Parent-reported prevalence and persistence of 19 common child health conditions

Liu, Tracy; Lingam, Raghu; Lycett, Kate; Mensah, Fiona; Muller, Joshua; Huque, Hamidul; Wake, Melissa

doi:10.1136/archdischild-2017-313191

Cited by 28 publications

(26 citation statements)

References 26 publications

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“…While some health problems appear to be comparable with parent‐reported rates for all Australian children (e.g. asthma, sleep problems), others were more prevalent among the study cohort than Australian children, although possibly in line with some global general prevalence rates (e.g. eczema, abdominal pain, constipation and soiling) .…”

Section: Discussionsupporting

confidence: 88%

Health needs and timeliness of assessment of Victorian children entering out‐of‐home care: An audit of a multidisciplinary assessment clinic

McLean

Little

Scott

et al. 2019

J Paediatrics Child Health

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Aim To describe the health needs identified in children attending a comprehensive health assessment at a tertiary hospital, multidisciplinary clinic for children following entry to out‐of‐home care and timeliness of referral and assessment compared with national recommendations. Methods This was a retrospective audit of all the children who attended the Pathway to Good Health clinic at The Royal Children's Hospital, Melbourne from May 2013 until 31 August 2016. Results A total of 119 children aged 0–12 years attended the clinic during the audit period. Of these children, 17% (including more than 30% of 0–2‐year‐olds) were not up‐to‐date with immunisations, and 87% had physical health concerns that were addressed on the day or needed further management. Over 50% had mental health concerns identified (76% of 7–12‐year‐olds). In children aged 3–6 years, 64% had behavioural problems and 77% had developmental problems identified. Only a third of the children was referred to the Pathway to Good Health clinic within the national standard of 30 days post‐entry to care, and 24% of children attended within 3 months of entry to care. Conclusion Children in out‐of‐home care within Victoria have high rates of physical, mental and developmental health concerns, consistent with previous studies. Timeliness of attendance at the clinic was low compared with national recommendations, even within a programme designed to facilitate timely health checks. This is the second and largest Australian study exploring timeliness of health checks. Further research would establish whether these results are more systemic.

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Section: Discussionsupporting

confidence: 88%

Health needs and timeliness of assessment of Victorian children entering out‐of‐home care: An audit of a multidisciplinary assessment clinic

McLean

Little

Scott

et al. 2019

J Paediatrics Child Health

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“…Additional articles were identified through reference tracking of included studies. Studies were eligible for review if they (1) reported randomized controlled trials (RCTs) published between 1990 and September 2018, (2) evaluated an integrated health care intervention designed to improve CYP's health, (3) included CYP (0-18 years) with an ongoing health condition (defined as any health problem requiring clinical follow-up for .12 months in 50% or more cases), 26 (4) included at least 1 health-related outcome indicator, and (5) were a peer-reviewed publication available in English. Eligible articles were screened to identify references reporting additional results from the described intervention, which were included if they assessed the same intervention and sample as the original article.…”

Section: Methodsmentioning

confidence: 99%

“…Child mortality has decreased markedly over the last 50 years, and the epidemiological transition toward chronic conditions, such as asthma and neurodevelopmental disorders, applies across many countries and regions. [1][2][3][4][5] These broad populationlevel changes mean that health systems and health care models must adapt accordingly, providing highquality care for all childhood conditions.…”

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confidence: 99%

Integrated Care Models and Child Health: A Meta-analysis

et al. 2020

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CONTEXT: Integrated care models may improve health care for children and young people (CYP) with ongoing conditions. OBJECTIVE: To assess the effects of integrated care on child health, health service use, health care quality, school absenteeism, and costs for CYP with ongoing conditions. DATA SOURCES: Medline, Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, and the Cochrane Library databases (1996–2018). STUDY SELECTION: Inclusion criteria consisted of (1) randomized controlled trials, (2) evaluating an integrated care intervention, (3) for CYP (0–18 years) with an ongoing health condition, and (4) including at least 1 health-related outcome. DATA EXTRACTION: Descriptive data were synthesized. Data for quality of life (QoL) and emergency department (ED) visits allowed meta-analyses to explore the effects of integrated care compared to usual care. RESULTS: Twenty-three trials were identified, describing 18 interventions. Compared with usual care, integrated care reported greater cost savings (3/4 studies). Meta-analyses found that integrated care improved QoL over usual care (standard mean difference = 0.24; 95% confidence interval = 0.03–0.44; P = .02), but no significant difference was found between groups for ED visits (odds ratio = 0.88; 95% confidence interval = 0.57–1.37; P = .57). LIMITATIONS: Included studies had variable quality of intervention, trial design, and reporting. Randomized controlled trials only were included, but valuable data from other study designs may exist. CONCLUSIONS: Integrated care for CYP with ongoing conditions may deliver improved QoL and cost savings. The effects of integrated care on outcomes including ED visits is unclear.

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“…Recent parent‐reported data on the prevalence of constipation in the Australian population found 4% of children affected at age 8 years. Other studies, depending on the definition used and the study methodology, have found as much as 26% of children affected .…”

Section: Introductionmentioning

confidence: 99%

Children who soil: A review of the assessment and management of faecal incontinence

Trajanovska

King

Gibb

et al. 2018

J Paediatrics Child Health

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Soiling is a common and distressing condition affecting children. In the vast majority of patients, it is associated with constipation. Most constipation is functional and is best thought of as difficulty achieving adequate bowel emptying. In a small minority of patients, there is no associated constipation, so‐called non‐retentive faecal incontinence. The aetiology of this latter condition in children remains unclear. The mainstay of management in all cases is a regular toileting programme, together with laxatives as required. This must be individualised considering the diagnosis, the age of the child and the psychosocial factors affecting the child and family. The diagnosis is made with a thorough history and examination, supplemented in some cases with targeted investigations. Engaging the child and family in a long‐term treatment programme (at least 6 months to 2 years) is essential for treatment success. The following clinical practice guideline and algorithm for the assessment and management of children who soil represents consensus opinion using available evidence.

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Parent-reported prevalence and persistence of 19 common child health conditions

Cited by 28 publications

References 26 publications

Health needs and timeliness of assessment of Victorian children entering out‐of‐home care: An audit of a multidisciplinary assessment clinic

Health needs and timeliness of assessment of Victorian children entering out‐of‐home care: An audit of a multidisciplinary assessment clinic

Integrated Care Models and Child Health: A Meta-analysis

Children who soil: A review of the assessment and management of faecal incontinence

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