Early primary care review after intensive care linked to fewer return visits in US children

The edition in brief

Using US claims for 180,516 paediatric intensive care hospitalisations, matched children seen in primary care within 7 days of discharge had fewer days of emergency department use or rehospitalisation over days 8 to 90 than those not seen (incidence rate ratio 0.93, 95% CI 0.90 to 0.96 for public insurance; 0.70, 95% CI 0.63 to 0.77 for private insurance). The study is observational. The American Academy of Pediatrics updated its 2011 guideline on urinary tract infection in children aged 8 days to 5 years with low medical complexity, with 8 key action statements (2 strong, 6 conditional, low to very low certainty evidence) and 4 good practice statements. The TEAM UP trial randomised 730 children aged 6 to 15 with obesity in 41 US primary care practices to enhanced standard care with or without family-based behavioural treatment; the percent median BMI fell by 6.4 vs 2.6 at 12 months (difference -3.8, 95% CI -6.20 to -1.34). A prospective cohort of 2,771 boys found no association between neonatal circumcision and autism diagnosis (adjusted OR 0.83, 95% CI 0.59 to 1.17).