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Journal articles on the topic 'Children in hospital'

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Published: 4 June 2021
Last updated: 20 February 2023

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1

Belson, Peg. "Children in Hospital." Children & Society 7, no. 2 (December 18, 2007): 196–210. http://dx.doi.org/10.1111/j.1099-0860.1993.tb00579.x.

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2

Bishop, Tina. "Children in hospital." Primary Health Care 22, no. 8 (September 28, 2012): 12. http://dx.doi.org/10.7748/phc.22.8.12.s7.

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3

MITCHELL, ROSS G. "CHILDREN IN HOSPITAL." Developmental Medicine & Child Neurology 22, no. 6 (November 12, 2008): 711–12. http://dx.doi.org/10.1111/j.1469-8749.1980.tb03736.x.

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4

Anderson, Peggy. "Children??s Hospital." MCN, The American Journal of Maternal/Child Nursing 11, no. 6 (November 1986): 421. http://dx.doi.org/10.1097/00005721-198611000-00019.

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5

MATTHEWS, DAVID A., and RAY LONSDALE. "Children in hospital: II. Reading therapy and children in hospital." Health Libraries Review 9, no. 1 (March 1992): 14–26. http://dx.doi.org/10.1046/j.1365-2532.1992.910014.x.

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6

SilavUtkan, Muna. "Children Hospital Design in Children Picture." Procedia - Social and Behavioral Sciences 51 (2012): 110–14. http://dx.doi.org/10.1016/j.sbspro.2012.08.127.

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7

Mamun-ur-Rashid, Al, Mohammed Zaglul Hai Russeel, and Md Belayet Hossain Akanda. "Congenital Heart Diseases among Children in Selected Hospital." Journal of Clinical and Laboratory Research 5, no. 2 (January 14, 2022): 01–05. http://dx.doi.org/10.31579/2768-0487/066.

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Background: Congenital heart disease (CHD) is the most common type of birth defect. As CHD accounts for the most frequent cause of lethal malformation among infants, CHD is also considered a major problem affecting public health worldwide. Objective: To assess pattern of congenital heart diseases and associated risk factors among under-14 children admitted in a selected hospital. Methods: It was cross sectional analytical study conducted among purposively selected 111 children admitted in Children Hospital for treatment. Face to face interview was conducted to collect data. The cases were included in the study when the diagnosis of CHD was established by medical records and echocardiography. Results: About 91% and 9% children came from <1 year and 1-5 year age group. Low birth weight and normal birth weight was 52% and 48%. Pre-term and term distribution was 37% and 63%. About half of the respondents were middle class. About 26%, 25% and 18% mothers consumed vitamin A (>10000 IU/d), anti-pyretics and NSAIDs during pregnancy. About 40% mothers consumed contaminated tap water and 29% mothers were exposed to radiation. Ventricular septal defect (40.5%) and atrial septal defect (36.9%) were prominent. Patent ductus arteriosus and pulmonary stenosis were 8.1% and 5.4%. Statistical significant association was found between ventricular septal defect and birth weight, gestational age and monthly family income. As like VSD, atrial septal defect showed statistical significant association with birth weight, monthly family income, maternal age and rubella infection 6 months prior to conception or 1st trimester. Conclusion: Ventricular septal defect (40.5%) and atrial septal defect (36.9%) were common among children. Maternal nutrition during pregnancy should be emphasized due to prevent low birth weight and pre-term baby.
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8

Uvarov, Nikolay A., Daria B. Uvarova, Larisa V. Sakhno, and Marina V. Zemlianykh. "Hospital clownery – entertainment or treatment? History of development and experience." Pediatrician (St. Petersburg) 11, no. 2 (June 8, 2020): 109–16. http://dx.doi.org/10.17816/ped112109-116.

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The article discusses one of the areas of psychological rehabilitation of children in a hospital hospital clowns. The theoretical and practical prerequisites of the history of the development of hospital clownery both abroad and in the Russian Federation are shown. The results of studies of the effectiveness of the impact of hospital clownery and laughter therapy on the emotional state of children and their parents, in particular on the experience of anxiety and fears in the postoperative period, as well as on the severity of pain during medical manipulations such as venipuncture, allergy tests and radionuclide scanning are presented. The results of a qualitative analysis of the authors empirical research of 133 children and 65 parents are presented. The aim of the research was to study the effect of hospital clownery on the emotional state of children resulting from hospitalization and treatment received (painful manipulations, surgical intervention). Subjective assessments by children and parents of their psycho-emotional state were recorded using questionnaires. The projective method was also used the Luscher Test. The results of a qualitative analysis demonstrated a subjective sensation of an improvement in the psychoemotional state in 97% of children and in 92% of parents (improving mood, decreasing of anxiety and fears). 67% of children noted a weakening of the pain syndrome. Thus, the authors have confirmed by their own research the positive effect of hospital clownery on childrens health. The presented review clearly demonstrates the feasibility of expanding the use of this method in childrens hospitals of various profiles.
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9

Houlston, Angela. "Hospital for the children." Nursing Standard 20, no. 25 (March 2006): 70–71. http://dx.doi.org/10.7748/ns2006.03.20.25.70.c4081.

