Between 2016 and 2018, overweight children in the Midi-Pyrénées region of France were invited to participate in the Tout sur l'EQuilibre Alimentaire et l'Activité Physique (TEQAAP; All About Balanced Eating and Physical Activity) education program offered by the Structure d'Expertise Régionale Obésité Occitanie (SEROO; Regional Expert Center for Obesity in Occitanie).
Objectives
To describe the patient population and evaluate the program efficacy. The primary criterion was the body mass index (BMI) Z-score of the patients at the end of the program compared to the beginning.
Methods
This retrospective, descriptive, and analytical study included 262 children (mean age: 10 years+10 months; 64% female) between 1 January 2016 and 31 December 2018. Data from 138 patients (52.7%) were accessible and analyzed. The mean study duration was 9 months.
Results
The mean BMI at inclusion was 23.3 kg/m² with a mean Z-score of 2.8 ± 0.6; 82% were overweight, 11.1% were obese, and 6.1% were normal weight. Socioeconomic categories were well-balanced (35% high, 28% intermediate, 37% low). At the end of the study, 87% of the children had improved or stabilized their BMI, and Z-scores were lower by 9%±2 (p<0.001).
Conclusion
The TEQAAP program led to an improvement in the BMI of overweight children.
背景:在2016年至2018年期间，法国中部- pyrsims地区的超重儿童被邀请参加Tout sur l'EQuilibre Alimentaire et l' activit体质(TEQAAP;《关于均衡饮食和体育活动的一切》(All About Balanced Eating and Physical Activity)教育项目，由美国联邦政府组织(SEROO;奥西坦肥胖区域专家中心)。目的:描述患者群体并评价项目效果。主要标准是患者在项目结束时与开始时的身体质量指数(BMI) z分数。方法:回顾性、描述性和分析性研究纳入262例儿童(平均年龄:10岁+10个月;2016年1月1日至2018年12月31日期间。138例(52.7%)患者的数据可以访问和分析。平均研究时间为9个月。结果:入组时平均BMI为23.3 kg/m²，平均Z-score为2.8±0.6;超重的占82%，肥胖的占11.1%，体重正常的占6.1%。社会经济类别平衡良好(35%高，28%中，37%低)。在研究结束时，87%的儿童的BMI得到改善或稳定，z分数降低了9%±2 (p)。结论:TEQAAP项目导致超重儿童的BMI得到改善。
{"title":"Weight changes in overweight children enrolled in a therapeutic education program","authors":"Christine Chollet , Julie Gauvin , Didier Rubio , Corinne Fleury , Jean-Yves Fatras , Maïthé Tauber , Béatrice Jouret","doi":"10.1016/j.arcped.2023.06.013","DOIUrl":"10.1016/j.arcped.2023.06.013","url":null,"abstract":"<div><h3>Background</h3><p>Between 2016 and 2018, overweight children in the Midi-Pyrénées region of France were invited to participate in the <em>Tout sur l'EQuilibre Alimentaire et l'Activité Physique (</em>TEQAAP; All About Balanced Eating and Physical Activity) education program offered by the <em>Structure d'Expertise Régionale Obésité Occitanie</em> (SEROO; Regional Expert Center for Obesity in Occitanie).</p></div><div><h3>Objectives</h3><p>To describe the patient population and evaluate the program efficacy<span>. The primary criterion was the body mass index (BMI) Z-score of the patients at the end of the program compared to the beginning.</span></p></div><div><h3>Methods</h3><p>This retrospective, descriptive, and analytical study included 262 children (mean age: 10 years+10 months; 64% female) between 1 January 2016 and 31 December 2018. Data from 138 patients (52.7%) were accessible and analyzed. The mean study duration was 9 months.</p></div><div><h3>Results</h3><p>The mean BMI at inclusion was 23.3 kg/m² with a mean Z-score of 2.8 ± 0.6; 82% were overweight, 11.1% were obese, and 6.1% were normal weight. Socioeconomic categories were well-balanced (35% high, 28% intermediate, 37% low). At the end of the study, 87% of the children had improved or stabilized their BMI, and Z-scores were lower by 9%±2 (<em>p</em><0.001).</p></div><div><h3>Conclusion</h3><p>The TEQAAP program led to an improvement in the BMI of overweight children.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1016/j.arcped.2023.08.013
Hakan Onur , Arzu Rahmanalı Onur , Özgür Aslan
Background
A healthy diet is important at every stage of life. We aimed to determine the serum vitamin D and iron, folic acid, and vitamin B12 levels in healthy children younger than 48 months and to investigate the relationship between nutrition and micronutrients in children of this age.
