An evaluation of Medline published paediatric audits from 1966 to 1999.


AIM:To evaluate the quality of paediatric audits from 1966 to 1999. METHODS:A Medline search was performed using the MeSH terms audit, child, paediatric (and pediatric). Predefined core elements of audit were used as inclusion criteria for entry of an article into this study. These criteria were as follows: (1) an article deals with a healthcare topic; (2) a standard is predefined; (3) actual practice is evaluated; (4) actual practice is compared with the standard. The fifth criterion of audit, dissemination of information and reaudit, was not an inclusion criterion, as it was not used in the early years covered by this study. Empirical grading of standards was used. RESULTS:The search yielded 442 articles, of which 303 (100%) were related to paediatric healthcare and were reviewed. Standards were defined in 115 (38%) articles. Audit against the standard was performed in 92 (30.4%) articles, of which 42 (45.6%) were published before, and 50 (54.3%) after, 1990. 18 (5.9%) articles were re-audited: 6 (14.3%) were published before, and 12 (24%) after, 1990. Of the 188 paediatric studies rejected, 119 (63.3%) described practice observations. CONCLUSION:Many articles in paediatrics are published as "audits", but they do not contain the core elements of audit. Although audit is a potentially valuable tool in clinical medicine, the publication of poor-quality audits may lead to the decline of the audit concept. Suggestions on ways to improve the quality of published audits are made.


Arch Dis Child


O'Gorman CS,Ziedan Y,O'Neill MB




Has Abstract


2007-04-01 00:00:00














  • Modification of dietary polyunsaturated fatty acids via complementary food enhances n-3 long-chain polyunsaturated fatty acid synthesis in healthy infants: a double blinded randomised controlled trial.

    abstract:OBJECTIVE:To study the effect of modified polyunsaturated fatty acid (PUFA) profiles of complementary food on long-chain (LC) PUFA composition in healthy infants. DESIGN:Double blinded, randomised, controlled intervention trial. SETTING:Dortmund, Germany. PATIENTS:Free-living sample of healthy term infants. METHODS...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,随机对照试验


    authors: Schwartz J,Dube K,Sichert-Hellert W,Kannenberg F,Kunz C,Kalhoff H,Kersting M

    更新日期:2009-11-01 00:00:00

  • Phenobarbitone prophylaxis of intraventricular haemorrhage.

    abstract::Thirty preterm infants (birthweight under 1500 g) were treated with phenobarbitone to examine its effectiveness in reducing the incidence of intraventricular haemorrhage (IVH), the control group comprising 28 infants. The treated group had 57% incidence of IVH and mortality of 13% compared with 68% and 14%, respective...

    journal_title:Archives of disease in childhood

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Anwar M,Kadam S,Hiatt IM,Hegyi T

    更新日期:1986-02-01 00:00:00

  • Congenital heart disease in the neonate: results of surgical treatment.

    abstract::All 212 neonates undergoing cardiac surgery at this hospital during the 5-year period from 1976 to 1980 inclusive were reviewed. Forty required open heart surgery with 23 (57%) deaths. One hundred and seventy-four neonates underwent non-bypass procedures and could be divided into three groups: group 1 (82 patients) ha...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Bove EL,Bull C,Stark J,de Leval M,Macartney FJ,Taylor JF

    更新日期:1983-02-01 00:00:00

  • Alteration of lung diffusion capacity in IgA nephropathy.

    abstract:OBJECTIVE:To establish whether changes of lung transfer for carbon monoxide (TLCO) are related to the phase of IgA nephropathy. METHODS:Respiratory function was tested in 12 children with IgA nephropathy assessed by percutaneous renal biopsy. This was done during acute exacerbations or haematuria-free phases of the di...

    journal_title:Archives of disease in childhood

    pub_type: 临床试验,杂志文章


    authors: Ravilly S,Chaussain M,Iniguez JL,Lenhert A,Kalifa G,Brun P,Niaudet P,Gendrel D

    更新日期:1996-03-01 00:00:00


    abstract:AIM:Ketamine is used for post-operative analgesia. There has been recent disruption in it's supply. It is usually prescribed by patient's weight (3 mg/kg in 50 ml 0.9% saline) at a rate of 1-5 ml/hr (1-5 microgram/kg/minute). To conserve ketamine supplies our policy was changed to a concentrated "standardised" concentr...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Wong J,Sutherland A

