Acta Paediatrica

Publisher: Wiley

Journal description

Current impact factor: 1.84

Impact Factor Rankings

2015 Impact Factor Available summer 2015
2013 / 2014 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 2.06
Cited half-life 8.70
Immediacy index 0.41
Eigenfactor 0.02
Article influence 0.67
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
    • On a non-profit server
    • 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

  • Acta Paediatrica 09/2015; 104(9):856-7. DOI:10.1111/apa.13082
  • A J Samidurai · R S Ware · Psw Davies
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    ABSTRACT: Evaluate the effect of collecting multiple (four) urine samples on the extensive variance often observed within a cohort when determining iodine status via urinary iodine concentration (UIC). Fifty one children aged 2-3 years and thirty children aged 8-10 years participated in the study in south east Queensland, Australia. Each child's four urine samples were analysed using ammonium persulphate digestion before a Sandell-Kolthoff reaction method. Analysis of variance techniques were used to assess the effect of using multiple urine samples. The median UIC's were 223.3ug/L and 141ug/L for 2-3 year olds and 8-10 year olds respectively. The coefficient of variance (CV) of UIC for children aged 2-3 years were reduced by 35.6%, 36.5% and 39.7% when two, three and four samples were included in the adjustment respectively. Similarly, the CV of UIC for children aged 8-10 years was reduced by 24.7%, 30.7% and 34.7%. Although the practicality and cost of collecting multiple UIC's needs to be considered, collecting multiple UIC samples from each participant provides a more accurate reflection of a cohort iodine status. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13168
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    ABSTRACT: To determine the accuracy of current methods of heart rate (HR) assessment. All participants palpated a simulated pulsating umbilicus (UMB), listened to a tapping rate (TAP), and auscultated a simulated HR (AUSC). A simulated HR of 54, 88, and 128 beats per minute (bpm) was randomised for all methods. 29 healthcare staff participated in this study. Correct assessment of HR of 54 bpm as being within the 0-59 range occurred in 17.2% UMB, 17.2% TAP and 31% AUSC and was obtained in <10 seconds by 48.3%, 65.5% and 62.1%, respectively. A rate of 88 bpm was correctly assessed as within the 60-100 range in 82.8% UMB, 79.3% TAP and 79.3% AUSC and was obtained in <10 seconds by 55.2%, 58.6% and 55.2%, respectively. A rate of 128 bpm was identified as >100 bpm by 96.6% UMB, 93.1% TAP, and 93.1% AUSC and was obtained in <10 seconds by 51.7%, 55.2% and 62.1%, respectively. Current methods in assessing rates below 60bpm are inaccurate and may overestimate HR. We recommend that these methods alone should not be relied upon in neonatal resuscitation and objective assessment of heart rate should be readily available at all newborn resuscitations. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13169
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    ABSTRACT: Routine care of low birth weight neonates relies on incubators for stabilisation. An earlier study suggested that skin-to-skin contact achieves better physiological stability in the transition period when compared to incubator care. The aim of this study was to replicate that study with a larger sample. A randomised controlled trial with low birth weight infants (1,500g - 2,500g) randomised at birth, 50 to routine care, and 50 to skin-to-skin contact, with stabilisation using the Stability of Cardio-Respiratory system in Preterms (SCRIP) score measured repeatedly over the first six hours of life as the primary outcome. Newly born infants in skin-to-skin contact showed better transition to extra-uterine life (p < 0.02), with the SCRIP score at 360 minutes in skin-to-skin contact being 5.82 (SD 0.66) and in maternal infant separation 5.24 (SD 0.72), p < 0.0001. In extended skin-to-skin contact care, infants had significantly less need for respiratory support, intravenous fluids and antibiotic use during the remainder of the admission period. Skin-to-skin contact was likely to be an optimal environment for neonates without life-threatening conditions who weighed 1,500-2,500 g at birth. By preventing instability that requires subsequent medical treatment, it may be life-saving in low income countries. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13164
