Pub Date : 2022-12-01DOI: 10.1136/bmjpo-2022-rcpch.65
Alexandra J Childs, J. Dearden
{"title":"1946 Founding of the southwest paediatric mental health network and inaugural meeting","authors":"Alexandra J Childs, J. Dearden","doi":"10.1136/bmjpo-2022-rcpch.65","DOIUrl":"https://doi.org/10.1136/bmjpo-2022-rcpch.65","url":null,"abstract":"","PeriodicalId":22968,"journal":{"name":"The Poster","volume":"287 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73287823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1136/bmjpo-2022-rcpch.15
A. Waddington, S. Stroud, Afshan Safdar, E. Cole
{"title":"1834 YourStance: teaching young people at risk of serious youth violence basic life support and haemorrhage control","authors":"A. Waddington, S. Stroud, Afshan Safdar, E. Cole","doi":"10.1136/bmjpo-2022-rcpch.15","DOIUrl":"https://doi.org/10.1136/bmjpo-2022-rcpch.15","url":null,"abstract":"","PeriodicalId":22968,"journal":{"name":"The Poster","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76341275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1136/bmjpo-2022-rcpch.22
A. Choudhury, T. Segal, N. O’Donnell
{"title":"1845 ’Please write to Me’; How well are clinicians adhering to the guidance in writing to young people?","authors":"A. Choudhury, T. Segal, N. O’Donnell","doi":"10.1136/bmjpo-2022-rcpch.22","DOIUrl":"https://doi.org/10.1136/bmjpo-2022-rcpch.22","url":null,"abstract":"","PeriodicalId":22968,"journal":{"name":"The Poster","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87842109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1136/bmjpo-2022-rcpch.38
Madeleine Glasbey
{"title":"1878 Improving the transition of patients from paediatric to adult medical care services at gisborne hospital","authors":"Madeleine Glasbey","doi":"10.1136/bmjpo-2022-rcpch.38","DOIUrl":"https://doi.org/10.1136/bmjpo-2022-rcpch.38","url":null,"abstract":"","PeriodicalId":22968,"journal":{"name":"The Poster","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90193429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1136/bmjpo-2022-rcpch.20
L. Hudson, F. Cornaglia, F. Gibson, Gabrielle Mathews, H. Roberts, D. Roland, Adriana Vázquez-Vázquez, J. Ward, D. Nicholls, R. Viner
{"title":"1842 MAPS: mental health admissions to paediatric wards study","authors":"L. Hudson, F. Cornaglia, F. Gibson, Gabrielle Mathews, H. Roberts, D. Roland, Adriana Vázquez-Vázquez, J. Ward, D. Nicholls, R. Viner","doi":"10.1136/bmjpo-2022-rcpch.20","DOIUrl":"https://doi.org/10.1136/bmjpo-2022-rcpch.20","url":null,"abstract":"","PeriodicalId":22968,"journal":{"name":"The Poster","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84798802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1136/bmjpo-2022-rcpch.48
Jessica O'Logbon
{"title":"1916 The relationship between parent mental health and child psychiatric disorder in the survey of mental health in children and young people in England 2017","authors":"Jessica O'Logbon","doi":"10.1136/bmjpo-2022-rcpch.48","DOIUrl":"https://doi.org/10.1136/bmjpo-2022-rcpch.48","url":null,"abstract":"","PeriodicalId":22968,"journal":{"name":"The Poster","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79571152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1136/bmjpo-2022-rcpch.68
Daniel Dexter, Bethan Williams, Jumoke Okikiolu, H. Nicholl, J. Kerwin, Joshua Kader, A. Nagra, Helen Oram
{"title":"1955 An effective digital health education tool that improves lower rates of health literacy reported amongst young people living with sickle cell disease","authors":"Daniel Dexter, Bethan Williams, Jumoke Okikiolu, H. Nicholl, J. Kerwin, Joshua Kader, A. Nagra, Helen Oram","doi":"10.1136/bmjpo-2022-rcpch.68","DOIUrl":"https://doi.org/10.1136/bmjpo-2022-rcpch.68","url":null,"abstract":"","PeriodicalId":22968,"journal":{"name":"The Poster","volume":"599 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75548879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1136/bmjpo-2022-rcpch.50