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10

Houlston, Angela. "Hospital for the children." Nursing Standard 20, no. 25 (March 2006): 70–71. http://dx.doi.org/10.7748/ns.20.25.70.s58.

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11

&NA;. "Newington Children??s Hospital." JPO Journal of Prosthetics and Orthotics 2, no. 3 (1990): 244???245. http://dx.doi.org/10.1097/00008526-199004000-00024.

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12

&NA;, &NA;. "Newington Children??s Hospital." JPO Journal of Prosthetics and Orthotics 4, no. 5 (October 1992): 260–61. http://dx.doi.org/10.1097/00008526-199210000-00015.

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13

Wiles, Paddy. "Teaching Children in Hospital." British Journal of Special Education 15, no. 4 (May 31, 2007): 158–62. http://dx.doi.org/10.1111/j.1467-8578.1988.tb00749.x.

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14

Gardner, MD, Aaron H., Michael R. FitzGerald, PhD, Hamilton P. Schwartz, MD, and Nathan L. Timm, MD. "Evaluation of regional hospitals’ use of children in disaster drills." American Journal of Disaster Medicine 8, no. 2 (April 1, 2013): 137–43. http://dx.doi.org/10.5055/ajdm.2013.0120.

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Objective: Describe the prevalence of pediatric casualties in disaster drills by community hospitals and determine if there is an association between the use of pediatric casualties in disaster drills and the proximity of a community hospital to a tertiary children’s hospital.Design: Survey, descriptive study.Setting: Tertiary children’s hospital and surrounding community hospitals.Participants: Hospital emergency management personnel for 30 general community hospitals in the greater Cincinnati, Ohio region.Interventions: NoneMain Outcome Measure(s): The utilization of pediatric casualties in community hospital disaster drills and its relationship to the distance of those hospitals from a tertiary children’s hospital.Results: Sixteen hospitals reported a total of 57 disaster drills representing 1,309 casualties. The overwhelming majority (82 percent [1,077/1,309]) of simulated patients from all locations were 16 years of age or older. Those hospitals closest to the children’s hospital reported the lowest percentage of pediatric patients (10 percent [35/357]) used in their drills.The hospitals furthest from the children’s hospital reported the highest percentage of pediatric patients (32 percent [71/219]) used during disaster drills.Conclusions: The majority of community hospitals do not incorporate children into their disaster drills, and the closer a community hospital is to a tertiary children’s hospital, the less likely it is to include children in its drills. Focused effort and additional resources should be directed toward preparing community hospitals to care for children in the event of a disaster.
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15

Chisanga, Kenly, and Misa Funjika. "REFRACTIVE ERRORS IN SCHOOL-AGE CHILDREN AS DIAGNOSED AT ARTHUR DAVISON CHILDREN’S HOSPITAL EYE CLINIC DEPARTMENT." Asian Pacific Journal of Health Sciences 3, no. 3 (July 2016): 173–77. http://dx.doi.org/10.21276/apjhs.2016.3.3.26.

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16

AL-Abataheen, Nasser Mesfer Rashed. "Commonest Type of Congenital Heart Disease (CHD) Among Children in Maternity and Children Hospital (MCH)." International Journal of Innovative Research in Medical Science 02, no. 02 (February 2, 2016): 552–64. http://dx.doi.org/10.23958/ijirms/vol02-i02/08.

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17

Hatchard, Lynne. "Hospital lunches: giving children choice." Paediatric Nursing 15, no. 10 (December 2003): 33–35. http://dx.doi.org/10.7748/paed.15.10.33.s22.

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18

Cooper, Christine. "CHILDREN IN HOSPITAL WITH MOTHERS." Developmental Medicine & Child Neurology 4, no. 6 (November 12, 2008): 644–46. http://dx.doi.org/10.1111/j.1469-8749.1962.tb04160.x.

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19

Lovell-Davis, J. "Welfare of children in hospital." Archives of Disease in Childhood 60, no. 6 (June 1, 1985): 595–96. http://dx.doi.org/10.1136/adc.60.6.595-b.