Methods
In this observational study children who presented to the Pediatrics Clinic of our hospital during the period 2015–2022 were included. Vitamin D and other nutritional parameters (serum folate, vitamin B12, iron, ferritin) were evaluated from the study participants' serum samples during the outpatient clinic visit (jaundice check-up, pre-circumcision surgery, etc.).
Results
Overall, 766 cases were included in the study. Vitamin D was higher in the group that was fed only breast milk (p = 0.019), and vitamin D insufficiency was statistically higher in the formula group (p = 0.015). Hemoglobin levels were significantly higher in the formula group (p = 0.007). The folic acid level was found to be normal in all infants, and was higher in formula-fed infants (p = 0.012). Vitamin B12 was found to be significantly higher in infants fed with formula (p = 0.001). Vitamin D deficiency was most common in infants aged 25–48 months (p < 0.001). Similarly, vitamin D insufficiency (12–20 ng/mL) was detected in infants aged between 25 and 48 months (p < 0.001).
Conclusion
Micronutrients such as calcium, folic acid, iron, vitamin D, and iodine are critical in early fetal development from pregnancy onward. It is vital to raise awareness of this issue for mothers, starting from pregnancy, and for mothers to feed their babies more carefully in the first years of life.
{"title":"The relationship between nutrition and micronutrients in healthy Turkish infants and young children","authors":"Hakan Onur , Arzu Rahmanalı Onur , Özgür Aslan","doi":"10.1016/j.arcped.2023.08.013","DOIUrl":"10.1016/j.arcped.2023.08.013","url":null,"abstract":"<div><h3>Background</h3><p><span><span>A healthy diet is important at every stage of life. We aimed to determine the serum vitamin D and iron, </span>folic acid, and vitamin B</span><sub>12</sub> levels in healthy children younger than 48 months and to investigate the relationship between nutrition and micronutrients in children of this age.</p></div><div><h3>Methods</h3><p><span>In this observational study children who presented to the Pediatrics Clinic of our hospital during the period 2015–2022 were included. Vitamin D and other nutritional parameters (serum folate, vitamin B</span><sub>12</sub>, iron, ferritin) were evaluated from the study participants' serum samples during the outpatient clinic visit (jaundice check-up, pre-circumcision surgery, etc.).</p></div><div><h3>Results</h3><p>Overall, 766 cases were included in the study. Vitamin D was higher in the group that was fed only breast milk (<em>p</em> = 0.019), and vitamin D insufficiency was statistically higher in the formula group (<em>p</em> = 0.015). Hemoglobin levels were significantly higher in the formula group (<em>p</em> = 0.007). The folic acid level was found to be normal in all infants, and was higher in formula-fed infants (<em>p</em> = 0.012). Vitamin B<sub>12</sub> was found to be significantly higher in infants fed with formula (<em>p</em><span> = 0.001). Vitamin D deficiency was most common in infants aged 25–48 months (</span><em>p</em> < 0.001). Similarly, vitamin D insufficiency (12–20 ng/mL) was detected in infants aged between 25 and 48 months (<em>p</em> < 0.001).</p></div><div><h3>Conclusion</h3><p>Micronutrients such as calcium, folic acid, iron, vitamin D, and iodine are critical in early fetal development from pregnancy onward. It is vital to raise awareness of this issue for mothers, starting from pregnancy, and for mothers to feed their babies more carefully in the first years of life.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1016/j.arcped.2023.09.006
Valentine Fortin , Audrey Romero De Avila Ortiz , Anne-Dominique Marq , Emmanuelle Mostermans , Myriam Marichal , Marion Bailhache
Background
Shaken baby syndrome (SBS) triggers negative short- and long-term outcomes. In France, registered childminders are the principal source of daycare. They may encounter SBS imparted by caregivers or simply excessive infant crying. The aim of the study was to explore childminder knowledge on SBS, the source of information, the responses to infant crying, how childminders perceived their roles in terms of caregiver SBS prevention, and the factors associated with a good knowledge of SBS.