Grace Iheanacho, Obianuju Polyxena Obiekweihe, Godwin Adgidzi Adgidzi, C. Ohiaeri
{"title":"1919 Psychosocial problems amongst children and adolescents living with human immunodeficiency virus accessing care at the federal medical centre, Keffi, Nigeria","authors":"Grace Iheanacho, Obianuju Polyxena Obiekweihe, Godwin Adgidzi Adgidzi, C. Ohiaeri","doi":"10.1136/bmjpo-2022-rcpch.50","DOIUrl":"https://doi.org/10.1136/bmjpo-2022-rcpch.50","url":null,"abstract":"","PeriodicalId":22968,"journal":{"name":"The Poster","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74564847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1136/bmjpo-2022-rcpch.58
H. Learner, Sarah Shehzad, S. Clarke
ObjectivesIn response to the COVID-19 pandemic all paediatric and adolescent gynaecology (PAG) outpatient appointments in a tertiary teaching hospital were temporarily converted to telephone consultations.Telemedicine is a developing area with on-going research into its safety and effectiveness. The cohorts of patients attending PAG clinics have unique needs and requirements, both due to their own individual characteristics, and their presenting symptoms. There is currently a paucity of data regarding the utility of telemedicine in PAG. This study therefore aimed to review the impact on PAG outpatient follow up journey looking specifically at the patient journey from a first remote appointment by analysing number of follow ups required.MethodsA retrospective cohort study was completed of patients presenting to the general paediatric and adolescent gynaecology clinics from April 2019-April 2020 aged 11–18 years at their first appointment. Those referred to specialist PAG clinics for complex congenital gynaecology or differences of Sex Development were excluded.Patients managed pre-pandemic with their first appointment with the PAG service in person were compared to those with a telephone first appointment as part of the COVID-19 response.The first 30 patients from each clinic list who met inclusion criteria were included in the study.The electronic patient notes were reviewed with data collected on age, referring issue, number of follow ups, and whether still under PAG follow up collected. Data was collected and analysed using Excel.ResultsMedian age in both cohorts were similar;12 years old (11–17 years) face to face (f2f) and 13 years old (11–18y) in the telephone cohorts. Problems were categorised to those affecting the vulva or vagina (17/30 in telephone;21/30 f2f), menstrual concerns (15/30 telephone;14/30 f2f), or ovarian cyst (2/30 telephone;0/30 f2f).Patients with an initial telephone appointment during the pandemic had a significantly greater number of follow-up appointments compared to those with an in-person clinic appointment initially (chi-square, p = 0.044). Patients with an initial telephone appointment were significantly more likely to require follow-up compared to those seen first to face (OR 0.18 [95%CI 0.05–0.65]).Patients referred with vulval or vaginal issues (clear indication for clinical examination) were more effected by greater follow up requirements than those seen F2F first.ConclusionsPatients who had a first telephone clinic consultation were more likely to need follow-up than those seen face to face, and if follow-up was required, they had a greater number of follow up appointments than those seen first in person.In Paediatric and Adolescent Gynaecology (PAG) remote consultations are compromised by the lack of examination and reliable privacy for an adolescent to have time alone in the consultation without their parent/care-giver.The potential need for an intimate examination cannot be replicated with a remote review.