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20

Jackson, A. D. "Children in specialist hospital departments." Archives of Disease in Childhood 64, no. 1 (January 1, 1989): 181–82. http://dx.doi.org/10.1136/adc.64.1.181.

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21

Edelsten, T. D., R. J. Stocks, and M. A. Cresswell. "Caring for children in hospital." BMJ 306, no. 6883 (April 10, 1993): 1001–2. http://dx.doi.org/10.1136/bmj.306.6883.1001-d.

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22

Donowitz, L. G. "HOSPITAL-ACQUIRED INFECTIONS IN CHILDREN." Pediatric Infectious Disease Journal 10, no. 6 (June 1991): 481. http://dx.doi.org/10.1097/00006454-199106000-00029.

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23

Alvares, Paula Andrade, Mariana Volpe Arnoni, Cely Barreto da Silva, Marco Aurélio Palazzi Sáfadi, and Marcelo Jenné Mimica. "Hospital-Acquired Infections in Children." Pediatric Infectious Disease Journal 38, no. 1 (January 2019): e12-e14. http://dx.doi.org/10.1097/inf.0000000000002046.

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24

McCallum, Dawn E., Paul Byrne, and Eduardo Bruera. "How Children Die in Hospital." Journal of Pain and Symptom Management 20, no. 6 (December 2000): 417–23. http://dx.doi.org/10.1016/s0885-3924(00)00212-8.

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25

Donowitz, Leigh G. "Hospital-Acquired Infections in Children." New England Journal of Medicine 323, no. 26 (December 27, 1990): 1836–37. http://dx.doi.org/10.1056/nejm199012273232610.

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26

Lekei, Elikana, Aiwerasia V. Ngowi, and Leslie London. "Acute Pesticide Poisoning in Children: Hospital Review in Selected Hospitals of Tanzania." Journal of Toxicology 2017 (2017): 1–8. http://dx.doi.org/10.1155/2017/4208405.

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Background. Acute pesticide poisoning (APP) is a serious problem worldwide. Because the burden of childhood APP is unknown in Tanzania, this study describes the distribution, circumstances, and patterns of APP involving children under 18 years in Tanzania. Methodology. A 12-month prospective study was conducted in 10 Tanzanian healthcare facilities in 2006 using a data collection tool for surveillance. Results. Of 53 childhood poisoning cases identified, 56.6% were female. The most common poisoning circumstances were accidents (49.1%) and suicide (30.2%). The most vulnerable children were 16-17 years old (30.2%). Suicide was significantly more common in females (PRR females/males = 1.66; 95% CI = 1.03–2.68) and accidental cases were more common in children aged 10 years or younger. Suicide was concentrated in children over 10 years, comprising 53% of cases in this age group. Organophosphates (OPs), zinc phosphide, and endosulfan were common amongst reported poisoning agents. The annual APP incidence rate was 1.61/100,000. Conclusion. APP is common among children in this region of Tanzania. Prevention of suicide in older children should address mental health issues and control access to toxic pesticides. Prevention of accidents in younger children requires safer storage and hygiene measures. Diverse interventions are needed to reduce pesticide poisoning among children in Tanzania.
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27

Kurtanova, Yu E., A. M. Shcherbakova, A. Yu Khokhlova, O. V. Belozerskaya, A. P. Shcherbakov, E. A. Vasileva, and K. L. Mamina. "Psychological Support for Children Undergoing Long-Term Treatment in Isolation." Psychological-Educational Studies 12, no. 3 (2020): 45–60. http://dx.doi.org/10.17759/psyedu.2020120303.

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The article presents the experience of specialists working with children who are on long-term treatment in hospitals. Due to the pandemic, children in hospitals were placed in “double” isolation. Not only have they become separated from their usual lifestyle due to their stay in the hospital, but their contacts inside the hospital in quarantine conditions have become significantly limited. Psychologists, teachers, and speech pathologists of hospital schools were forced to switch to a remote format of work. The article analyzes the features, limitations and advantages of this format of work with children in stationary conditions.
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28

Norman, Daniel A., Margie Danchin, Christopher C. Blyth, Pamela Palasanthiran, David Tran, Kristine K. Macartney, Ushma Wadia, Hannah C. Moore, and Holly Seale. "Australian hospital paediatricians and nurses’ perspectives and practices for influenza vaccine delivery in children with medical comorbidities." PLOS ONE 17, no. 12 (December 12, 2022): e0277874. http://dx.doi.org/10.1371/journal.pone.0277874.