Methods
The participants were registered childminders working in the French department of Gironde who had email accounts. This observational study employed an anonymous online questionnaire distributed by the maternal and child health services unit of the Gironde department over 5 weeks from 16 September 2021. Data on childminder characteristics, knowledge on SBS, responses to infant crying, and perceptions of their roles in SBS prevention were collected. The knowledge score ranged from 0 (all wrong answers) to 30 (all correct answers).
Results
A total of 779 registered childminders participated; 43.9 % had learnt about SBS during their initial training and 75 % before (other training) or after initial training. The median knowledge score was 19/30 (interquartile range [16; 21]). A higher educational level, previous other professional experience, training on SBS, and responsibility for few children were associated with higher scores. Ten reported that they did not advise caregivers who complained of infant crying.
Conclusion
Childminders require training on SBS and SBS prevention.
{"title":"Childminder knowledge of shaken baby syndrome and the role played by childminders in prevention: An observational study in France","authors":"Valentine Fortin , Audrey Romero De Avila Ortiz , Anne-Dominique Marq , Emmanuelle Mostermans , Myriam Marichal , Marion Bailhache","doi":"10.1016/j.arcped.2023.09.006","DOIUrl":"10.1016/j.arcped.2023.09.006","url":null,"abstract":"<div><h3>Background</h3><p>Shaken baby syndrome (SBS) triggers negative short- and long-term outcomes. In France, registered childminders are the principal source of daycare. They may encounter SBS imparted by caregivers or simply excessive infant crying. The aim of the study was to explore childminder knowledge on SBS, the source of information, the responses to infant crying, how childminders perceived their roles in terms of caregiver SBS prevention, and the factors associated with a good knowledge of SBS.</p></div><div><h3>Methods</h3><p>The participants were registered childminders working in the French department of Gironde who had email accounts. This observational study employed an anonymous online questionnaire distributed by the maternal and child health services unit of the Gironde department over 5 weeks from 16 September 2021. Data on childminder characteristics, knowledge on SBS, responses to infant crying, and perceptions of their roles in SBS prevention were collected. The knowledge score ranged from 0 (all wrong answers) to 30 (all correct answers).</p></div><div><h3>Results</h3><p>A total of 779 registered childminders participated; 43.9 % had learnt about SBS during their initial training and 75 % before (other training) or after initial training. The median knowledge score was 19/30 (interquartile range [16; 21]). A higher educational level, previous other professional experience, training on SBS, and responsibility for few children were associated with higher scores. Ten reported that they did not advise caregivers who complained of infant crying.</p></div><div><h3>Conclusion</h3><p>Childminders require training on SBS and SBS prevention.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1016/j.arcped.2023.09.008
Cristiana Costa, Rita Valsassina, Maria João Brito, Ana Margarida Garcia
{"title":"A retropharyngeal phlegmon as a presentation of multisystem inflammatory syndrome in children","authors":"Cristiana Costa, Rita Valsassina, Maria João Brito, Ana Margarida Garcia","doi":"10.1016/j.arcped.2023.09.008","DOIUrl":"10.1016/j.arcped.2023.09.008","url":null,"abstract":"","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1016/j.arcped.2023.09.013
Ariane Thevenard-Berger , Marie Di Patrizio , Carole Legagneur , Arnaud Wiedemann-Fode , Emeline Renard
Backgrounds
Childhood obesity is a real public health concern because of its association with a higher risk of adulthood obesity and comorbidities (metabolic, cardiovascular, etc.). The factors associated with the effectiveness of care are poorly described. The objective of this study was to identify factors associated with body mass index (BMI) variation in the management of childhood obesity.