    更新日期:2016-09-01 00:00:00

  • IgG subclass specific antibody response in recurrent bronchitis.

    abstract::The IgG subclass specific immune response against pneumococcal type 3 polysaccharide antigen before and after immunisation in healthy children and children with recurrent bronchitis was studied. Recurrent bronchitis was defined as three or more episodes a year, during at least two consecutive years, of bronchopulmonar...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: de Baets F,Pauwels R,Schramme I,Leroy J

    更新日期:1991-12-01 00:00:00

  • Screening for sensorineural deafness by health visitors. The Steering Committee, Oxford Region Child Development Project.

    abstract::Screening for hearing loss in the first year of life, using the distraction test, remains the responsibility of health visitors in most health districts in the United Kingdom. We have evaluated the screening procedure used routinely in one health region in a population of infants at increased risk of sensorineural dea...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Johnson A,Ashurst H

    更新日期:1990-08-01 00:00:00

  • The natural history and predictors of persistent problem behaviours in cystic fibrosis: a multicentre, prospective study.

    abstract:BACKGROUND:In cystic fibrosis (CF), problems with sleep, eating/mealtime behaviours, physiotherapy adherence and parental mental health issues are common, yet their natural history and the extent of service use to address them are unknown. OBJECTIVE:Follow up the 2007 cohort to determine: (1) prevalence of child sleep...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,多中心研究


    authors: Sheehan J,Massie J,Hay M,Jaffe A,Glazner J,Armstrong D,Hiscock H

    更新日期:2012-07-01 00:00:00

  • Selective medical examinations on starting school.

    abstract::Selective medical examination of children starting school has been operated in Cramlington for five years, and the data for the school year 1984-85 are reported. It is argued that the 'routine medical' is an outdated concept and that its abolition would allow more time for more important aspects of educational medicin...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: O'Callaghan EM,Colver AF

    更新日期:1987-10-01 00:00:00

  • Social and emotional impact of faecal incontinence after surgery for anorectal abnormalities.

    abstract::A significant proportion of children with anorectal malformations have long term problems with faecal continence. The psychological consequences of this chronic disability was assessed in 160 children and adolescents. The prevalence of clinically significant emotional problems among the sample overall, as assessed by ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Ludman L,Spitz L,Kiely EM

    更新日期:1994-09-01 00:00:00

  • Prognostic factors in acute meningococcaemia.

    abstract::During a meningococcal (group A) epidemic, 47 Nigerian children with acute meningococcaemia without meningitis were studied. Their mortality rate was 43% compared with 8% during the whole epidemic. Those presenting with coma and shock had a mortality of 93%, but without shock or coma mortality was only 6%. Coma or sho...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Lewis LS

    更新日期:1979-01-01 00:00:00

  • Efficacy and safety of torasemide in children with heart failure.

    abstract:OBJECTIVE:To examine the efficacy and safety of torasemide in children with chronic heart failure (HF). METHODS:102 children with chronic HF who had received oral torasemide were analysed. Of these, 62 (de novo group) were newly diagnosed as having HF and were given torasemide as a diuretic. The remaining 40 (replacem...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Senzaki H,Kamiyama M,Masutani S,Ishido H,Taketazu M,Kobayashi T,Katogi T,Kyo S

    更新日期:2008-09-01 00:00:00

  • 24 hour blood pressure monitoring in healthy and hypertensive children.

    abstract::24 Hour ambulatory blood pressure monitoring (ABPM) was performed to provide data on the normal daily blood pressure of healthy schoolchildren and on patients with hypertension. The subjects studied were 123 healthy schoolchildren with a mean (SD) age of 12.5 (1.6) years (range 9.5-14.5 years), 24 children with border...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Reusz GS,Hóbor M,Tulassay T,Sallay P,Miltényi M

    更新日期:1994-02-01 00:00:00

  • Promoting research for children.

    abstract::Concerns have been expressed in recent years about the decline in children's clinical and biomedical research in the UK, and in the paediatric academic workforce. Here I consider the extent to which these concerns are justified, the sweeping changes that have taken place in research funding, governance and organisatio...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Modi N

