Please use this identifier to cite or link to this item:
https://repository.monashhealth.org/monashhealthjspui/handle/1/38814
Title: | Bell's palsy in children: Current treatment patterns in Australia and New Zealand. A PREDICT study. | Authors: | Neutze J.M.;Borland M.L.;Cheng N.;Phillips N.T.;Sinn K.K.;Dalziel S.R.;Babl F.E.;Gardiner K.K.;Kochar A.;Wilson C.L.;George S.A.;Zhang M.;Furyk J.;Thosar D.;Cheek J.A.;Krieser D.;Rao A.S. | Institution: | (Babl, Cheek) Emergency Department, Royal Children's Hospital, Melbourne, VIC, Australia (Babl, Gardiner, Wilson, Cheek) Clinical Sciences Theme, Murdoch Children's Research Institute, Melbourne, VIC, Australia (Babl) Department of Paediatrics, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC, Australia (Kochar) Emergency Department, Women's and Children's Hospital, Adelaide, SA, Australia (George) Emergency Department, Gold Coast University Hospital, School of Medicine, Griffith University, Gold Coast, Townsville, QLD, Australia (Zhang) Emergency Department, John Hunter Hospital, Newcastle, NSW, Australia (Furyk) Emergency Department, Townsville Hospital and James Cook University College of Medicine and Dentistry, Townsville, QLD, Australia (Thosar, Cheng) Emergency Department, The Children's Hospital at Westmead, Sydney, NSW, Australia (Cheek) Emergency Department, Monash Medical Centre, Melbourne, VIC, Australia (Krieser) Emergency Department, Sunshine Hospital, Melbourne, VIC, Australia (Rao) Emergency Department, Sydney Children's Hospital, Sydney, NSW, Australia (Borland) Emergency Department, Princess Margaret Hospital for Children, Perth, WA, Australia (Borland) Schools of Paediatric and Child Health and Primary, Aboriginal and Rural Health Care, University of Western Australia, Perth, WA, Australia (Phillips) Emergency Department, Lady Cilento Children's Hospital, Brisbane, QLD, Australia (Sinn) Emergency Department, Canberra Hospital, Canberra, ACT, Australia (Neutze) Emergency Department, KidzFirst Middlemore Hospital, Auckland, New Zealand (Neutze, Dalziel) Liggins Institute, University of Auckland, Auckland, New Zealand (Dalziel) Emergency Department, Starship Children's Hospital, Auckland, New Zealand | Issue Date: | 20-Apr-2017 | Copyright year: | 2017 | Publisher: | Blackwell Publishing (E-mail: info@asia.blackpublishing.com.au) | Place of publication: | Australia | Publication information: | Journal of Paediatrics and Child Health. 53 (4) (pp 339-342), 2017. Date of Publication: 01 Apr 2017. | Journal: | Journal of Paediatrics and Child Health | Abstract: | Aim: The aetiology and clinical course of Bell's palsy may be different in paediatric and adult patients. There is no randomised placebo controlled trial (RCT) to show effectiveness of prednisolone for Bell's palsy in children. The aim of the study was to assess current practice in paediatric Bell's palsy in Australia and New Zealand Emergency Departments (ED) and determine the feasibility of conducting a multicentre RCT within the Paediatric Research in Emergency Departments International Collaborative (PREDICT). Method(s): A retrospective analysis of ED medical records of children less than 18 years diagnosed with Bell's palsy between 1 January, 2012 and 31 December, 2013 was performed. Potential participants were identified from ED information systems using Bell's palsy related search terms. Repeat presentations during the same illness were excluded but relapses were not. Data on presentation, diagnosis and management were entered into an online data base (REDCap). Result(s): Three hundred and twenty-three presentations were included from 14 PREDICT sites. Mean age at presentation was 9.0 (SD 5.0) years with 184 (57.0%) females. Most (238, 73.7%) presented to ED within 72 h of symptoms, 168 (52.0%) had seen a doctor prior. In ED, 218 (67.5%) were treated with steroids. Prednisolone was usually prescribed for 9 days at around 1 mg/kg/day, with tapering in 35.7%. Conclusion(s): Treatment of Bell's palsy in children presenting to Australasian EDs is varied. Prednisolone is commonly used in Australasian EDs, despite lack of high-level paediatric evidence. The study findings confirm the feasibility of an RCT of prednisolone for Bell's palsy in children.Copyright © 2017 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1111/jpc.13463 | ORCID: | Cheek, John A; ORCID: http://orcid.org/0000-0002-3615-3821 Krieser, David; ORCID: http://orcid.org/0000-0002-7173-6993 | Link to associated publication: | Click here for full text options | PubMed URL: | 28177168 [http://www.ncbi.nlm.nih.gov/pubmed/?term=28177168] | ISSN: | 1034-4810 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/38814 | Type: | Article | Subjects: | autonomic neuropathy *Bell palsy/dt [Drug Therapy] Bell palsy/dt [Drug Therapy] cerebrovascular accident child drug dose reduction emergency ward facial nerve paralysis feasibility study female human male medical record review multicenter study (topic) New Zealand optic nerve disease peripheral neuropathy randomized controlled trial (topic) trigeminal nerve disease vestibulocochlear nerve disease aciclovir/dt [Drug Therapy] dexamethasone/dt [Drug Therapy] famciclovir/dt [Drug Therapy] *prednisolone/do [Drug Dose] *prednisolone/dt [Drug Therapy] prednisone/dt [Drug Therapy] *steroid/dt [Drug Therapy] valaciclovir/dt [Drug Therapy] cranial nerve paralysis abducens nerve paralysis article Australia feasibility study female human male medical record review multicenter study (topic) New Zealand optic nerve disease peripheral neuropathy randomized controlled trial (topic) trigeminal nerve disease vestibulocochlear nerve disease drug dose reduction cranial nerve paralysis child cerebrovascular accident Bell palsy / drug therapy emergency ward facial nerve paralysis *Bell palsy / *drug therapy autonomic neuropathy Australia Article abducens nerve paralysis |
Appears in Collections: | Articles |
Show full item record
Items in Monash Health Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.