Material and Methods
Children followed up for obesity in the Pediatric Endocrinology Department of the University Children Hospital of Nancy were included. Data were retrospectively collected in medical files. The characteristics of patients with a decrease in BMI (in standard deviation score, SDS) were compared with patients with an increased BMI (SDS)after 1 year of follow-up through univariate analysis.
Results
Overall, 141 patients were included, and for 107 patients (55 girls and 52 boys) there were 1-year follow-up data. The mean BMI variation after 1 year of follow-up was−0.068 SD and for 63 patients (58.9%) there was a decrease in BMI SDS. Female patients (66% vs. 41%, p=0.012), hypercholesterolemia (33% vs. 4%, p=0.049), and type 1 diabetes (14% vs. 2%, p=0.019) were more frequent in patients with an unfavorable evolution of BMI SDS at 1 year. A family history of bariatric surgery (36% vs. 11%, p=0.042) or eating behavior disorders (76% vs. 24% of patients; p<0.001) or diabetes (1st or 2nd degree;81% vs. 60%, p=0.044) were also more frequent in children with an unfavorable evolution of BMI SDS at 1 year.
Conclusion
Several negative factors in the evolution of BMI were identified such as female sex, hypercholesterolemia, family history of bariatric surgery, or eating behavior. Early identification of these patients at risk of failure of obesity management is important to control BMI during childhood.
{"title":"Identification of factors associated with the management of childhood obesity: Results from a French pediatric cohort study","authors":"Ariane Thevenard-Berger , Marie Di Patrizio , Carole Legagneur , Arnaud Wiedemann-Fode , Emeline Renard","doi":"10.1016/j.arcped.2023.09.013","DOIUrl":"10.1016/j.arcped.2023.09.013","url":null,"abstract":"<div><h3>Backgrounds</h3><p><span>Childhood obesity is a real </span>public health<span> concern because of its association with a higher risk of adulthood obesity and comorbidities (metabolic, cardiovascular, etc.). The factors associated with the effectiveness of care are poorly described. The objective of this study was to identify factors associated with body mass index (BMI) variation in the management of childhood obesity.</span></p></div><div><h3>Material and Methods</h3><p><span>Children followed up for obesity in the Pediatric Endocrinology Department of the University Children Hospital of Nancy were included. Data were retrospectively collected in medical files. The characteristics of patients with a decrease in BMI (in standard deviation score, SDS) were compared with patients with an increased BMI (SDS)after 1 year of follow-up through </span>univariate analysis.</p></div><div><h3>Results</h3><p>Overall, 141 patients were included, and for 107 patients (55 girls and 52 boys) there were 1-year follow-up data. The mean BMI variation after 1 year of follow-up was−0.068 SD and for 63 patients (58.9%) there was a decrease in BMI SDS. Female patients (66% vs. 41%, <em>p</em><span>=0.012), hypercholesterolemia (33% vs. 4%, </span><em>p</em><span>=0.049), and type 1 diabetes (14% vs. 2%, </span><em>p</em><span><span>=0.019) were more frequent in patients with an unfavorable evolution of BMI SDS at 1 year. A family history of </span>bariatric surgery (36% vs. 11%, </span><em>p</em><span>=0.042) or eating behavior disorders (76% vs. 24% of patients; </span><em>p</em><0.001) or diabetes (1st or 2nd degree;81% vs. 60%, <em>p</em>=0.044) were also more frequent in children with an unfavorable evolution of BMI SDS at 1 year.</p></div><div><h3>Conclusion</h3><p>Several negative factors in the evolution of BMI were identified such as female sex, hypercholesterolemia, family history of bariatric surgery, or eating behavior. Early identification of these patients at risk of failure of obesity management is important to control BMI during childhood.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1016/j.arcped.2023.10.001
Eposse Ekoube Charlotte , Mandeng Ma Linwa Edgar , Puepi Djike Yolande , Kedy Mangamba Koum Daniele-Christiane , Mbono Ritha Betoko , Epee Patricia , Hassanatou Iyawa , Michael Budzi Ngenge , Megoze Abigaelle , Noukeu Njinkui Diomède , Enyama Dominique , Ntsoli Kofane Gaelle , Jackson Juliana , Ekotto Karen , Mony Elimbi Jeanne Georgette , Etame Moussinga Margaret , Ekoe Doriane , Calixte Ida Penda
Background
COVID-19 in children and adolescents with sickle cell disease (SCD) has variable presentations (from mild to severe disease), and the main symptoms are vaso-occlusive crises (VOC) and acute chest syndrome (ACS). We hypothesized that the desertion of hospitals due to the pandemic would lead to late arrival at the emergency room and an increased mortality. In this study, we sought to measure and compare the mortality of children with sickle cell disease before and during the COVID-19 pandemic.
