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Characteristics of revisits of children at risk for serious infections in pediatric emergency care

design of the study. She reviewed and revised the manuscript. She participated and supervised analysis and interpretation of the data and approved the final manuscript as submitted. Rianne Oostenbrink: Dr ... Oostenbrink 0 1 0 Department of Population, Policy and Practice UCL Great Ormond Street Institute of Child Health , Great Ormond Street, London , UK 1 Department of Public Health, Erasmus MC - University

Implementation of clinical decision support in young children with acute gastroenteritis: a randomized controlled trial at the emergency department

Steyerberg, and Johan van der Lei supervised the development of the research protocol, interpretation of the results, and writing of the manuscript. Rianne Oostenbrink was primarily responsible for the study ... ). Rianne Oostenbrink is supported by a fellowship grant of the European Society of Pediatric Infectious Diseases in 2010. Conflict of interest The authors declare that they have no conflict of interest

Motor problems in children with neurofibromatosis type 1

BackgroundChildren with the neurogenetic disorder neurofibromatosis type 1 (NF1) often have problems with learning and behaviour. In both parent reports and neuropsychological assessment, motor problems are reported in approximately one third to one half of the children with NF1. Studies using broad motor performance test batteries with relatively large groups of children with...

Motor problems in children with neurofibromatosis type 1

Children with the neurogenetic disorder neurofibromatosis type 1 (NF1) often have problems with learning and behaviour. In both parent reports and neuropsychological assessment, motor problems are reported in approximately one third to one half of the children with NF1. Studies using broad motor performance test batteries with relatively large groups of children with NF1 are...

Clinicians’ overestimation of febrile child risk assessment

We aimed to estimate clinicians’ based risk thresholds at which febrile children would be managed as serious bacterial infections (SBI) to determine influencing characteristics and to compare thresholds with prediction model (Feverkidstool) risk estimates. Twenty-one video vignettes of febrile children visiting the emergency department (ED) were assessed by 42 (40.4...

Impact of a Clinical Decision Model for Febrile Children at Risk for Serious Bacterial Infections at the Emergency Department: A Randomized Controlled Trial

Objectives To assess the impact of a clinical decision model for febrile children at risk for serious bacterial infections (SBI) attending the emergency department (ED). Methods Randomized controlled trial with 439 febrile children, aged 1 month-16 years, attending the pediatric ED of a Dutch university hospital during 2010-2012. Febrile children were randomly assigned to the...

Pediatric gastroenteritis in the emergency department: practice evaluation in Belgium, France, The Netherlands and Switzerland

Background Based on European recommendations of ESPGHAN/ESPID from 2008, first line therapy for dehydration caused by acute gastroenteritis (AGE) is oral rehydration solution (ORS). In case of oral route failure, nasogastric tube enteral rehydration is as efficient as intra-venous rehydration and seems to lead to fewer adverse events. The primary objective was to describe...

Alarming Signs and Symptoms in Febrile Children in Primary Care: An Observational Cohort Study in The Netherlands

Context Febrile children in primary care have a low risk for serious infection. Although several alarming signs and symptoms are proposed to have predictive value for serious infections, most are based on research in secondary care. The frequency of alarming signs/symptoms has not been established in primary care; however, in this setting differences in occurrence may influence...

The Predictive Value of the NICE “Red Traffic Lights” in Acutely Ill Children

Moll, Rianne Oostenbrink, Richard Stevens, Matthew Thompson, Ann Van den Bruel and Jan Verbakel. We gratefully acknowledge the members of the ERNIE group for the collaboration and their advice on the

How well do clinical prediction rules perform in identifying serious infections in acutely ill children across an international network of ambulatory care datasets?

on Recognising Serious Infection (ERNIE). The principal ERNIE investigators are: Bert Aertgeerts, Marjolein Berger, Frank Buntinx, Evelien Kerkhof, Monica Lakhanpaul, David Mant, Henriette Moll, Rianne ... Oostenbrink, Richard Stevens, Matthew Thompson, Ann Van den Bruel, and Jan Verbakel. This study was financially supported by the Health Technology Assessment Project 07/37/05 (Systematic review and validation

Reliability and validity of the Infant and Toddler Quality of Life Questionnaire (ITQOL) in a general population and respiratory disease sample

Objective To evaluate feasibility, internal consistency, test–retest reliability, and concurrent and discriminative validity of the Infant and Toddler Quality of Life Questionnaire (ITQOL) for parents of pre-school children with 12 scales (103-items) covering physical and psychosocial domains and impact of child health on parents, in comparison with the TNO-AZL Pre-school...