed across LMIC underscores the importance of regional and local factors when developing policies and interventions to ensure safety and adequate care for children aged under 5 years in LMIC.

背景。在中低收入国家(LMIC),孕产妇的教育程度可能会影响儿童监护方法。然而,在托儿设施匮乏的中低收入国家,人们对能够改善儿童监护的母亲因素知之甚少。调查目的调查 63 个中低收入国家中 5 岁以下儿童独自在家的发生率,并研究母亲的正规教育程度与儿童独自在家之间的关系。方法。研究使用了 50 项多指标类集调查和 13 项人口与健康调查的数据,样本为 501 769 名儿童。我们使用多变量泊松回归估算了母亲受教育程度与儿童独自在家之间的流行率,并对儿童年龄和性别、母亲年龄和婚姻状况、家庭中成年人数量以及城市化程度等协变量进行了调整。结果在 63 个低收入和中等收入国家中,儿童独自在家的比例从 1.1% 到 50.1% 不等。在 16 个低收入和中等收入国家中,受过较多年正规教育的母亲与儿童独自在家之间存在明显的负相关。然而,在尼日利亚、塞内加尔和科特迪瓦却发现了相反的趋势。在 44 个低收入和中等收入国家中发现了负相关。结论在低收入与中等收入国家和地区观察到的各种关联模式突出表明,在制定政策和干预措施以确保低收入与中等收入国家和地区 5 岁以下儿童的安全和充分照料时,地区和当地因素非常重要。
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引用次数: 0
Screening for Child Abuse in the Emergency Department of Academic Hospital Paramaribo in Suriname. 在苏里南帕拉马里博学术医院急诊科筛查虐待儿童行为。
IF 2.2 Q3 PEDIATRICS Pub Date : 2024-06-07 eCollection Date: 2024-01-01 DOI: 10.1177/2333794X241245274
Eeftinck Schattenkerk Ld, Loos Mhj, Schouten McM, Cheuk-Alam I, Bakx R, Lissone Npa

Background. Child abuse in Suriname has a prevalence between 58.2% and 68.8%. This prospective observational study evaluates the implementation of screening for child abuse at the Emergency Department (ED) of the Academic Hospital Paramaribo (AZP). Methods. Children (0-16 years) presenting with injury from 01-02-2018 until 31-08-2018 were eligible. Case-record-forms were completed. Multidisciplinary meetings were used to evaluate positive screened and admitted patients. Diagnostic accuracy was calculated and results were compared to retrospective data from 2016. Results. 3253 Children attended the ED. In 1190 (36.6%) children, the screening was completed. The screening was positive in 148 (12%); in 71 (6%) cases child abuse was confirmed. The sensitivity and specificity were 0.88 and 0.92 respectively, PPV 0.43, NPV 0.99. There was a significant increase of detected child abuse cases; 4.4% in 2016 versus 6% in 2018 (P = .04). Conclusion. Implementation of screening at the ED in the AZP increased detection of child abuse. To improve screening's accuracy, more education for healthcare professionals is pivotal.

背景。在苏里南,虐待儿童的发生率在 58.2% 到 68.8% 之间。这项前瞻性观察研究评估了帕拉马里博学术医院(AZP)急诊科(ED)虐待儿童筛查的实施情况。研究方法2018年2月1日至2018年8月31日期间受伤的儿童(0-16岁)均符合条件。填写病例记录表。利用多学科会议对筛选出的阳性患者和入院患者进行评估。计算诊断准确率,并将结果与 2016 年的回顾性数据进行比较。结果3253名儿童就诊于急诊室。1190名(36.6%)儿童完成了筛查。筛查结果呈阳性的有 148 例(12%),其中 71 例(6%)被证实为虐待儿童。灵敏度和特异度分别为 0.88 和 0.92,PPV 为 0.43,NPV 为 0.99。发现的虐童病例明显增加;2016 年为 4.4%,2018 年为 6%(P = .04)。结论亚利桑那州立医院在急诊室实施筛查提高了虐待儿童的检出率。要提高筛查的准确性,加强对医护人员的教育至关重要。
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引用次数: 0
期刊
Global Pediatric Health
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