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    ABSTRACT: Recently Mobbs et al. 2015 describe the need for, and benefits of, immediate and sustained contact, including cosleeping, to establish an appropriate foundation for optimal human infant breastfeeding, neonatal attachment and brain growth. To further support this model we propose a new concept, 'breastsleeping', aimed to help both resolve the bedsharing debate and to distinguish the significant differences (and associated advantages) of the breastfeeding-bedsharing dyad when compared with the non-breastfeeding-bedsharing situations, when the combination of breastfeeding-bedsharing is practiced in the absence of all known hazardous factors. Breastfeeding is so physiologically and behaviorally entwined and functionally interdependent with forms of cosleeping that we propose the use of the term breastsleeping to acknowledge: 1) the critical role that immediate and sustained maternal contact plays in helping to establish optimal breastfeeding; 2) the fact that normal, human (species-wide) infant sleep can only be derived from studies of breastsleeping dyads because of the ways maternal-infant contact affects the delivery of breastmilk, the milk's ingestion, the infant's concomitant and subsequent metabolism and other physiological processes, maternal and infant sleep architecture, including arousal patterns, as well as breastfeeding frequency and prolongation and; 3) that breastsleeping by mother-infant pairs comprises such vastly different behavioral and physiological characteristics compared with non-breastfeeding mothers and infants, this dyadic context must be distinguished and given its own epidemiological category and benefits to risks assessment. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13161
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    ABSTRACT: The FloRight system provides novel non-invasive infant spirometry based on electromagnetic inductance plethysmography. We investigated the consistency of repeated measurements carried out in a Norwegian neonatal intensive care unit (NICU) using the system and how well these were tolerated. Tidal flow-volume loops were obtained from 10 preterm infants at discharge, 10 stable growing preterm infants weighing about 1,500 grams and 10 term-born infants. A nurse experienced with the system measured all patients before and after meals and these measurements were repeated by nurses new to the system. The measurements were well tolerated by the infants. The repeatability for the two parameters 'tidal volume' (Vt) and 'time to peak tidal expiratory flow to total expiratory time' (Tptef/Te) were relatively poor, similar to previous methods. However, the repeatability was good for the new 'flow-volume gravity midpoint' (FVg) parameter. Repeatability was better for term than preterm infants, when measurements were obtained by the experienced nurse and for measurements carried out before meals. The FloRight system proved feasible in a NICU setting. The repeatability of the lung function measurements were similar to those reported for traditional infant spirometry. The nurse's experience and the relationship to meals appeared to be important. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13155
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    ABSTRACT: This study prospectively evaluated neuropsychological functioning in eight-year-old patients with anorectal malformation (ARM) and Hirschsprung's disease (HD). School functioning and behaviour were assessed in a standardised interview. Intelligence, attention, self-esteem and quality of life were evaluated with validated tests and questionnaires. The following predictors were assessed: social economic status, number of episodes of general anaesthesia, laxative treatment and premature birth. Severely intellectually disabled patients were excluded. Twelve of the 23 (52%) patients with ARM and 11 (55%) of the 20 patients with HD received special education or remedial teaching. The intelligence quotient was normal: mean (standard deviation or SD) 98 (17) and 96 (17), respectively. However sustained attention was below the norm: mean (SD) Z-score -1.90 (1.94) and -1.43 (1.98) for ARM and HD patients; both p<0.01. Self-esteem was normal: mean (SD) Z-score 0.10 (1.29) and -0.20 (1.11) for ARM and HD patients. Quality of life was normal in ARM patients and slightly impaired in HD patients. No predictors for neuropsychological outcome were identified. Despite normal intelligence, more than half of these patients received special education or remedial teaching. In addition, problems with sustained attention were found. These findings are important for long-term care. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13154
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    ABSTRACT: We examined the weight status of Greek schoolchildren from November 2009 to May 2012, shortly before, and during the early years, of the Greek economic crisis. This was a mixed longitudinal study that formed part of the West Attica Growth Study and followed children at the ages of 6-7, 9-10, 12-13 and15-16 years every six months for 2.5 years. Each child's height and weight were measured and their Body Mass Index calculated. We were able to determine the weight status of 1,327 children (53% boys) based on their first and last measurements. Overweight, obesity and underweight were defined using the International Obesity Task Force criteria. During the 2.5-year study period, there was a decrease in the total prevalence of overweight and obesity, which reached a statistical significance for both sexes. It decreased from 43% to 37.3% (p=0.02) in boys and from 33.4% to 26.9% (p=0.0056) in girls. There was also a statistically significant increase in normal weight children and a slight but insignificant increase in underweight children of both sexes. During the initial years of the Greek economic crisis there was a statistically significant reduction in overweight and obesity in children from 6-16 years of age. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13143
