Acta Paediatrica

Publisher: Wiley

Journal description

Current impact factor: 1.67

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 1.674
2013 Impact Factor 1.842
2012 Impact Factor 1.974
2011 Impact Factor 2.073
2010 Impact Factor 1.955
2009 Impact Factor 1.768
2008 Impact Factor 1.517
2007 Impact Factor 1.411
2006 Impact Factor 1.297
2005 Impact Factor 1.277
2004 Impact Factor 1.143
2003 Impact Factor 1.128
2002 Impact Factor 1.26
2001 Impact Factor 1.582
2000 Impact Factor 1.315
1999 Impact Factor 1.13
1998 Impact Factor 0.952
1997 Impact Factor 0.81
1996 Impact Factor 0.754
1995 Impact Factor 0.765
1994 Impact Factor 0.852
1993 Impact Factor 0.811
1992 Impact Factor 0.827

Impact factor over time

Impact factor

Additional details

5-year impact 2.02
Cited half-life 9.00
Immediacy index 0.37
Eigenfactor 0.02
Article influence 0.69
Other titles Acta pædiatrica (Oslo, Norway: 1992: Online), Acta paediatrica
ISSN 1651-2227
OCLC 37664034
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details


  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author cannot archive a post-print version
  • Restrictions
    • 12 months embargo
  • Conditions
    • Some journals have separate policies, please check with each journal directly
    • On author's personal website, institutional repositories, arXiv, AgEcon, PhilPapers, PubMed Central, RePEc or Social Science Research Network
    • Author's pre-print may not be updated with Publisher's Version/PDF
    • Author's pre-print must acknowledge acceptance for publication
    • Non-Commercial
    • Publisher's version/PDF cannot be used
    • Publisher source must be acknowledged with citation
    • Must link to publisher version with set statement (see policy)
    • If OnlineOpen is available, BBSRC, EPSRC, MRC, NERC and STFC authors, may self-archive after 12 months
    • If OnlineOpen is available, AHRC and ESRC authors, may self-archive after 24 months
    • Publisher last contacted on 07/08/2014
    • This policy is an exception to the default policies of 'Wiley'
  • Classification
    ​ yellow