    更新日期:2010-11-01 00:00:00

  • Body composition in paediatric intestinal failure patients receiving long-term parenteral nutrition.

    abstract:OBJECTIVE:Outcome of children with intestinal failure (IF) has improved on treatment with parenteral nutrition (PN). The effects of PN and IF on body composition (BC) are unknown. The aim was to review BC in PN-treated children and those weaned off and to compare with reference data. DESIGN:Children on long-term/home ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Pichler J,Chomtho S,Fewtrell M,Macdonald S,Hill S

    更新日期:2014-02-01 00:00:00

  • Mothers' experiences of bottle-feeding: a systematic review of qualitative and quantitative studies.

    abstract:OBJECTIVE:Most babies receive at least some formula milk. Variations in formula-feeding practices can have both short- and long-term health consequences. The literature on parents' experiences of bottle-feeding was systematically reviewed to understand how formula-feeding decisions are made. METHODS:Relevant English-l...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审


    authors: Lakshman R,Ogilvie D,Ong KK

    更新日期:2009-08-01 00:00:00

  • Post-thrombotic syndrome.

    abstract::Post-thrombotic syndrome (PTS) is a potentially disabling complication occurring in up to 67% of adult patients following deep venous thrombosis (DVT). PTS has recently been recognised in children. We present three cases of symptomatic PTS in children, which occurred following the use of central venous lines (CVLs). I...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审


    authors: Barnes C,Newall F,Monagle P

    更新日期:2002-03-01 00:00:00

  • The natural history of Noonan syndrome: a long-term follow-up study.

    abstract:OBJECTIVE:To define better the adult phenotype and natural history of Noonan syndrome. DESIGN:A prospective observational study of a large cohort. RESULTS:Data are presented for 112 individuals with Noonan syndrome (mean age 25.3 (range 12-71) years), who were followed up for a mean of 12.02 years. Mutations in PTPN1...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Shaw AC,Kalidas K,Crosby AH,Jeffery S,Patton MA

    更新日期:2007-02-01 00:00:00

  • Fat absorption by small babies fed two filled milk formulae.

    abstract::In 3-day fat balances, 7 of 8 infants had appreciably more steatorrhoea when they were fed Cow and Gate V formula than when they were fed SMA. The mean fat excretion (+/- SEM) expressed as a percentage of the amount ingested on Cow and Gate V was 28-1 +/- 3-9 compared with 10-5 +/- 2-3 on SMA. Gas-liquid chromatograph...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Milner RD,Deodhar Y,Chard CR,Grout RM

    更新日期:1975-08-01 00:00:00

  • Factors influencing breast feeding.

    abstract::A survey is reported of infant feeding practice at the time of discharge from a single maternity ward. It is shown that a change in the attitude of nursing staff increased the number of mothers breast feeding their infants and eliminated the practice of giving the infants formula feed complements. This change in attit...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: McKean KS,Baum JD,Sloper K

    更新日期:1975-03-01 00:00:00

  • Delayed visual maturation.

    abstract::Sixteen blind babies who were considered to be showing the characteristics of delayed visual maturation were studied prospectively. The diagnosis was made on clinical grounds, and the criteria for this are discussed. All of these infants developed visual responses between 4 and 6 months of age and had normal or near n...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Cole GF,Hungerford J,Jones RB

    更新日期:1984-02-01 00:00:00

  • HIV-I infection in perinatally exposed siblings and twins. The Italian Register for HIV Infection in Children.

    abstract::In a multicentre study on perinatal HIV-I infection including 1493 children born from 1471 pregnancies to 1415 infected mothers, 22 twin pairs and 56 sibships (115 children) were recorded. The frequency of twin pregnancies was 1.5 (22/1471) and 3.9% (56/1415) seropositive women had more than one at risk pregnancy. In ...

    journal_title:Archives of disease in childhood

    pub_type: 临床试验,杂志文章,多中心研究


    authors: de Martino M,Tovo PA,Galli L,Caselli D,Gabiano C,Mazzoni PL,Giacomelli A,Duse M,Fundarò C