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    ABSTRACT: Medical staff in NICUs frequently order tests and interventions that involve the use of consumable items. These items can contribute significantly to the overall cost of providing NICU services. We wished to determine how medical staff perceptions of the cost of some of these items compared to their actual cost. We asked doctors working at our hospital to estimate the cost of one of each of 20 consumable items we commonly use in our NICU. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13145
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    ABSTRACT: To describe the incidence, type and severity of cerebral palsy at 24 months in a regional cohort of infants treated with whole body therapeutic hypothermia for neonatal encephalopathy METHODS: Data were collected prospectively in a regional centre providing TH. Antenatal and perinatal clinical variables and severity of encephalopathy were collected. Infants were assessed at 18 months using the Bayley Scales of Infant and Toddler Development-III and the presence and severity of CP was investigated at 24 months. 125 of 132 infants fulfilled entry criteria for TH trials and completed 72h of TH. Sixteen (13%) of the 125 infants died and 8 (6%) were not available for follow-up. Eighteen infants (14%; 18% of those assessed) developed CP. Of these, 12 (67%) were classified using the Gross Motor Function Classification System, at level 1, six (33%) at level 5 and none at levels 2, 3 or 4. Our regional clinical cohort had lower mortality and comparable rates of CP compared with historical outcomes in TH trials. In contrast to historical cohorts, only one third of the 18 children with CP were severely affected and 12 were mildly affected, all of whom were independently ambulant by 24 months. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13146
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    ABSTRACT: AimFever and febrile illness are some of the most common conditions managed by parents. The aim of this study is to examine the knowledge, attitudes and beliefs of parents around fever in children under five years of age.Methods Between July and August 2014, a convenience sample of parents was invited to participate in this study in Copenhagen, Denmark. Results were analysed thematically using a constant comparison method.ResultsTwenty one parents participated in the study. Five themes emerged from the data: parental concern, help-seeking behaviour, parental knowledge, parent fever management practices and initiatives. Parents used a range of information sources to obtain their knowledge on management of fever, however, due to issues of trust with these sources, reassurance was often sought from healthcare practitioners. There was a desire amongst most parents for initiatives to be introduced which provide general information on how to manage fever in children.Conclusion Parents were very concerned when their child was febrile and instigated practices obtained from accessible information sources. This study has identified a need for specific and reliable information initiatives to be introduced as a means of reducing parental concern and ensuring evidence-based strategies for managing a child with fever.This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13152
  • Acta Paediatrica 08/2015; 104(8):751. DOI:10.1111/apa.13048
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    ABSTRACT: AimOver the past few decades, a large number of rural residents have migrated to cities in China and left their children behind. This study estimated how many 10 to 14-year-old children in rural Anhui drank alcohol and examined the association between parental migration and children's alcohol use.MethodsA cross-sectional study was conducted in six cities in Anhui between July and August 2012. All participants had lived in the study villages for at least six months during the previous year and were interviewed face-to-face using a standardised questionnaire.ResultsMore than half (57%) of the 1,367 subjects were left behind children, 43% lived with both parents and 9.6% currently drank alcohol. When we controlled for other variables, the rate of alcohol use was statistically higher among left behind children if both parents had migrated (14.0%) than among children living with both parents (7.8%) (p=0.002). Boys, children with siblings and those with a poorer academic performance were more likely to drink.Conclusion Children in rural China were more likely to drink if both their parents had migrated in search of work. School-based interventions could help to reduce alcohol use among rural left behind children, especially boys.This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13163
