Publications by authors named "Segedin E"
Background: Pertussis immunization programs aim to prevent severe infant disease. We investigated temporal trends in infant pertussis deaths and pediatric intensive care unit (PICU) admissions and associations of changes in disease detection and vaccines used with death and PICU admission rates.
Methods: Using national data from New Zealand (NZ), we described infant pertussis deaths and PICU admissions from 1991 to 2013, over which time national immunization coverage at 2 years of age increased from <80% to 92%.
Child passenger injury from road traffic crashes is a leading contributor to New Zealand's paediatric trauma-related mortality and morbidity. New Zealand has significantly higher rates of child passenger injury than internationally comparable countries. Correctly used child restraints can prevent death and severe injury of child passengers.
View Article and Find Full Text PDFAims: Primary: To ascertain how many New Zealand (NZ) children are being injured or killed as the result of all-terrain vehicle (ATV) injuries and to define the nature and severity of their injuries. Secondary: to examine the effect of age, weight, helmet use, and ATV size on injury severity and to compare the demographics of injury in NZ to other countries.
Methods: A retrospective review was undertaken of 643 cases of children less than 16 years old hospitalised between 2000-2006 due to possible ATV-related injury.
Objectives: To describe children with pertussis who require intensive care.
Design, Setting And Patients: An audit in Auckland, New Zealand, of pertussis admissions to the national paediatric intensive care unit (PICU) from 1991 to 2003.
Results: 72 children, 97% of whom were <12 months old.
Aim: The aim of this study was to understand the need for, and use of, booster seats in the 4-12 years age group and to identify risk factors for booster seat-non-use.
Method: A cross-sectional sample of 1101 children aged 4-12 years travelling in 663 privately owned vehicles was taken from the Auckland region. Auckland is New Zealand's largest population centre, with a population of over 1.
Objective: To highlight the injuries that result from lap-belt use and make recommendations for prevention, the recent experience of a regional paediatric trauma centre was reviewed.
Methods: Retrospective review of admissions to Starship Children's Hospital from 1996 to 2003, with significant injury following involvement in a motor vehicle crash, while wearing a lap-belt. Patients were identified from two prospectively collected databases and discharge coding data.
Aims: To review clinical features and outcome of children with severe Staphylococcus aureus sepsis (SAS) presenting to a paediatric intensive care unit (PICU) with particular focus on ethnicity, clinical presentation, cardiac involvement, and outcome.
Methods: Retrospective chart review of patients coded for SAS over 10 years (October 1993 to April 2004).
Results: There were 58 patients identified with SAS over the 10 year study period; 55 were community acquired.
Aims: To review a group of children with acute renal failure (ARF) requiring renal replacement therapy in a paediatric intensive care unit (PICU).
Methods: Case records of children admitted to paediatric intensive care unit between January 1992 and July 1995 were reviewed for demography, diagnosis, modality of treatment, duration, complications of therapy and renal outcome. Long term follow up was sought from patients' referring paediatricians.