{"title":"1935 Telephone consultations in adolescent gynaecology during the COVID-19 pandemic: a retrospective cohort study considering impact on outpatient follow-ups","authors":"H. Learner, Sarah Shehzad, S. Clarke","doi":"10.1136/bmjpo-2022-rcpch.58","DOIUrl":"https://doi.org/10.1136/bmjpo-2022-rcpch.58","url":null,"abstract":"ObjectivesIn response to the COVID-19 pandemic all paediatric and adolescent gynaecology (PAG) outpatient appointments in a tertiary teaching hospital were temporarily converted to telephone consultations.Telemedicine is a developing area with on-going research into its safety and effectiveness. The cohorts of patients attending PAG clinics have unique needs and requirements, both due to their own individual characteristics, and their presenting symptoms. There is currently a paucity of data regarding the utility of telemedicine in PAG. This study therefore aimed to review the impact on PAG outpatient follow up journey looking specifically at the patient journey from a first remote appointment by analysing number of follow ups required.MethodsA retrospective cohort study was completed of patients presenting to the general paediatric and adolescent gynaecology clinics from April 2019-April 2020 aged 11–18 years at their first appointment. Those referred to specialist PAG clinics for complex congenital gynaecology or differences of Sex Development were excluded.Patients managed pre-pandemic with their first appointment with the PAG service in person were compared to those with a telephone first appointment as part of the COVID-19 response.The first 30 patients from each clinic list who met inclusion criteria were included in the study.The electronic patient notes were reviewed with data collected on age, referring issue, number of follow ups, and whether still under PAG follow up collected. Data was collected and analysed using Excel.ResultsMedian age in both cohorts were similar;12 years old (11–17 years) face to face (f2f) and 13 years old (11–18y) in the telephone cohorts. Problems were categorised to those affecting the vulva or vagina (17/30 in telephone;21/30 f2f), menstrual concerns (15/30 telephone;14/30 f2f), or ovarian cyst (2/30 telephone;0/30 f2f).Patients with an initial telephone appointment during the pandemic had a significantly greater number of follow-up appointments compared to those with an in-person clinic appointment initially (chi-square, p = 0.044). Patients with an initial telephone appointment were significantly more likely to require follow-up compared to those seen first to face (OR 0.18 [95%CI 0.05–0.65]).Patients referred with vulval or vaginal issues (clear indication for clinical examination) were more effected by greater follow up requirements than those seen F2F first.ConclusionsPatients who had a first telephone clinic consultation were more likely to need follow-up than those seen face to face, and if follow-up was required, they had a greater number of follow up appointments than those seen first in person.In Paediatric and Adolescent Gynaecology (PAG) remote consultations are compromised by the lack of examination and reliable privacy for an adolescent to have time alone in the consultation without their parent/care-giver.The potential need for an intimate examination cannot be replicated with a remote review. ","PeriodicalId":22968,"journal":{"name":"The Poster","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86096607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1136/bmjpo-2022-rcpch.70
K. Murtagh, Grace Loye, L. Speirs
ObjectivesOur Regional Children's Hospital increased admission cut-off age for young people from their 14th to their 16th birthday at the onset of the Covid-19 pandemic. We wished to determine implications of this change on admissions, resources, staff, young people and their parents/guardians. We wished to assess how youth friendly our service was and identify improvement areas.MethodsWe collected data on admissions of young people aged ≥14years to our regional children's hospital mid-April to mid-August 2020. We recorded presenting complaint, diagnosis, resource use, admission duration and follow up. We met clinical staff to ascertain resultant challenges. We electronically surveyed staff, young people and their parents/guardians to determine how youth friendly we were using Department of Health England Refreshed ‘You're Welcome' criteria 2017 and identify improvement areas. Respondents had an opportunity for qualitative feedback.Results104 admissions (>14years) in 4 month period: Average age 14.8years. Modal stay 1 day. 78% outside 9–5pm most via emergency department. 43% medical, 20% surgical, 37% specialities. 42% had allied health professional input most frequently crisis mental health team. 65% required follow up. Young people most commonly presented with abdominal pain and mental health presentations were the most frequent discharge diagnosis.Staff survey95 clinical staff responded. 88% had prior experience managing patients >14years. 