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    ABSTRACT: This study evaluated mothers with diabetes to determine whether pre-pregnancy body mass index (BMI), BMI on delivery or gestational weight gain had the greatest impact on maternal and neonatal outcomes. We retrospectively examined the medical charts of 634 full-term infants born to mothers with gestational diabetes mellitus not requiring insulin (n=476), gestational diabetes mellitus requiring insulin (n=140) and insulin-dependent diabetes mellitus (n=18). Data regarding maternal BMI before pregnancy and on delivery were recorded, as well as maternal and neonatal complications. Infants born to women who gained more than the recommended weight during pregnancy had higher birth weights, higher rates of meconium-stained amniotic fluid and neonatal hypoglycaemia. Using logistic regression, Caesarean section delivery was predicted by gestational diabetes requiring insulin, with an odds ratio (OR) of 1.76, maternal hypertension (OR 2.4), infants born large for gestational age (OR 2.78) and maternal BMI ≥ 30 on delivery (OR 1.06). Neonatal complications were predicted by maternal insulin-dependent diabetes (OR 5.21), lower gestational age (OR 0.8) and gestational weight gain above the recommended amount (OR 1.56). Women with diabetes should be made aware that higher gestational weight gain can lead to Caesarean section delivery, infant macrosomia and other neonatal complications. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13166
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    ABSTRACT: AimThis Swedish study reviewed differences in clinical presentation and laboratory findings of acute bacterial meningitis in children aged one month to 17 years in Västerbotten County, Sweden.MethodsA register-based study was performed for the period 1986 to 2013 using the Västerbotten County Council's patient registration and laboratory records at the Department of Laboratory Medicine at Umeå University Hospital. The medical records were reviewed to extract data and confirm the diagnosis.ResultsWe found 103 cases of acute bacterial meningitis and Haemophilus influenzae was the most common pathogen, causing 40.8% of all cases, followed by Streptococcus pneumoniae at 30.1% and Nesseria meningitidis at 9.7%. Significant differences in clinical presentation and laboratory findings were found. Younger children were more unwell than older ones and had more diffuse symptoms on admission. In addition, important sex related differences were found that might explain the higher case fatality rates for boys than girls. For example, boys tended to have a higher disturbance in the blood brain barrier, which is known to be a negative prognostic factor.Conclusion This study showed that clinical presentation for acute bacterial meningitis varied with age and sex, and, to a lesser extent, on the duration of the illness.This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13149
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    ABSTRACT: Evidence-based guidelines are needed to harmonise and improve the diagnostics and treatment of children's lower respiratory tract infections. Following a professional literature search, an inter-disciplinary working group evaluated and graded the available evidence and constructed guidelines for treating laryngitis, bronchitis, wheezing bronchitis and bronchiolitis. Currently available drugs were not effective in relieving cough symptoms. Salbutamol inhalations could relieve the symptoms of wheezing bronchitis and should be administered via a holding chamber. Nebulised adrenaline or inhaled or oral glucocorticoids did not reduce hospitalisation rates or relieve symptoms in infants with bronchiolitis and should not be routinely used. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13162
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    ABSTRACT: Few studies have focused on the psychological adjustment of pre-adolescent children with type 1 diabetes. This study examined psychosocial functioning in nine and 10-year-old children with early-onset type 1 diabetes, and their mothers, and associations between psychosocial functioning and diabetes management. The mothers of 63 children with early-onset diabetes and 86 healthy children evaluated their own psychosocial functioning, and their child's, with standardised rating scales. We used general linear models to analyse the children's behaviour problems and the mothers' wellbeing. Associations between the children's behaviour problems, diabetes-related measures and the mothers' wellbeing were studied with partial correlations. Children with diabetes had more internalising problems than the controls (p = 0.001) and these were associated with poor glycaemic control at the early stage of the illness (p = 0.033) and the use of insulin pumps in girls (p = 0.004). Mothers in the diabetes group had more child-related stress than the controls (p < 0.001) and poorer wellbeing was associated with the children's behavioural problems (p < 0.024). Children with early-onset diabetes faced an increased risk of internalising problems in middle childhood. The mothers' psychological distress was associated with children's behaviour problems rather than their diabetes. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
    Acta Paediatrica 08/2015; DOI:10.1111/apa.13144