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Introduction Influenza vaccination of children with medical comorbidities is critical due their increased risks for severe influenza disease. In Australia, hospitals are an avenue for influenza vaccine delivery to children with comorbidities but are not always effectively utilised. Qualitative enquiry sought to ascertainment the barriers and enablers for influenza vaccination recommendation, delivery, and recording of these children at Australian hospitals. Methods Semi-structured interviews and discussion group sessions were conducted with paediatricians and nurses at four tertiary paediatric specialist hospitals and two general community hospitals in three Australian states. Transcripts from interviews and group sessions were inductively analysed for themes. The Capability, Opportunity, Motivation, and Behaviour (COM-B) model was used to explore the elements of each theme and identify potential interventions to increase influenza vaccination recommendation and delivery behaviours by providers. Results Fifteen discussion sessions with 28 paediatricians and 26 nurses, and nine in-depth interviews (five paediatricians and four nurses) were conducted. Two central thematic domains were identified: 1. The interaction between hospital staff and parents/patients for influenza vaccine recommendation, and 2. Vaccination delivery and recording in the hospital environment. Six themes across these domains emerged detailing the importance of dedicated immunisation services, hospital leadership, paediatricians’ vaccine recommendation role, the impact of comorbidities, vaccination recording, and cocooning vaccinations. Supportive hospital leadership, engaged providers, and dedicated immunisation services were identified as essential for influenza vaccination of children with comorbidities in Australian hospital. Conclusion Recommendation of influenza vaccination for Australian children with comorbidities is impacted by the beliefs of paediatricians and the perceived impact of influenza disease on children’s comorbidities. Dedicated immunisation services and supportive hospital leadership were drivers for influenza vaccine delivery at hospitals. Future interventions targeting hospital-based influenza vaccine delivery for children with comorbidities should take a rounded approach targeting providers’ attitudes, the hospital environment and leadership support.
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29

Barbaro, Ryan P., Philip S. Boonstra, Frank W. Moler, Matthew M. Davis, and Lisa A. Prosser. "Hospital-level variation in inpatient cost among children receiving extracorporeal membrane oxygenation." Perfusion 32, no. 7 (March 24, 2017): 538–46. http://dx.doi.org/10.1177/0267659117702709.

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Objective: Pediatric extracorporeal membrane oxygenation (ECMO) varies in the way care is provided from hospital to hospital. This variability in hospital ECMO care can be represented by the variation in ECMO costs. We hypothesized that hospitals will demonstrate large variations in case-mix-adjusted ECMO inpatient costs for children requiring ECMO and higher volume hospitals will have lower associated costs. Methods: We retrospectively analyzed the inpatient cost of children receiving ECMO in 2006, 2009 and 2012, using the Healthcare Cost and Utilization Project Kids’ Inpatient Database. We used a hierarchical linear regression model and the intraclass correlation coefficient to quantify how much of the difference in ECMO inpatient costs was associated with the hospital where a child received care. To do this, we adjusted for patient factors, hospital factors and potentially modifiable factors such as complications, procedures and length of stay. Results: The median inflation-adjusted inpatient costs for children requiring ECMO were $183,000, $240,000 and $241,000 in years 2006, 2009 and 2012, respectively. The largest median cost for ECMO cases in a given hospital in a given year ($690,000) was more than 11 times that of the smallest median cost ($60,000). After case-mix adjustment, 27% of the variation in inpatient costs was associated with the hospital where ECMO care was provided. Average hospital costs were not associated with hospital ECMO volume. Conclusions: The large variation in ECMO inpatient costs between hospitals suggests great variation in care between hospitals, which is important because hospitals have a co-existing variation in ECMO survival rates.
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30

Ayeni, Oluwatosin A., Sibongile Walaza, Stefano Tempia, Michelle Groome, Kathleen Kahn, Shabir A. Madhi, Adam L. Cohen, et al. "Mortality in children aged <5 years with severe acute respiratory illness in a high HIV-prevalence urban and rural areas of South Africa, 2009–2013." PLOS ONE 16, no. 8 (August 12, 2021): e0255941. http://dx.doi.org/10.1371/journal.pone.0255941.