85% were aware of confidentiality. 94% felt additional adolescent training would or may be beneficial. Staff requested training on mental health, communication, consent/capacity/legalities/safeguarding and empowerment/engagement. Practical issues identified included patient placement, challenging behaviour, equipment size and access to mental health and adult services.Parent/guardian survey37% of admissions. 100% felt their young person was comfortable. 97% felt their young person was involved. 91% felt they were involved. 94% felt patient communication was good. 88% felt the hospital was accessible. 90% felt facilities were age appropriate. 97% would prefer Paediatric admission for their young person over an adult hospital. 75% were advised of confidentiality rules. 58% recalled their young person being offered time with their doctor alone.Young People survey27% of admissions. 88% felt the ward was private. 80% felt comfortable. 85% had a parent/guardian stay. 52% felt there were enough age-appropriate activities. 52% received written information. 88% felt involved. 84% felt comfortable asking questions. 83% thought explanations were good. 78% had the opportunity to talk to their doctor alone. 40% had lifestyle issues discussed. 80% would prefer children's over an adult hospital.Of those patients and parents/guardians surveyed 100% would recommend the service to family and friends. All groups provided useful qualitative feedback.ConclusionsIncreasing the admitting age during covid-19 onset brought extra res
{"title":"1958 Impacts of admission age increase to a regional paediatric hospital during COVID-19 pandemic","authors":"K. Murtagh, Grace Loye, L. Speirs","doi":"10.1136/bmjpo-2022-rcpch.70","DOIUrl":"https://doi.org/10.1136/bmjpo-2022-rcpch.70","url":null,"abstract":"ObjectivesOur Regional Children's Hospital increased admission cut-off age for young people from their 14th to their 16th birthday at the onset of the Covid-19 pandemic. We wished to determine implications of this change on admissions, resources, staff, young people and their parents/guardians. We wished to assess how youth friendly our service was and identify improvement areas.MethodsWe collected data on admissions of young people aged ≥14years to our regional children's hospital mid-April to mid-August 2020. We recorded presenting complaint, diagnosis, resource use, admission duration and follow up. We met clinical staff to ascertain resultant challenges. We electronically surveyed staff, young people and their parents/guardians to determine how youth friendly we were using Department of Health England Refreshed ‘You're Welcome' criteria 2017 and identify improvement areas. Respondents had an opportunity for qualitative feedback.Results104 admissions (>14years) in 4 month period: Average age 14.8years. Modal stay 1 day. 78% outside 9–5pm most via emergency department. 43% medical, 20% surgical, 37% specialities. 42% had allied health professional input most frequently crisis mental health team. 65% required follow up. Young people most commonly presented with abdominal pain and mental health presentations were the most frequent discharge diagnosis.Staff survey95 clinical staff responded. 88% had prior experience managing patients >14years. 85% were aware of confidentiality. 94% felt additional adolescent training would or may be beneficial. Staff requested training on mental health, communication, consent/capacity/legalities/safeguarding and empowerment/engagement. Practical issues identified included patient placement, challenging behaviour, equipment size and access to mental health and adult services.Parent/guardian survey37% of admissions. 100% felt their young person was comfortable. 97% felt their young person was involved. 91% felt they were involved. 94% felt patient communication was good. 88% felt the hospital was accessible. 90% felt facilities were age appropriate. 97% would prefer Paediatric admission for their young person over an adult hospital. 75% were advised of confidentiality rules. 58% recalled their young person being offered time with their doctor alone.Young People survey27% of admissions. 88% felt the ward was private. 80% felt comfortable. 85% had a parent/guardian stay. 52% felt there were enough age-appropriate activities. 52% received written information. 88% felt involved. 84% felt comfortable asking questions. 83% thought explanations were good. 78% had the opportunity to talk to their doctor alone. 40% had lifestyle issues discussed. 80% would prefer children's over an adult hospital.Of those patients and parents/guardians surveyed 100% would recommend the service to family and friends. All groups provided useful qualitative feedback.ConclusionsIncreasing the admitting age during covid-19 onset brought extra res","PeriodicalId":22968,"journal":{"name":"The Poster","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88785940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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