Publications in this journal

  • Amira Peco-Antić · Nataša Stajić · Zoran Krstić · Radovan Bogdanović · Gordana Miloševski-Lomić · Milan Đukić · Dušan Paripović
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    ABSTRACT: Aim: This studied reviewed renovascular hypertension (RVH) due to renal artery stenosis (RAS) in two Serbian paediatric centres from 2001-2013. Methods: The patients' demographic data, underlying syndromes, blood pressure (BP), antihypertensive treatments and outcomes were reviewed. Results: The incidence of RVH was 1.9 per million children per year during the study period and there were 25 patients with RAS, aged 10.4±5.2 years. At presentation their mean blood pressure (BP) standard deviation scores were 6.9±3.4 systolic and 5.2±2.6 diastolic. BP loads on 24 hour ambulatory BP were 88±14% systolic and 80±29% diastolic. We found that 72% had fibromuscular dysplasia and 28% had underlying syndromes. RAS was unilateral in 64%, bilateral in 28% and 8% had RAS of a single kidney. Antihypertensive treatment included antihypertensive drugs (100%), percutaneous transluminal angioplasty (92%), renal auto-transplantation (16%), surgical revascularisation (12%) and nephrectomy (12%). After 4.4±3.6 years of follow-up, high BP was cured in 40% of the patients and 39.4% of the kidneys and improved in 48% (75.7%), with BP decreases of 20.3±3.7% systolic and 16.3±6.2% diastolic. Conclusion: Fibromuscular dysplasia was the most common cause of RVH in this study and hypertension was cured or improved in 88% of the patients. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 10/2015; DOI:10.1111/apa.13229
  • Acta Paediatrica 10/2015; 104(10). DOI:10.1111/apa.13130
  • Acta Paediatrica 10/2015; 104(10):1064-1064. DOI:10.1111/apa.13064
  • Acta Paediatrica 10/2015; 104(10). DOI:10.1111/apa.13105
  • Acta Paediatrica 10/2015; 104(10). DOI:10.1111/apa.13125
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    ABSTRACT: Aim: Childhood cancer is a tremendous stressor that requires parents to adapt to new challenges and research has mainly focused on psychopathology and rarely on a resource-oriented perspective, such as resilience. This study assessed resilience factors among parents of children surviving acute lymphoblastic leukaemia and parents of healthy children. We also explored the association between parental resilience and mental health. Methods: The study compared 57 parents of 40 children from eight to 15 years of age in remission from acute lymphoblastic leukaemia and 63 parents of 42 healthy children. The Resilience Scale for Adults and the General Health Questionnaire were used to assess parental resilience and mental health. Results: Parents of children surviving acute lymphoblastic leukaemia showed significantly lower levels of resilience than parents of healthy children, but no significant difference was found for mental health. Certain resilience factors were positively associated with mental health, especially for mothers, such as family cohesion, good perception of self and being able to plan their future. Conclusion: Resilience factors may help to protect parents' mental health, especially mothers, when their child has survived acute lymphoblastic leukaemia and should be considered in a clinical setting. Further research on resilience factors for fathers is needed. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 10/2015; DOI:10.1111/apa.13232
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    ABSTRACT: Aim: The aim of this study was to investigate the clinical significance of extremely elevated C-reactive protein (CRP) levels in hospitalisedchildren. Methods: We searched the electronic database of a tertiary paediatric medical centre for all patients admitted in 2010-2013 with a CRP of ≥30 mg/dland these comprised the study group. The controls were the other admissions.Data were collected on demographics, admission details, pre-existing conditions, discharge diagnosis,laboratoryresults and clinical outcomes. Results: Our study group comprised 435 (0.72%) of the 59,997 patients hospitalised during the study period. The mortality rate and mean hospital stays were significantly higher in the study group and infectious diseases were the most common diagnoses, affecting 389 patients (89.4%), particularly pneumonia (47.1%). Higher CRP was correlated with low albumin levels (p<0.01). Bacteraemia was the most prevalent diagnosis (38%) in the 84 oncology patients, with a crude mortality rate of 17.6%. Conclusion: Infectious diseases, mainly bacterial, were the most common diagnoses in previously healthy children with CRP ≥30 mg/dL. Extremely elevated CRP levels were associated with an unfavourable clinical outcome, including high mortality, particularly in oncology patients. Paediatricians should be aware of the significance of extremely elevated CRP levels. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 09/2015; DOI:10.1111/apa.13226
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    ABSTRACT: Objective: The aim of this study was to determine the factors that predict the timing and age at which preterm infants (born 32-36 weeks gestation) commenced and attained full oral feeding. Method: We conducted a retrospective review of medical records of 647 preterm infants born 2005-2011. Infants were from six neonatal intensive care units in New Zealand, all World Health Organisation Baby-friendly Hospital Initiative accredited. Results: Median time to the first oral feed offered was one day and to the time of full oral feeding was 12 days. No infants attained full oral feeding before 33(+3) weeks post-menstrual age. Gestational age, birthweight, medical conditions and location of the neonatal unit were significantly associated with the time taken to commence and attain full oral feeding. Conclusion: This study highlights the factors that are associated with the rate at which late preterm infants commence oral feeding and progress to full oral feeding. These findings offer important considerations not only for clinical practice but also discharge planning given the preference for preterm infants reaching full oral feeds before discharge from hospital. Prospective experimental research is required to confirm infant, maternal and environmental factors that influence feeding milestones in late preterm infants. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 09/2015; DOI:10.1111/apa.13227
