Publications by authors named "Joanne Brooks"

Article Synopsis
  • Atopic eczema is a frequent skin condition in children that can decrease their quality of life and is associated with other allergic conditions like asthma and food allergies.
  • The study aimed to see if applying daily emollients in the first year of life could prevent eczema and other related atopic diseases in infants at high risk.
  • The trial involved over 1,300 newborns, with results showing a slight difference in eczema rates at age 2, suggesting emollient use may have a modest protective effect.
View Article and Find Full Text PDF

Background: The effectiveness of emollients for preventing atopic dermatitis/eczema is controversial. The Barrier Enhancement for Eczema Prevention trial evaluated the effects of daily emollients during the first year of life on atopic dermatitis and atopic conditions to age 5 years.

Methods: 1394 term infants with a family history of atopic disease were randomized (1:1) to daily emollient plus standard skin-care advice (693 emollient group) or standard skin-care advice alone (701 controls).

View Article and Find Full Text PDF

Background And Objectives: Presence of a syndrome (or association) is predictive of poor survival in esophageal atresia (EA). However, most reports rely on historical patient outcomes, limiting their usefulness when estimating risk for neonates born today. We hypothesized improved syndromic EA survival due to advances in neonatal care.

View Article and Find Full Text PDF

Purpose: Preoperative echocardiography is used routinely in neonates with esophageal atresia to identify patients in whom congenital cardiac disease will impact upon anesthetic and surgical decision-making. We aimed to determine the suitability of selective preoperative echocardiography.

Methods: We performed a single-center retrospective review of neonates with esophageal atresia over 6 years (2010-2015) at our tertiary pediatric institution.

View Article and Find Full Text PDF

Background: The long-term outcomes of H-type tracheoesophageal fistula (TOF), an uncommon variant of esophageal atresia/tracheoesophageal fistula (OA/TOF), are rarely described in the literature. We reviewed our institutional experience of 70 years.

Methods: The Nate Myers Oesophageal Atresia Database was queried for patients with an H-type TOF (1948-2017).

View Article and Find Full Text PDF

Background: Timely identification of esophageal atresia is challenging. Diagnosis may be suspected antenatally with a combination of polyhydramnios, associated with a small or absent stomach bubble or other anomalies. Esophageal atresia can be suspected postnatally in the presence of tachypnea, increased oral secretions, and an inability to advance an orogastric tube.

View Article and Find Full Text PDF

Aim: To describe the burden of esophageal dilatations in patients following esophageal atresia (EA) repair.

Method: A retrospective review was performed at The Royal Children's Hospital, Melbourne, of all neonates undergoing operative repair for EA over a 17-year period (1999-2015). Stricture was defined by radiological and/or intra-operative findings of narrowing at the esophageal anastomosis.

View Article and Find Full Text PDF
Article Synopsis
  • This study analyzed mortality rates and associated factors in patients with esophageal atresia treated at The Royal Children's Hospital in Melbourne between 1980 and 2018.
  • Out of 650 patients, 88 died, resulting in a 13.5% mortality rate; 75% of these deaths occurred before the patients were discharged from the hospital.
  • Common causes of death included respiratory issues, associated syndromes like trisomy 18, and neurologic anomalies, with some deaths occurring years after discharge due to respiratory compromise and sudden unexplained deaths.
  • The findings emphasize the importance of counseling for parents regarding the risks associated with esophageal atresia, highlighting that both preoperative and postoperative factors can impact mortality.
View Article and Find Full Text PDF

Objectives: Fundoplication is commonly performed in patients with a history of esophageal atresia (EA), however, the success of this surgery is reduced, as reflected by an increased rate of redo fundoplication. We aimed to determine whether EA impacts the prevalence of fundoplication, its timing, and performance of a redo operation.

Study Design: A single-center, retrospective review of all patients undergoing fundoplication over a 20-year period (1994-2013) was performed.

View Article and Find Full Text PDF

Objective: To assess physical activity (PA) behaviours of adults in rural Australia.

Design And Setting: Three cross-sectional surveys in the Greater Green Triangle area covering the south-east of South Australia (Limestone Coast), and south-west (Corangamite Shire) and north-west (Wimmera) of Victoria during 2004-2006.

Participants: A total of 1546 persons, aged 25- 74 years, randomly selected from the electoral roll.

View Article and Find Full Text PDF