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Background Severe acute respiratory illness (SARI) is an important cause of mortality in young children, especially in children living with HIV infection. Disparities in SARI death in children aged <5 years exist in urban and rural areas. Objective To compare the factors associated with in-hospital death among children aged <5 years hospitalized with SARI in an urban vs. a rural setting in South Africa from 2009–2013. Methods Data were collected from hospitalized children with SARI in one urban and two rural sentinel surveillance hospitals. Nasopharyngeal aspirates were tested for ten respiratory viruses and blood for pneumococcal DNA using polymerase chain reaction. We used multivariable logistic regression to identify patient and clinical characteristics associated with in-hospital death. Results From 2009 through 2013, 5,297 children aged <5 years with SARI-associated hospital admission were enrolled; 3,811 (72%) in the urban and 1,486 (28%) in the rural hospitals. In-hospital case-fatality proportion (CFP) was higher in the rural hospitals (6.9%) than the urban hospital (1.3%, p<0.001), and among HIV-infected than the HIV-uninfected children (9.6% vs. 1.6%, p<0.001). In the urban hospital, HIV infection (odds ratio (OR):11.4, 95% confidence interval (CI):5.4–24.1) and presence of any other underlying illness (OR: 3.0, 95% CI: 1.0–9.2) were the only factors independently associated with death. In the rural hospitals, HIV infection (OR: 4.1, 95% CI: 2.3–7.1) and age <1 year (OR: 3.7, 95% CI: 1.9–7.2) were independently associated with death, whereas duration of hospitalization ≥5 days (OR: 0.5, 95% CI: 0.3–0.8) and any respiratory virus detection (OR: 0.4, 95% CI: 0.3–0.8) were negatively associated with death. Conclusion We found that the case-fatality proportion was substantially higher among children admitted to rural hospitals and HIV infected children with SARI in South Africa. While efforts to prevent and treat HIV infections in children may reduce SARI deaths, further efforts to address health care inequality in rural populations are needed.
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31

Eissa, Maged Mohamed. "Evaluation of Health-Related Quality of Life among Children Attending Asthma Clinic in Alexandria University Children's Hospital." Journal of Medical Science And clinical Research 05, no. 06 (June 12, 2017): 23093–102. http://dx.doi.org/10.18535/jmscr/v5i6.49.

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32

Sieniawski, Daniel, and Mariusz Goniewicz. "Epidemiology, diagnosis and pharmacotherapy of head injuries in children treated in the Children's Clinical Hospital in Lublin." Current Issues in Pharmacy and Medical Sciences 25, no. 1 (March 30, 2012): 92–95. http://dx.doi.org/10.12923/j.2084-980x/25.1/a.21.

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33

Jortveit, Jarle, Jakob Klcovansky, Gaute Døhlen, Leif Eskedal, Sigurd Birkeland, and Henrik Holmstrøm. "Out-of-hospital sudden cardiac arrest in children with congenital heart defects." Archives of Disease in Childhood 103, no. 1 (August 24, 2017): 57–60. http://dx.doi.org/10.1136/archdischild-2017-312621.

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AimsOut-of-hospital sudden cardiac arrest (SCA) is a rare but devastating event in children and adolescents. The risk is assumed to be higher in children with congenital heart defects (CHDs) than in healthy individuals. The aim of the present study was to investigate the rate of and survival after out-of-hospital cardiac arrest in children 2–18 years old with CHDs.Methods and resultsData concerning all live births in Norway between 1994 and 2009 were retrieved from the Medical Birth Registry of Norway, the patient administrative systems at all hospitals in Norway, the Oslo University Hospital’s Clinical Registry for Congenital Heart Defects and the Norwegian Cause of Death Registry. Survivors were followed through 2012, and supplementary information for the deceased children was retrieved from medical records at Norwegian hospitals. Among the 943 871 live births in Norway from 1994 to 2009, 11 272 (1.2%) children had a CHD. We identified 11 (0.1%) children 2–18 years old with CHDs who experienced out-of-hospital SCA. The estimated rate of out-of-hospital SCA in children 2–18 years old with CHD was 10 per 100 000 person-years. Early cardiopulmonary resuscitation was initiated in all patients. Three children survived.ConclusionsThe incidence of and survival after out-of-hospital SCA in children with CHDs were comparable to the reported rates in the general child population.
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34

Girum, Tadele, Ebrahim Muktar, and Abdulsemed Worku. "Comparative Analysis of the Survival Status and Treatment Outcome of Under-five Children Admitted with Severe Acute Malnutrition Among Hospital-based and Health Center Based Stabilization Centers, South Ethiopia." Open Public Health Journal 11, no. 1 (May 31, 2018): 209–20. http://dx.doi.org/10.2174/1874944501811010209.