Material and methods
We conducted a retrospective cohort study at the sickle cell disease management center of Laquintinie Hospital in Douala (Cameroon). The study period was divided into two, i.e., from March 2019 to February 2020 (Pre-COVID-19) and from March 2020 to February 2021 (COVID-19). All administrative and ethical considerations were fully respected. Data were analyzed using SPSS 20.0.
Results
Overall, 823 patients were admitted during the study period. Males represented 52.4% of the overall population, giving a sex ratio of 1.1:1. We admitted 479 patients during the pre-COVID-19 period versus 344 patients during the COVID-19 period, which is a 28.2% drop in admissions during the COVID-19 period. The mortality rate was 3.5% during the pre-COVID-19 period and 3.2% during the COVID-19 period (p>0.05). The most common causes of death were ACS (39.3%, n = 11), severe anemia (25.0%, n = 7), and VOC (17.9%, n = 5). ACS (adjusted odds ratio [aOR]=3.628, 95% confidence interval [CI], [1.645–7.005], p<0.001) was significantly associated with mortality.
Conclusion
During the COVID-19 pandemic, although the consultation frequency decreased, the mortality rate of sickle cell disease patients remained unchanged.
背景:儿童和青少年镰状细胞病(SCD)的COVID-19表现多样(从轻度到重度)，主要症状为血管闭塞危象(VOC)和急性胸综合征(ACS)。我们假设，由于流感大流行，医院的遗弃将导致急诊室的迟到和死亡率的增加。在这项研究中，我们试图测量和比较COVID-19大流行之前和期间镰状细胞病儿童的死亡率。材料和方法:我们在喀麦隆杜阿拉Laquintinie医院镰状细胞病管理中心进行了一项回顾性队列研究。研究期分为2019年3月至2020年2月(Pre-COVID-19)和2020年3月至2021年2月(COVID-19)。所有行政和道德方面的考虑都得到充分尊重。数据采用SPSS 20.0进行分析。结果:研究期间共收治823例患者。男性占总人口的52.4%，性别比例为1.1:1。我们在COVID-19前期收治了479名患者，而在COVID-19期间收治了344名患者，在COVID-19期间入院人数下降了28.2%。新冠肺炎前期死亡率为3.5%，新冠肺炎期间死亡率为3.2% (p>0.05)。最常见的死亡原因为ACS (39.3%， n = 11)、重度贫血(25.0%，n = 7)和VOC (17.9%， n = 5)。ACS(校正优势比[aOR]=3.628, 95%可信区间[CI]， [1.645-7.005]， p结论:在COVID-19大流行期间，镰状细胞病患者的就诊频率虽有所下降，但死亡率保持不变。
{"title":"Comparison of in-hospital mortality in children and adolescents with sickle cell disease in a resource-limited setting before and during the COVID-19 pandemic","authors":"Eposse Ekoube Charlotte , Mandeng Ma Linwa Edgar , Puepi Djike Yolande , Kedy Mangamba Koum Daniele-Christiane , Mbono Ritha Betoko , Epee Patricia , Hassanatou Iyawa , Michael Budzi Ngenge , Megoze Abigaelle , Noukeu Njinkui Diomède , Enyama Dominique , Ntsoli Kofane Gaelle , Jackson Juliana , Ekotto Karen , Mony Elimbi Jeanne Georgette , Etame Moussinga Margaret , Ekoe Doriane , Calixte Ida Penda","doi":"10.1016/j.arcped.2023.10.001","DOIUrl":"10.1016/j.arcped.2023.10.001","url":null,"abstract":"<div><h3>Background</h3><p><span>COVID-19 in children and adolescents with sickle cell disease (SCD) has variable presentations (from mild to severe disease), and the main symptoms are vaso-occlusive crises (VOC) and </span>acute chest syndrome (ACS). We hypothesized that the desertion of hospitals due to the pandemic would lead to late arrival at the emergency room and an increased mortality. In this study, we sought to measure and compare the mortality of children with sickle cell disease before and during the COVID-19 pandemic.