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Acta Paediatrica

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Acta Paediatrica September 2017

IMPACT Factor: 2.043

We have highlighted some of September issue's article that you can access freely in the journal below.

Preterm birth needs to be considered a chronic condition
b3dd4024-8bac-4248-b717-e61841e1e541.jpgIn this review, Raju et al report that an overwhelming majority of adults born preterm were healthy and well. However, a small, but significant, fraction of them still faced a higher risk of developing neuropsychological and behavioural problems, hypersensitive disorders and metabolic syndrome earlier than their term-born counterparts. The authors maintain that preterm birth needs to be considered a chronic condition, with a slight increase in the risk for long-term morbidities. Therefore, obtaining a birth history from all patients, irrespective of their age, should be routine, as this would help early diagnoses and timely interventions. Nilsson and Ignell discuss the paper.


Important EEG features for the assessment of brain maturation in premature infants
This review by P4d200ff7-f13e-4cd9-a275-49ee57d639f5.jpgavlidis et al describes the maturational features of the baseline electroencephalogram (EEG) in the neurologically healthy preterm infant. Features such as continuity, sleep state, synchrony and transient waveforms are described also in extremely preterm infants. Illustrated examples are presented. The review demonstrates the importance of multichannel conventional EEG monitoring for preterm infants as many of the features described are not apparent if limited channel EEG monitors are used.

Changes in perinatal hospital deaths outside the neonatal intensive care unit
4531cd17-9f54-4e6a-b677-e46a41ccec5f.jpgDupont-Thibodeau et al reviewed perinatal deaths outside the neonatal intensive care unit from 22 weeks of gestation in a Canadian tertiary mother and baby hospital during two study periods of three years between 2000 and 2010. They found that approaches to end-of-life care changed between the study periods. The total number of perinatal deaths increased, while the proportion of fetuses who were alive at the time of their mother’s hospital admission, but were subsequently stillborn, decreased. There was also an increase in terminations for congenital anomalies in the second cohort and a decrease in deaths following induced labour and comfort care for fetal anomalies.  Norman comments on the findings.

Risk factors for executive function difficulties in preschool and early school-age preterm children
d8fb6f64-bac3-4a23-afe6-6c8e6b4da8a8.jpgPreterm children face a higher risk of developing executive function difficulties than their full-term peers, according to an Australian study by O’Meagher et al. Deficits in executive function influence problem-solving abilities and can have a substantial impact on social and academic function and quality of life. This study identified social risks and, in particular, pointed out that the main carer’s education level was a key predictor for cognitive and executive function difficulties in preterm children when they started school. Skranes comments on the findings.

Management of bronchiolitis varied between, and within, hospitals
9ced82f5-e508-44a7-97f5-524f537babee.jpgThe clinical management of bronchiolitis in infants varied considerable between three Finnish hospitals, according to a study by Elenius et al, as did the use of strict or loose definitions of bronchiolitis.  The authors concluded that a stronger commitment to evidence-based bronchiolitis guidelines is needed. Shmueli et al used different treatment protocols for bronchiolitis in three paediatric wards in Israel and found that no treatment regime proved superior. However, inhalations of hypertonic saline or adrenaline were associated with a longer hospital stay.

See also Abstracts from XXV Biennial Meeting of the International Perinatal Collegium, Edinburgh, Scotland, 2–6 July 2017

Selected articles from the previous Biennial Meeting of the International Perinatal Collegium are available as a virtual issue


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