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Background:Severe acute malnutrition has been managed at Hospital stabilization centers until the management at health center based stabilization centers was started recently. However, the treatment outcome was not assessed in relation to the existing hospital-based management. Therefore, this study comparatively assessed the treatment outcome and survival status of severe acute malnutrition among Health center-based and hospital-based stabilization centers. The finding will be used by healthcare providers, planners and policymakers at large.Methods:Randomly selected 400 records of under-five children admitted to five stabilization centers (2 hospitals and 3 health center) in Gedeo Zone was included. Data was entered by Epi Info version 7 and analyzed by STATA version 11. Survival difference was checked by life table and Kaplan-Mier with Log-Rank test. Cox proportional hazards model was built by forward stepwise procedure; compared to likely hood ratio test and Harrell’s concordance and fitness checked by the cox-snell residual plot.Result:The study showed that the cumulative probability of Survival is significantly different at Hospital stabilization center and health center stabilization centers (p.value <0.001) with shorter survival at hospitals. During the follow-up period, 28(13.86%) children from hospital and 5(2.5%) children from health center died, while 155(76.73%) children from the hospital and 145(73.23%) children from health center got cured. Eighteen (4.5%)children were defaulted. Death is significantly higher at the hospital, while default rate and cure rate are not significantly different. Altered pulse rate [AHR=2.44, 95% CI =1.47-4, p<0.001], NG tube insertion [AHR=1.8, 95% CI =1.04-3.1, p=0.038], Anemia [AHR=1.53, 95% CI =1.02-2.3, p<0.041] and Hypoglycemia [AHR=2.78, 95% CI =1.8-4.3, p<0.001] were found to be independent predictors of death.Conclusion:The survival of children in hospital is shorter and mortality is higher. An overall treatment outcome was in acceptable ranges. Intervention to further reduce deaths at hospitals has to focus on children with comorbidities and altered general conditions and early detection.
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35

Sean Quadros, Del-Rossi, Rose Kamenwa, Samuel Akech, and William M Macharia. "Hospital-acquired malnutrition in children at a tertiary care hospital." South African Journal of Clinical Nutrition 31, no. 1 (May 19, 2017): 8–13. http://dx.doi.org/10.1080/16070658.2017.1322825.

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36

Mitchell, Allen A., Peter G. Lacouture, Jane E. Sheehan, Ralph E. Kauffman, and Samuel Shapiro. "Adverse Drug Reactions in Children Leading to Hospital Admission." Pediatrics 82, no. 1 (July 1, 1988): 24–29. http://dx.doi.org/10.1542/peds.82.1.24.

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To provide information regarding pediatric hospital admissions prompted by adverse drug reactions, data were reviewed from an intensive drug surveillance program in which 10,297 patients admitted to diverse pediatric wards at four teaching and three community hospitals were systematically monitored. Among 3,026 neonatal intensive care unit admissions, 0.2% were prompted by adverse drug reactions; among 725 children with cancer, 22% of admissions were prompted by adverse drug reactions. Among 6,546 children with other conditions monitored on general medical and specialty wards at two teaching hospitals and on general pediatric wards at three community hospitals, 2% (131) of admissions were prompted by adverse drug reactions. Two patients (0.03%) died because of their reactions. The proportion of admissions prompted by drug reactions increased between infancy and 5 years of age and tended to be relatively stable thereafter. The drugs most commonly implicated in the admissions were phenobarbital, aspirin, phenytoin, ampicillin/amoxicillin, theophylline/aminophylline, trimethoprim-sulfamethoxazole, and diphtheria-pertussis-tetanus vaccine. Similar proportions of admissions were prompted by adverse drug reactions in teaching hospitals (2.1%) and in community hospitals (1.8%), and the drug groups implicated in these admissions were generally similar in the two settings. In contrast to adult populations, children with adverse drug reactions account for a small proportion of hospital admissions. Findings from this large, systematic study of pediatric admissions to teaching and community hospitals may serve as a baseline to which other pediatric facilities can compare their experience.
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37

H., Durgappa, Honnappa M., L. N. Reddy, Sudhakar Hegde, and Nagraj K. "Bacteriological and Radiological Study of Severe Pneumonia in Children at Medical College Hospital & Head Quarter Hospital." Indian Journal of Trauma and Emergency Pediatrics 9, no. 1 (2017): 39–43. http://dx.doi.org/10.21088/ijtep.2348.9987.9117.7.

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38

Singer, Rebecca, Karen Zwi, and Robert Menzies. "Predictors of In-Hospital Mortality in Aboriginal Children Admitted to a Tertiary Paediatric Hospital." International Journal of Environmental Research and Public Health 16, no. 11 (May 29, 2019): 1893. http://dx.doi.org/10.3390/ijerph16111893.