</p></div><div><h3>Material and methods</h3><p>We conducted a retrospective cohort study at the sickle cell disease management center of Laquintinie Hospital in Douala (Cameroon). The study period was divided into two, i.e., from March 2019 to February 2020 (Pre-COVID-19) and from March 2020 to February 2021 (COVID-19). All administrative and ethical considerations were fully respected. Data were analyzed using SPSS 20.0.</p></div><div><h3>Results</h3><p>Overall, 823 patients were admitted during the study period. Males represented 52.4% of the overall population, giving a sex ratio of 1.1:1. We admitted 479 patients during the pre-COVID-19 period versus 344 patients during the COVID-19 period, which is a 28.2% drop in admissions during the COVID-19 period. The mortality rate was 3.5% during the pre-COVID-19 period and 3.2% during the COVID-19 period (<em>p</em>>0.05). The most common causes of death were ACS (39.3%, <em>n</em> = 11), severe anemia (25.0%, <em>n</em> = 7), and VOC (17.9%, <em>n</em> = 5). ACS (adjusted odds ratio [aOR]=3.628, 95% confidence interval [CI], [1.645–7.005], <em>p</em><0.001) was significantly associated with mortality.</p></div><div><h3>Conclusion</h3><p>During the COVID-19 pandemic, although the consultation frequency decreased, the mortality rate of sickle cell disease patients remained unchanged.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1016/j.arcped.2023.09.007
Aurélien Binet , Hugo Tartrou , Marie Bousquet , Anne Le Touze
Background
The health crisis related to the COVID-19 pandemic led to an unprecedented situation in France: complete lockdown. The population had to live confined with their families, which often meant that parents telecommuted while caring for their children. However, daily risks remained more than ever at the forefront. The aim of this study was to assess the epidemiology of burns among children during three different periods of family time: school time, vacation, and lockdown.
Methods
A single-center retrospective study was conducted at Tours University Hospital. All pediatric surgical emergency room visits recorded from February 10, 2020 to March 31, 2020 were included. The three aforementioned periods were assessed.
Results
During lockdown there were significantly more burns compared to other injuries (p = 0.004). Preschool-age children suffered significantly more from burns during the same period (p = 0.029). There were no significant differences for nursery school (p = 0.522), primary school (p = 0.519), middle school (p = 0.613), and high school (p = N) children.
Conclusion
This study underlines the need to establish a targeted prevention campaign geared toward a complicated geopolitical situation a pandemic that might occur again.