    更新日期:1991-10-01 00:00:00

  • Young people's experiences of managing asthma and diabetes at school.

    abstract:PURPOSE:To examine the experiences and concerns of young people and their parents regarding the management of medication for asthma or diabetes whilst at school. METHODS:Face-to-face semi-structured interviews were conducted with 69 young people aged 8-15 years (43 with asthma and 26 with diabetes) and their parents (...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Newbould J,Francis SA,Smith F

    更新日期:2007-12-01 00:00:00

  • Effects of smoking on breast feeding.

    abstract::Infant feeding methods used by mothers who smoke and by mothers who do not, who delivered in one maternity hospital, were compared to determine if smoking affected breast feeding. Significantly more of the smoking group chose either to bottle feed from delivery or, having been discharged from the hospital breast feedi...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Lyon AJ

    更新日期:1983-05-01 00:00:00

  • Management of severe acute malnutrition in low-income and middle-income countries.

    abstract::Kwashiorkor and marasmus, collectively termed severe acute malnutrition (SAM), account for at least 10% of all deaths among children under 5 years of age worldwide, virtually all of them in low-income and middle-income countries. A number of risk factors, including seasonal food insecurity, environmental enteropathy, ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Trehan I,Manary MJ

    更新日期:2015-03-01 00:00:00

  • Short-course antibiotics for chemotherapy-induced febrile neutropaenia: retrospective cohort study.

    abstract:BACKGROUND:Recent research in febrile neutropaenia (FN) has focused on reducing the intensity of treatment for those thought to be at low risk of significant morbidity or mortality. This has not led to a reduced burden of treatment for either families or healthcare systems. An alternative approach is to discharge all p...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Seneviratne N,Yeomanson D,Phillips R

    更新日期:2020-09-01 00:00:00

  • Efficacy of colistin in multidrug-resistant neonatal sepsis: experience from a tertiary care center in Karachi, Pakistan.

    abstract:OBJECTIVE:Infections with multidrug-resistant organisms (MDROs) such as Gram-negative bacteria have high morbidity and mortality with limited treatment options. Colistin, an antibiotic active against MDRO, was rarely used due to frequent adverse effects, but its use has now been recommended among adults. In this study,...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Ambreen G,Salat MS,Hussain K,Raza SS,Ali U,Azam I,Iqbal J,Fatmi Z

    更新日期:2020-09-01 00:00:00

  • Joint hypermobility syndrome subclassification in paediatrics: a factor analytic approach.

    abstract:OBJECTIVE:To determine if exploratory factor analysis can identify subtypes comprising recognisable clinical patterns of the presenting signs and symptoms of children with joint hypermobility syndrome (JHS). PATIENTS:Eighty-nine children with JHS aged 6-16 years. METHODS:Twelve tests comprising anthropometric, muscul...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Pacey V,Adams RD,Tofts L,Munns CF,Nicholson LL

    更新日期:2015-01-01 00:00:00

  • Association between allergic rhinitis, bottle feeding, non-nutritive sucking habits, and malocclusion in the primary dentition.

    abstract:AIM:To determine the association between allergic rhinitis, bottle feeding, non-nutritive sucking habits, and malocclusion in the primary dentition. METHODS:Data were collected on 1160 children aged 4-5 years, who had been longitudinally followed since the age of 4 months, when they were admitted to nurseries in a sub...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Vázquez-Nava F,Quezada-Castillo JA,Oviedo-Treviño S,Saldivar-González AH,Sánchez-Nuncio HR,Beltrán-Guzmán FJ,Vázquez-Rodríguez EM,Vázquez Rodríguez CF

    更新日期:2006-10-01 00:00:00

  • Clinical significance of cough and wheeze in the diagnosis of asthma.

    abstract:OBJECTIVES:(1) To determine the prevalence of cough, wheeze, and breathlessness, both as single symptoms and in combination, in primary schoolchildren and their relation to doctor diagnosed asthma. (2) To identify in areas with different levels of dust pollution whether questionnaire reported 'cough alone' (without whe...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章


    authors: Kelly YJ,Brabin BJ,Milligan PJ,Reid JA,Heaf D,Pearson MG

    更新日期:1996-12-01 00:00:00