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Background: Aboriginal Australian children have higher rates of mortality at younger ages than non-Aboriginal Australian children. We aimed to (i) calculate the case fatality rate (CFR) for Aboriginal and non-Aboriginal children admitted to children’s hospitals in New South Wales (NSW) and (ii) identify predictors of CFR. Methods: We used a retrospective cross-sectional analysis of data from electronic medical records for in-patient admissions to the Sydney Children’s Hospitals Network (SCHN) over five years (2011–2015). Logistic regression analysis was used to identify predictors of mortality and excess deaths in Aboriginal children were calculated. Results: There were 241,823 presentations over the 5-year period. The CFR for Aboriginal children was double that of non-Aboriginal children (0.4% vs. 0.2%, p = 0.002), with Aboriginal children under 2 years and from remote and regional Australia at highest risk of excess mortality. Predictors of death for all children in order of significance were: Circulatory disorders (Odds Ratio (OR) 17.16, p < 0.001), neoplasm/blood/immune disorders (OR 2.77, p < 0.001), emergency admissions (OR 1.94, p < 0.001), aboriginality (OR 1.73, p = 0.005) and longer length of stay (OR 1.012; p < 0.001). Conclusions: Our data show that Aboriginal children are almost twice as likely to die than non-Aboriginal children. In particular, excess deaths in Aboriginal children are most commonly from outer regional and remote areas and children aged under 2 years with perinatal or circulatory conditions.
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Hussain, Manzoor, Mohammad Abdullah Al Mamun, Sayeeda Anwar, Nazma Begum, Abu Sayeed Chowdhury, and Kamruzzaman Kamrul. "Paediatric COVID-19: Review of Hospital Experiences and Impact on Child Health Services in Bangladesh." Malaysian Journal of Paediatrics and Child Health 27, no. 1 (June 20, 2021): 46–55. http://dx.doi.org/10.51407/mjpch.v27i1.121.

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Previous studies suggested that COVID-19 is more likely to infect older adults, particularly those with chronic comorbidities. However in Bangladesh, paediatric patients are on the rise. Three percent of children less than 10 years were identified as having COVID-19 infection. Though over 90% of the cases were mild or moderate in nature but many of them required hospital admission. So it appeared that local situation in Bangladesh seems to be different. This study was carried out to find out hospital experiences and impact of COVID-19 in child health in Bangladesh. Data were collected from three tertiary care hospitals of Bangladesh dealing majority of COVID-19 infected children. The hospitals were Dhaka Shishu (Children) Hospital, Dhaka Medical College Hospital and Mugda Medical College Hospital. As COVID-19 outbreak also adversely affecting different services among the children of Bangladesh, review was done to evaluate essential health delivery services especially routine immunization. Total 422 children were included from three tertiary care hospitals. They were predominantly male. Children of all age groups were infected. Significant numbers of children were admitted with moderate to severe illness (moderate 42.89%, severe 35.78% and critical 16.11%) with some casualties (mortality 4.27%). Routine immunization has already been hampered and threatened a significant increase in child mortality due to Vaccine Preventable Disease (VPD) in coming days. Paediatric patients were on the rise and unfortunately we noticed large number of hospital admission and some casualties already. Essential health care services should be preserved to prevent avoidable losses of child lives during the COVID-19 pandemic and to protect progress in reducing child mortality achieved over recent years.
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Berry, Jay G., Matthew A. Hall, Vidya Sharma, Liliana Goumnerova, Anthony D. Slonim, and Samir S. Shah. "A MULTI-INSTITUTIONAL, 5-YEAR ANALYSIS OF INITIAL AND MULTIPLE VENTRICULAR SHUNT REVISIONS IN CHILDREN." Neurosurgery 62, no. 2 (February 1, 2008): 445–54. http://dx.doi.org/10.1227/01.neu.0000316012.20797.04.

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Abstract OBJECTIVE To evaluate risk factors and predictors of cerebrospinal ventricular shunt revisions in children. METHODS A retrospective, longitudinal cohort of 1307 children ages 0 to 18 years undergoing initial ventricular shunt placement in the year 2000, with follow-up through 2005, from 32 freestanding children's hospitals within the Pediatric Health Information Systems database was studied. Rates of ventricular shunt revision were compared with patient demographic, clinical, and hospital characteristics with use of bivariate and multivariate regression accounting for hospital clustering. RESULTS Thirty-seven percent of children required at least one shunt revision within 5 years of initial shunt placement; 20% of children required two or more revisions. Institutional rates of first shunt revision ranged from 20 to 70% of initial shunts placed among the 32 hospitals in the cohort. Hospitals where one to 20 initial shunt placements per year experienced the highest initial shunt revision rate (42%). Hospitals performing over 83 initial shunt placements per year experienced the lowest revision rate (22%). We found that children undergoing shunt placement in the Midwest were more likely to experience multiple shunt revisions (odds ratio, 1.25; 95% confidence interval, 1.06–1.47) after controlling for hospital volume, shunt type, age, and diagnosis associated with initial shunt placement. CONCLUSION Higher hospital volume of initial shunt placement was associated with lower revision rates. Substantial hospital variation in the rates of ventricular shunt revision exists among children's hospitals. Future prospective studies are needed to examine the reasons for the variability in shunt revision rates among hospitals, including differences in specific processes of care.
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Alawi, Aws, Randall C. Edgell, Samer K. Elbabaa, R. Charles Callison, Yasir Al Khalili, Hesham Allam, and Amer Alshekhlee. "Treatment of cerebral aneurysms in children: analysis of the Kids' Inpatient Database." Journal of Neurosurgery: Pediatrics 14, no. 1 (July 2014): 23–30. http://dx.doi.org/10.3171/2014.4.peds13464.