{"title":"No lockdown for pediatric burns","authors":"Aurélien Binet , Hugo Tartrou , Marie Bousquet , Anne Le Touze","doi":"10.1016/j.arcped.2023.09.007","DOIUrl":"10.1016/j.arcped.2023.09.007","url":null,"abstract":"<div><h3>Background</h3><p>The health crisis related to the COVID-19 pandemic led to an unprecedented situation in France: complete lockdown. The population had to live confined with their families, which often meant that parents telecommuted while caring for their children. However, daily risks remained more than ever at the forefront. The aim of this study was to assess the epidemiology of burns among children during three different periods of family time: school time, vacation, and lockdown.</p></div><div><h3>Methods</h3><p>A single-center retrospective study was conducted at Tours University Hospital. All pediatric surgical emergency room visits recorded from February 10, 2020 to March 31, 2020 were included. The three aforementioned periods were assessed.</p></div><div><h3>Results</h3><p>During lockdown there were significantly more burns compared to other injuries (<em>p</em> = 0.004). Preschool-age children suffered significantly more from burns during the same period (<em>p</em> = 0.029). There were no significant differences for nursery school (<em>p</em> = 0.522), primary school (<em>p</em> = 0.519), middle school (<em>p</em> = 0.613), and high school (<em>p</em> = <em>N</em>) children.</p></div><div><h3>Conclusion</h3><p>This study underlines the need to establish a targeted prevention campaign geared toward a complicated geopolitical situation a pandemic that might occur again.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1016/j.arcped.2023.09.014
Christophe Duval , Florence Porcheret , Joseph Toulouse , Mélanie Alexandre , Charlotte Roulland , Marcel-Louis Viallard , David Brossier
Background
Our study aimed to evaluate the prevalence and predictive factors of withholding life support for children suffering from severe neurological impairment before admission to the pediatric intensive care unit (PICU).
Method
Children under 18 years of age with severe neurological impairment, who were hospitalized between January 2006 and December 2016, were included in this retrospective study. They were allocated to a withholding group or a control group, depending on whether life support was withheld or not, before admission to the PICU.
Results
Overall, 119 patients were included. At admission to the PICU, the rate of withholding life support was 10 % (n = 12). Predictive factors were: (1) a previous stay in the PICU (n = 11; 92 %, p<0.01, odds ratio [OR]: 14 [2–635], p = 0.001); (2) the need for respiratory support (n = 5; 42 %, p = 0.01, OR: 6 [1–27], p = 0.01); (3) the need for feeding support (n = 10; 83 %, p = 0.01, OR: 10 [2–100], p = 0.001); and (4) a higher functional status score (FSS: 16 [12.5–19] vs. 10 [8–13], p<0.01).
Conclusion
The withholding of life support for children suffering from severe neurological impairment appeared limited in our pediatric department. The main predictor was at least one admission to the PICU, which raised the question of the pediatrician's role in the decision to withhold life support.
{"title":"Withholding life support for children with severe neurological impairment: Prevalence and predictive factors prior to admission in the PICU","authors":"Christophe Duval , Florence Porcheret , Joseph Toulouse , Mélanie Alexandre , Charlotte Roulland , Marcel-Louis Viallard , David Brossier","doi":"10.1016/j.arcped.2023.09.014","DOIUrl":"10.1016/j.arcped.2023.09.014","url":null,"abstract":"<div><h3>Background</h3><p><span>Our study aimed to evaluate the prevalence and predictive factors<span> of withholding life support for children suffering from severe neurological impairment before admission to the pediatric </span></span>intensive care unit (PICU).</p></div><div><h3>Method</h3><p>Children under 18 years of age with severe neurological impairment, who were hospitalized between January 2006 and December 2016, were included in this retrospective study. They were allocated to a withholding group or a control group, depending on whether life support was withheld or not, before admission to the PICU.</p></div><div><h3>Results</h3><p>Overall, 119 patients were included. At admission to the PICU, the rate of withholding life support was 10 % (<em>n</em> = 12). Predictive factors were: (1) a previous stay in the PICU (<em>n</em> = 11; 92 %, <em>p</em><0.01, odds ratio [OR]: 14 [2–635], <em>p</em><span> = 0.001); (2) the need for respiratory support (</span><em>n</em> = 5; 42 %, <em>p</em> = 0.01, OR: 6 [1–27], <em>p</em> = 0.01); (3) the need for feeding support (<em>n</em> = 10; 83 %, <em>p</em> = 0.01, OR: 10 [2–100], <em>p</em> = 0.001); and (4) a higher functional status score (FSS: 16 [12.5–19] vs. 10 [8–13], <em>p</em><0.01).</p></div><div><h3>Conclusion</h3><p>The withholding of life support for children suffering from severe neurological impairment appeared limited in our pediatric department. The main predictor was at least one admission to the PICU, which raised the question of the pediatrician's role in the decision to withhold life support.</p></div>","PeriodicalId":55477,"journal":{"name":"Archives De Pediatrie","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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