Early School-Age Outcomes After Exposure To Repeat Prenatal Corticosteroids - A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,083,964.00
Summary
AIMS OF THE RESEARCH We have recently concluded a large clinical trial in Australia and New Zealand of repeat dose of antenatal corticosteroids given to women who were likely to deliver their baby too early (before 34 weeks of pregnancy). We have been able to show that repeat doses of corticosteroids before birth significantly reduces the risk of the baby developing respiratory difficulties after birth from 41.4% to 32.8%. However, we are not sure if this potentially important improvement will t ....AIMS OF THE RESEARCH We have recently concluded a large clinical trial in Australia and New Zealand of repeat dose of antenatal corticosteroids given to women who were likely to deliver their baby too early (before 34 weeks of pregnancy). We have been able to show that repeat doses of corticosteroids before birth significantly reduces the risk of the baby developing respiratory difficulties after birth from 41.4% to 32.8%. However, we are not sure if this potentially important improvement will translate into better outcomes for the children as they grow older and reach school-age. As there are many examples of treatments given around the time of birth that have been shown to have some short-term benefits, but substantial long-term harms, we must be as certain as we can be that any advance in one small area of health is not counterbalanced by disadvantages in other health areas. This is particularly important to find out for repeat antenatal corticosteroids given the earlier conflicting reports from non-randomised studies. We plan to assess the 1085 survivors from our earlier clinical trial of repeat dose of prenatal corticosteroids when they are of early school age. We will assess their movement and other important areas of their brain function, as well as their school progress, blood pressure, lung function and general health and growth. EXPECTED OUTCOMES OF THE RESEARCH If we find important improvements in health outcomes at school-age in children exposed to repeat corticosteroids, without any substantial couterbalancing adverse effects, repeat steroids will be recommended standard therapy in women who are likely to give birth to their baby very early. This will lead to a reduction in the burden of ill health.Read moreRead less
The Effect Of Obstructive Sleep Apnoea And Its Treatment On Exercise Capacity On Obese Children
Funder
National Health and Medical Research Council
Funding Amount
$60,787.00
Summary
The aim of the study is to explore the effect of sleep apnoea and its treatment on obese children aged between 7 - 13 years. The project will study the effect of sleep apnoea and its recommended treatment on: 1. lung and cardiovascular function 2. blood markers (including cholesterol and insulin), and 3. quality of life in obese children. It is hoped this study will show treatment reverses any negative outcomes caused by sleep apnoea in obese children.
Acute respiratory illness and cough in children accounts for a substantial proportion of childhood morbidity and associated costs. This project aims to identify how many children develop a chronic cough after acute respiratory infection, what the risk factors are, how it affects everyday life and how much it costs families and society. This information will help inform health policy and guidelines to facilitate early detection of chronic lung disease and reduce the burden of coughing illness in ....Acute respiratory illness and cough in children accounts for a substantial proportion of childhood morbidity and associated costs. This project aims to identify how many children develop a chronic cough after acute respiratory infection, what the risk factors are, how it affects everyday life and how much it costs families and society. This information will help inform health policy and guidelines to facilitate early detection of chronic lung disease and reduce the burden of coughing illness in children.Read moreRead less
The Impact Of Sleep Disturbance On Daytime Functioning, Mood And Quality Of Life In Children And Adolescents With Cystic Fibrosis.
Funder
National Health and Medical Research Council
Funding Amount
$62,146.00
Summary
Cystic fibrosis(CF) is the most common inherited chronic disease affecting Australian children. In adults with CF sleep complaints are common and associated with depression and reduced quality of life(QOL). There is a paucity of international data however regarding sleep in children with CF and assessment of paediatric sleep problems in CF is not routine. The aim of this study is to determine sleep patterns in children with CF and to examine the relationship between sleep quality, QOL and mood.
Invasive Staphylococcus Aureus Disease In Children; Epidemiology, Treatment And Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$124,676.00
Summary
This project will involve a systematic review of randomised controlled trials (RCT) on the treatment Staphylococcus aureus bacteraemia (SAB) as well as a local WA retrospective review to quantify disease burden, trends and outcome. A prospective 2-year multicentre Australian review will then identify variables that can predict complicated and uncomplicated SAB. This information will then be used to design a RCT protocol on risk-stratified treatment approaches for SAB in paediatrics.
What Is The Profile, Burden And Consequences Of Cerebral Palsy (CP) Due To Congenital Cytomegalovirus (CMV) Infection?
Funder
National Health and Medical Research Council
Funding Amount
$87,130.00
Summary
Cytomegalovirus (CMV) is a virus that can be transmitted from mother to the unborn child. It is a potentially preventable cause of cerebral palsy (CP). The incidence of CP due to CMV remains unclear in Australia as screening for CMV is not routinely performed in the newborn. Our preliminary data suggests that severe CP is strongly associated with CMV. Here we will use link recorded data and test CMV in newborn screening cards to determine the burden and profile of CP due to congenital CMV in Aus ....Cytomegalovirus (CMV) is a virus that can be transmitted from mother to the unborn child. It is a potentially preventable cause of cerebral palsy (CP). The incidence of CP due to CMV remains unclear in Australia as screening for CMV is not routinely performed in the newborn. Our preliminary data suggests that severe CP is strongly associated with CMV. Here we will use link recorded data and test CMV in newborn screening cards to determine the burden and profile of CP due to congenital CMV in Australia.Read moreRead less
Febrile Seizures Following Vaccination In Children: How Common Are They And What Is The Long Term Clinical Outcome?
Funder
National Health and Medical Research Council
Funding Amount
$693,779.00
Summary
Seizures following vaccination cause concern for both parent and healthcare providers and in this important study we will measure the risk of febile seizures after vaccines and follow up children who have had a febrile seizure shortly after receiving a vaccine to assess their medical health and developmental outcome. In addition children will be tested to see if they carry one of the known genetic mutations that is asociated with the development of seizures as a potential cause for their seizure ....Seizures following vaccination cause concern for both parent and healthcare providers and in this important study we will measure the risk of febile seizures after vaccines and follow up children who have had a febrile seizure shortly after receiving a vaccine to assess their medical health and developmental outcome. In addition children will be tested to see if they carry one of the known genetic mutations that is asociated with the development of seizures as a potential cause for their seizure following vaccination.Read moreRead less
Understanding White Matter Injury In Term-born Children With Cerebral Palsy
Funder
National Health and Medical Research Council
Funding Amount
$193,863.00
Summary
The type of brain injury in cerebral palsy varies. In some children the brain develops abnormally in early pregnancy; others have a stroke or suffer from lack of oxygen around the time of birth. Little is known about the group of children born at term who have damage to the brain’s white matter, a pattern more typical of premature birth. This project will explore brain imaging, potential risk factors, and clinical outcomes for these children to identify possible causes and prevention pathways.
Impact Of A Sleep Intervention In ADHD: Translational Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,020,595.00
Summary
Up to 50% of children with ADHD experience sleep problems which worsen their ADHD symptoms, behaviour, quality of life and day to day functioning. In a previous trial, we showed that treating sleep problems in children with ADHD improves these outcomes. We now want to know if these benefits can be replicated when general paediatrcians and psychologists deliver the same sleep intervention in community settings.