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    ABSTRACT: Aim: Intrauterine growth restriction (IUGR) is an important cause for prematurity and adversely influences prematurity related morbidities. This study evaluates the impact of IUGR on respiratory outcomes in infants < 32 weeks with IUGR and birth weight <10th centile (SGA) compared to matched appropriate for gestation (AGA) controls. Methods: The primary outcomes of this retrospective study are short-term pulmonary outcomes of chronic lung disease (CLD), CLD or death, and need for home oxygen at discharge. Subgroup analysis by gestation-based stratification (<28 and ≥ 28 <32weeks) was decided a priori. Results: Total of 153 IUGR and 306 non-IUGR infants were enrolled. The rate of CLD (45 vs. 17%, P=0.0001), death (16 vs. 4.6%, P=0.0001), CLD or death (46 vs. 21.5%, P=0.0001), home oxygen rates (13.7 vs. 6.5%, P=0.01), duration of respiratory support was significantly higher in the IUGR group. IUGR emerged as the strongest predictor of CLD (adjusted OR, 95%CI): (8.4 [2, 35]) and CLD or death (12.7 [3, 54]) across all gestation. Conclusion: IUGR is a major risk factor for adverse short-term pulmonary outcomes as reflected by higher rates of CLD, CLD or death and oxygen dependency at discharge in preterm infants. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 09/2015; DOI:10.1111/apa.13220
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    ABSTRACT: Aim: To examine the associations between American Muslim physicians' characteristics and intended behaviors towards resuscitation of 22- and 23-weeks' gestation infants. Methods: This national survey of physician members of the Islamic Medical Association of North America inquired about physician religiosity, their practice of referring to Islamic resources for bioethical guidance, their preferred model of patient-doctor decision-making, and the perceived importance of quality-of-life determinations with respect to medical decision-making. Four vignettes described birth of a 22- and 23-weeks' gestation infant. Respondents were given estimated survival data for each and asked if they would attempt resuscitation. Results: 255/626 responses received. 51% and 85% of respondents believed that a 22- and a 23-weeks' gestation infant should be resuscitated, respectively. If parents opposed resuscitation, 44% (22-weeks') and 46% (23 weeks') of respondents still endorsed resuscitating. Respondents who were more religious, referred more often to Islamic bioethical resources, and did not believe quality-of-life determinations were tied to life's value had greater odds of endorsing resuscitation in many of the scenarios. Conclusion: American Muslim physicians have high rates of support for delivery room resuscitation of periviable infants. Their intended behavior appears to associate with religious values. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 09/2015; DOI:10.1111/apa.13222
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    ABSTRACT: Aim: To evaluate the association of house staff training with mortality in children with critical illness. Methods: Patients <18 years of age in the Virtual PICU Systems (VPS, LLC) Database (2009-2013) were included. The study population was divided in two study groups: hospitals with residency program only, and hospitals with both residency and fellowship program. Control group constituted hospitals with no residency or fellowship program. The primary study outcome was mortality before intensive care unit (ICU) discharge. Multivariable logistic regression models were fitted to evaluate association of training programs with ICU mortality. Results: A total of 336,335 patients from 108 centres were included. Case-mix of patients among the hospitals with training programs was complex; patients cared for in the hospitals with training programs had greater severity of illness, had higher resource utilization, and had higher overall admission risk of death compared to patients cared for in the control hospitals. Despite caring for more complex and sicker patients, the hospitals with training programs were associated with lower odds of ICU mortality. Conclusion: Our study establishes that ICU care provided in hospitals with training programs is associated with improved adjusted survival rates among the Virtual PICU database hospitals in the United States. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 09/2015; DOI:10.1111/apa.13223
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    ABSTRACT: Aim: Children with cognitive impairment experience pain more frequently than healthy children and are more likely to require venipuncture or intravenous cannulation for various procedures. They are frequently unable to report pain and often receive poor pain assessment and management. This study assessed the effectiveness of physical analgesia during vascular access in children with cognitive impairments. Methods: We conducted a prospective randomised controlled study at a tertiary level children's hospital in Italy from April to May 2015 to assess whether a cooling vibration device called Buzzy decreased pain during venipuncture and intravenous cannulation in children with cognitive impairment. None of the children had verbal skills and the main cognitive impairments were cerebral palsy, epileptic encephalopathy and genetic syndromes. Results: We tested 70 children with a median age of nine years: 34 in the Buzzy group and 36 in the no intervention group. Parents were trained in the use of the Non-Communicating Children's Pain Checklist - Postoperative Version scale and they reported no or mild procedural pain in 32 cases (91.4%) in the Buzzy group and in 22 cases (61.1%) in the no intervention group (p=0.003). Conclusion: Cooling vibration analgesia during vascular access reduced pain in children with cognitive impairment. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 09/2015; DOI:10.1111/apa.13224