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Object Endovascular coiling and surgical clipping are viable treatment options of cerebral aneurysms. Outcome data of these treatments in children are limited. The objective of this study was to determine hospital mortality and complication rates associated with surgical clipping and coil embolization of cerebral aneurysms in children, and to evaluate the trend of hospitals' use of these treatments. Methods The authors identified a cohort of children admitted with the diagnoses of cerebral aneurysms and aneurysmal subarachnoid hemorrhage from the Kids' Inpatient Database for the years 1998 through 2009. Hospital-associated complications and in-hospital mortality were compared between the treatment groups and stratified by aneurysmal rupture status. A multivariate regression analysis was used to identify independent variables associated with in-hospital mortality. The Cochrane-Armitage test was used to assess the trend of hospital use of these operations. Results A total of 1120 children were included in this analysis; 200 (18%) underwent aneurysmal clipping and 920 (82%) underwent endovascular coiling. Overall in-hospital mortality was higher in the surgical clipping group compared with the coil embolization group (6.09% vs 1.65%, respectively; adjusted odds ratio [OR] 2.52, 95% CI 0.97–6.53, p = 0.05). The risk of postoperative stroke or hemorrhage was similar between the two treatment groups (p = 0.86). Pulmonary complications and systemic infection were higher in the surgical clipping population (p < 0.05). The rate of US hospitals' use of endovascular coiling has significantly increased over the years included in this study (p < 0.0001). Teaching hospitals were associated with a lower risk of death (OR 0.13, 95% CI 0.03–0.46; p = 0.001). Conclusions Although both treatments are valid, endovascular coiling was associated with fewer deaths and shorter hospital stays than clip placement. The trend of hospitals' use of coiling operations has increased in recent years.
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Kemmner, Maggie. "Better care for children in hospital." Paediatric Nursing 19, no. 3 (April 2007): 26–27. http://dx.doi.org/10.7748/paed.19.3.26.s23.

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Matthews, David. "Do children need books in hospital?" Paediatric Nursing 3, no. 1 (February 1991): 24–25. http://dx.doi.org/10.7748/paed.3.1.24.s18.

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Slonim, A. D., B. J. LaFleur, W. Ahmed, and J. G. Joseph. "Hospital-Reported Medical Errors in Children." PEDIATRICS 111, no. 3 (March 1, 2003): 617–21. http://dx.doi.org/10.1542/peds.111.3.617.

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Beŝtak, D., and K. Ŝeŝo. "1252 Safety of Children in Hospital." Pediatric Research 68 (November 2010): 620. http://dx.doi.org/10.1203/00006450-201011001-01252.

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46

Oppé, Thomas. "Children and Newborn Infants in Hospital." Developmental Medicine & Child Neurology 3, no. 4 (November 12, 2008): 318. http://dx.doi.org/10.1111/j.1469-8749.1961.tb15326.x.

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CHALMERS, BEVERLEY. "Annotation: Care of children in hospital." Child: Care, Health and Development 19, no. 2 (March 1993): 119–26. http://dx.doi.org/10.1111/j.1365-2214.1993.tb00719.x.

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Heavenrich, Robert M. "HOSPITAL CARE OF CHILDREN AND YOUTH." Pediatric Annals 16, no. 8 (August 1, 1987): 666–67. http://dx.doi.org/10.3928/0090-4481-19870801-14.

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ROY, L. PAUL. "HOSPITAL EMERGENCY DEPARTMENT SERVICES FOR CHILDREN." Journal of Paediatrics and Child Health 29, no. 2 (March 10, 2008): 99–100. http://dx.doi.org/10.1111/j.1440-1754.1993.tb00458.x.

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Horrigan, Kaye. "Franciscan Children??s Hospital Goes Wireless." Nursing Management (Springhouse) 23, no. 2 (February 1992): 74,77. http://dx.doi.org/10.1097/00006247-199202000-00021.

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