Skip header and navigation

3 records – page 1 of 1.

3-year impact of a provincial choking prevention program.

https://arctichealth.org/en/permalink/ahliterature166017
Source
J Otolaryngol. 2006 Aug;35(4):216-21
Publication Type
Article
Date
Aug-2006
Author
Nathalie Després
Annie Lapointe
Marie-Claude Quintal
Pierre Arcand
Chantal Giguère
Anthony Abela
Author Affiliation
Department of Otolaryngology-Head and Neck Surgery, University of Montreal, Montreal, Quebec.
Source
J Otolaryngol. 2006 Aug;35(4):216-21
Date
Aug-2006
Language
English
Publication Type
Article
Keywords
Airway Obstruction - epidemiology - prevention & control
Child
Child Welfare
Child, Preschool
Foreign Bodies
Health Promotion - methods
Humans
Incidence
Infant
Program Development
Program Evaluation
Quebec - epidemiology
Abstract
To determine the impact of a provincial choking prevention program (CPP) on the incidence of aerodigestive foreign body cases among children.
The CPP, including posters, pamphlets, an informative video, and annual participation in the Parents & Kids Fair, was launched throughout Quebec in October 1999. The incidence rates of aerodigestive foreign body cases prior to implementation (during 1997-1998) and subsequently (2000-2002) within the province and our tertiary care centre (Sainte-Justine Hospital) were compared by estimating incidence rate ratios (IRRs) and associated 95% confidence intervals (95% CIs).
No significant changes in the incidence of aerodigestive foreign body cases after program implementation were observed in our hospital (age-adjusted IRR 0.92, 95% CI 0.79-1.07). The provincial rates were higher after program implementation (age-adjusted IRR 1.15, 95% CI 1.05-1.25).
To influence choking prevention habits, modifications to the campaign are required. Strategies are discussed.
PubMed ID
17176795 View in PubMed
Less detail

Nontuberculous mycobacterial cervicofacial adenitis in children: epidemiologic study.

https://arctichealth.org/en/permalink/ahliterature153285
Source
J Otolaryngol Head Neck Surg. 2008 Oct;37(5):616-22
Publication Type
Article
Date
Oct-2008
Author
Valérie Tremblay
Tareck Ayad
Annie Lapointe
Chantal Giguàre
Marie-Claude Quintal
Pierre Arcand
Anthony Abela
Author Affiliation
Department of Otolaryngology-Head & Neck Surgery, University of Montreal, Montreal, QC.
Source
J Otolaryngol Head Neck Surg. 2008 Oct;37(5):616-22
Date
Oct-2008
Language
English
Publication Type
Article
Keywords
Age Distribution
Anti-Bacterial Agents - therapeutic use
Biopsy, Needle
Child
Child, Preschool
Face
Female
Hospitals, Pediatric
Humans
Incidence
Lymph Node Excision - methods
Lymphadenitis - epidemiology - microbiology - therapy
Magnetic Resonance Imaging
Male
Mycobacterium - isolation & purification
Mycobacterium Infections, Nontuberculous - diagnosis - epidemiology - therapy
Neck
Prognosis
Quebec - epidemiology
Questionnaires
Retrospective Studies
Risk assessment
Severity of Illness Index
Sex Distribution
Tomography, X-Ray Computed
Abstract
To determine whether there is an increase in the incidence of nontuberculous mycobacteria (NTM) adenitis at our tertiary care pediatric hospital and to determine whether there is an association between geographic location and prevalence of cases. Also, to investigate the role of nongeographic risk factors such as bacille Calmette-Guérin (BCG) vaccination in the incidence of NTM adenitis.
We conducted a retrospective chart review of 153 pediatric patients with NTM adenitis diagnosed between 1994 and 2004 and a prospective telephone survey of geographic and nongeographic risk factors for 82 patients.
The annual incidence, calculated with the number of hospitalizations for that year as the denominator, was 25.1 in 100,000 during the 1994-1998 period and 107.4 in 100,000 for 1999-2004. A statistically significant increase in the incidence of NTM adenitis was observed after 1999, with an incidence ratio of 4.28 (95% confidence interval 2.84-6.65; p
PubMed ID
19128665 View in PubMed
Less detail

Restricting indications for sinonasal computed tomography in children with cystic fibrosis.

https://arctichealth.org/en/permalink/ahliterature117163
Source
JAMA Otolaryngol Head Neck Surg. 2013 Jan;139(1):54-8
Publication Type
Article
Date
Jan-2013
Author
Oren Cavel
Marie-Claude Quintal
Jacques-Édouard Marcotte
Laurent Garel
Patrick Froehlich
Author Affiliation
Departments of Otorhinolaryngology, Sainte-Justine University Hospital, University of Montreal, Montreal, Quebec, Canada. orencavel@gmail.com
Source
JAMA Otolaryngol Head Neck Surg. 2013 Jan;139(1):54-8
Date
Jan-2013
Language
English
Publication Type
Article
Keywords
Adolescent
Child
Cystic Fibrosis - complications
Endoscopy
Female
Humans
Life expectancy
Male
Paranasal Sinus Diseases - etiology - radiography - surgery
Quebec
Radiation Dosage
Retrospective Studies
Tomography, X-Ray Computed - utilization
Abstract
OBJECTIVES To evaluate whether a low rate of exposure to sinonasal computed tomographic (CT) scans can be achieved when strict criteria are applied for their use in children with cystic fibrosis (CF) and to emphasize the importance of limiting radiation exposure in the context of the current longer life expectancy in this group of patients. DESIGN Retrospective chart review. SETTING Tertiary care children's hospital. PATIENTS The study included 277 children who were regularly followed up in the CF clinic in the last 11 years (mean duration of follow up, 7.87 years), 33 of whom underwent sinonasal CT. MAIN OUTCOME MEASURES Indications used for scanning, health professional (ear, nose, and throat specialist or pulmonologist) ordering the test, eventual modifications of ongoing treatment according to CT results, and time lapse between CT scanning and surgery. RESULTS Of 277 children with CF, 33 (12%) underwent a total of 39 sinonasal CT scans during the follow-up period (0.018 scans per patient per year of follow-up). Twenty-nine of the CT scans (74% of all cases, 90% of CT scans ordered by the ear, nose, and throat surgeon) were performed in the preoperative context and demonstrated the extent of the polypoid disease whenever present (26 cases [90%]) and the cause of nasal obstruction (20 cases [69%]). The mean period between the scanning and the surgery was 57 days (range, 0.10-173 days). Computed tomographic scans that were not meant for preoperative planning were performed in 10 cases (26%). The indications were disease evaluation (10%), ruling out a mucocele (5%); pre-lung transplantation status (5%), ruling out an intraorbital complication (3%); and headache investigation (3%). The results of the scans did not modify the management of the disease in those patients. CONCLUSIONS With the use of stringent criteria, it is possible to achieve a low rate of exposure to sinonasal CT scans in the population of children with CF. The main indication should be the preoperative planning regarding anatomy, extent of disease, and sites of nasal obstruction. The use of CT scans for disease evaluation does not seem to appreciably modify the treatment course and could be avoided.
PubMed ID
23329091 View in PubMed
Less detail