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    ABSTRACT: In the September 2015 issue of Acta Paediatrica, van der Burg et al reported the findings of a study into the neuropsychological development of preterm infants born to obese mothers when the children reached the age of two (1). The authors used the Bayley's Scale of Infant Development II and found a higher risk of adverse indices for mental and motor development, which could not be explained by the newborns' systemic inflammation, socio-economic conditions or immaturity. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 09/2015; DOI:10.1111/apa.13225
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    ABSTRACT: Conclusion: Despite international guidelines, neonates included in control groups during painful procedures do not receive analgesia in the majority of cases. Several historical reasons can explain this, but in the light of present knowledge, this should not continue. Ethical committees are thereof invited since now to not permit clinical trials that do not explicitly rule out pain during treatments and journals are invited to not publish them. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 09/2015; DOI:10.1111/apa.13210
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    ABSTRACT: Aim: The effects of resilience factors on associations between emotional symptoms and perceived pubertal timing or body mass in adolescence are unknown and this study examined the moderating effects of social competence, family cohesion and loneliness. Methods: Data were drawn from the Young-HUNT 3 study, including a self-report questionnaire and clinical measurements of weight and height from 7,639 adolescents aged 13 to 18 years. Emotional symptoms were assessed by a five-item version of the Hopkins Symptom Checklist. Associations between pubertal timing or body mass and emotional symptoms were assessed by linear regression models. Interactions with social competence, family cohesion and loneliness were explored. Results: A U-shaped relationship was found for both perceived pubertal timing and for perceived body mass and emotional symptoms. For girls, early perceived pubertal timing was more strongly associated with emotional symptoms among those who often felt lonely. For boys, late perceived pubertal timing and feeling they were fat were more strongly associated with emotional symptoms in those with low scores for social competence or family cohesion. Conclusion: Emotional symptoms were more strongly associated with perceived pubertal timing and body mass than actual measures and the associations were stronger for adolescents with low scores for resilience factors. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 09/2015; DOI:10.1111/apa.13171
  • Acta Paediatrica 09/2015; 104(10):969-70. DOI:10.1111/apa.13113
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    ABSTRACT: Aim: To compare esophageal and axilla temperatures in routine NICU care. Methods: Prospective observational study of NICU infants with indwelling oral/nasogastric tubes. Three simultaneous temperature measurements were taken: Physitemp axilla, digital Premie Faichney axilla in predictive mode and Physitemp esophageal. Temperatures were measured on 2 separate days. Results: Fifty infants were studied over a range of gestational ages (median 28.9wks, IQR 25.8-30.6wks) and birth weights (median 1140g, IQR 742-1498g). Mean Physitemp esophageal temperatures were 0.3±0.1°C (range 0.1-0.6°C) higher than Physitemp axilla temperatures. After adjustment for weight, the Physitemp esophageal-Physitemp axilla difference remained constant over the average esophageal-axilla temperature range studied (p=0.07). Physitemp esophageal temperatures were not affected by weight (p=0.2) or post-menstrual age (p=0.51). Physitemp axilla temperatures decreased with increasing weight (p=0.03) and postmenstrual age (p=0.048). The Physitemp esophageal-Physitemp axilla difference was greater for infants in cribs (mean±sd =0.4±0.1°C) than in incubators (mean±sd=0.3±0.1°C,p<0.001). The relationship between esophageal and digital Premie Faichney axilla temperature was similar to esophageal and axilla Physitemp temperatures. Conclusion: Over a range of infant temperatures encountered in routine NICU care, esophageal temperature is higher than axilla temperature, although the difference is small. Axillary temperatures measured by digital thermometers in predictive mode are comparable to core esophageal temperatures. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 09/2015; DOI:10.1111/apa.13213
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    ABSTRACT: More than 25 years have elapsed since the United Nation's General Assembly adopted the Convention of the Rights of the Child (1). In Sweden, the Convention is not a law, as it is in countries like Norway, but it has been a legally binding document since September 1990.In this anniversary year, it seems fitting to highlight the work of an individual who was one of the main promoters of the implementation of statutory legal and social rights of children, rights that were formally established 70 years later. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 09/2015; DOI:10.1111/apa.13214