Current assessment of parental and health professional perception of the colour of neonatal vomiting: Results of a scoping survey.
Bilious vomiting
Intestinal obstruction
Malrotation and volvulus
Paediatric surgery
Journal
Pediatric surgery international
ISSN: 1437-9813
Titre abrégé: Pediatr Surg Int
Pays: Germany
ID NLM: 8609169
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
accepted:
10
04
2021
pubmed:
27
4
2021
medline:
28
9
2021
entrez:
26
4
2021
Statut:
ppublish
Résumé
To determine current perceptions of doctors, nurses and parents for the colour of a neonatal vomit which should prompt an urgent surgical review. A voluntary scoping survey of parents/guardians of patients and non-surgical healthcare professionals was conducted with respondents asked to choose from 8 different selections in a colour swatch from pale yellow to dark green. A control group consisted of 13 paediatric surgeons. Data were analysed using the paired t test, Fishers exact test. A p value of < 0.05 was considered to be significant. 365 participants responded: 36% (131/365) parents, 18% (64/365) nurses and 46% (166/365) doctors. 4/365 (1%) did not state their role. 343 participants completed all questions and responses were analysed using total responses for each question. 82% (121/148) of doctors and 78% (50/64) of nurses had more than 3 years of post-graduate experience. Overall, 63% (227/361) of participants (100% paediatric surgeons, 78% other doctors, 75% nurses/midwives & 30% parents) considered dark and light green vomits to be a sign of intestinal obstruction. 67% (242/361) of participants (100% paediatric surgeons, 72% other doctors, 56% nurses/midwives and 62% parents) believed dark and light green vomiting needed an urgent surgical referral. There were significant differences between the control group and other groups in terms of whether the neonate could wait until the next day for a review; nursing staff (p = 0.0002), postnatal/midwifery (p = < 0.0001), emergency medicine (p = 0.04), general practice (p = 0.002), neonatal (p = 0.0001) and paediatricians (p = 0.005). Only the neonatologists (p = 0.04), nursing staff (p = 0.001) and postnatal/midwifery (p = 0.004) believed that the neonate could have safe observation. Although the perception that green vomiting is potentially serious is acknowledged by the majority of healthcare professionals surveyed, there is still a requirement for more targeted educational practices in nursing, midwifery and medical staff.
Identifiants
pubmed: 33899141
doi: 10.1007/s00383-021-04908-z
pii: 10.1007/s00383-021-04908-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1243-1250Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Hajivassiliou CA (2003) Intestinal obstruction in neonatal/pediatric surgery. Semin Pediatr Surg 12:241–253. https://doi.org/10.1053/j.sempedsurg.2003.08.005
doi: 10.1053/j.sempedsurg.2003.08.005
pubmed: 14655163
Burge DM (2016) The management of bilious vomiting in the neonate. Early Hum Dev 102:41–45. https://doi.org/10.1016/j.earlhumdev.2016.09.002
doi: 10.1016/j.earlhumdev.2016.09.002
pubmed: 27634337
Cullis PS, Mullan E, Jackson A, Walker G (2018) An audit of bilious vomiting in term neonates referred for pediatric surgical assessment: can we reduce unnecessary transfers? J Pediatr Surg 53:2123–2127. https://doi.org/10.1016/j.jpedsurg.2018.07.007
doi: 10.1016/j.jpedsurg.2018.07.007
pubmed: 30077417
Malhotra A, Lakkundi A, Carse E (2010) Bilious vomiting in the newborn: 6 years data from a Level III Centre: Bilous vomiting in the newborn. J Paediatr Child H 46:259–261. https://doi.org/10.1111/j.1440-1754.2009.01681.x
doi: 10.1111/j.1440-1754.2009.01681.x
Ljuhar D, Gibbons AT, Ponsky TA, Nataraja RM (2020) Emerging technology and their application to paediatric surgical training. Semin Pediatr Surg. https://doi.org/10.1016/j.sempedsurg.2020.150909
doi: 10.1016/j.sempedsurg.2020.150909
pubmed: 32423598
Walker GM, Neilson A, Young D, Raine PAM (2006) Colour of bile vomiting in intestinal obstruction in the newborn: questionnaire study. BMJ Clin Res Ed 332:1363. https://doi.org/10.1136/bmj.38859.614352.55
doi: 10.1136/bmj.38859.614352.55
Clark K, Thomas K, Herd F, Nanthakumaran S, Driver C (2011) Bile vomiting in paediatrics: what do we really know? Scot Med J 56:69–71. https://doi.org/10.1258/smj.2010.010015
doi: 10.1258/smj.2010.010015
pubmed: 21670130
Drewett M, Johal N, Keys C, Hall NJ, Burge D (2016) The burden of excluding malrotation in term neonates with bile stained vomiting. Pediatr Surg Int 32:483–486. https://doi.org/10.1007/s00383-016-3877-2
doi: 10.1007/s00383-016-3877-2
pubmed: 26895031
Scottoni F, Davenport M (2020) Biliary atresia: Potential for a new decade. Semin Pediatr Surg 29:150940. https://doi.org/10.1016/j.sempedsurg.2020.150940
doi: 10.1016/j.sempedsurg.2020.150940
pubmed: 32861444
Miglioretti DL, Johnson E, Williams A, Greenlee RT, Weinmann S, Solberg LI et al (2013) The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk. JAMA Pediatr 167:700–707. https://doi.org/10.1001/jamapediatrics.2013.311
doi: 10.1001/jamapediatrics.2013.311
pubmed: 23754213
pmcid: 3936795