Acta Paediatrica

Publisher: Wiley

Current impact factor: 1.67

Impact Factor Rankings

2016 Impact Factor Available summer 2017
2014 / 2015 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

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Haemangiomas represent the most common tumour of infancy. Although most cases are cutaneous benign lesions, multiple skin haemangiomas are associated with visceral involvement, especially of the liver. Hepatic haemangiomatosis may be complicated by high-output cardiac failure due to high-flow arterio-venous connections within the lesions. Different therapeutic strategies for treating haemangiomatosis causing heart failure include medical, surgical and interventional modalities. This study aimed to review the treatment options, discuss their benefits and flaws and propose a practical therapeutic approach for this medical situation. Our approach incorporates heart failure medications, dietary support and propranolol as first-line treatment, while corticosteroids, vincristine, percutaneous intervention and surgery are reserved for refractory cases. This article is protected by copyright. All rights reserved.
    No preview · Article · Feb 2016 · Acta Paediatrica

  • No preview · Article · Feb 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: Results from long-time follow up of obesity treatment in early childhood are lacking. We investigate long-term continuous behavioural childhood obesity treatment and factors of importance for treatment effect. Method: A five-year longitudinal retrospective controlled study of children aged five to 13 years in obesity treatment, divided into three groups depending on age at start of treatment. Outcome is presented as change in degree of obesity, body mass index standard deviation score (BMI SDS), change in weight status and decrease of ≥ 0.5 BMI SDS units, in relation to a age-matched obese comparison group. Results: In total 220 children (46% females) were included. After five years of treatment, the decrease in BMI SDS was significant in all age-groups with the largest effect in age-group 4-6 years. Compared to the comparison group (n=369) the decline in BMI SDS was greater (p=0.001). After five years of treatment, 48% of the patients were cured from their obesity and 72% reached a decline of 0.5 BMI SDS units. Age at start of treatment was the only factor affecting treatment efficacy. Conclusion: The ability to reach a significant weight loss in a paediatric outpatient clinic is promising through a long-term behavioural obesity treatment. This article is protected by copyright. All rights reserved.
    No preview · Article · Feb 2016 · Acta Paediatrica

  • No preview · Article · Feb 2016 · Acta Paediatrica

  • No preview · Article · Feb 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: Little is known about the long-term health of marginally low birth weight (LBW) children. This study characterised growth among infants weighing 2,000g-2,500g and explored the prevalence and predictors of sustained growth restriction. Method: This prospective observational trial followed the weight and height of 281 Swedish marginally LBW children from birth to 3.5 years of age. Children with a standard deviation score (SDS) for body mass index or height below -2 were considered underweight and short respectively. Results: The mean SDS for weight and height showed a rapid increase before 12-19 weeks of age. The most rapid weight gain was in infants born small for gestational age. However, at 3.5 years of age, 9.5% of the children remained underweight and 6.5% had short stature. Regression models showed that slow weight gain before 19 weeks of age was the strongest predictor for lasting underweight, while slow height gain before 19 weeks of age and male sex were associated with short stature. Conclusion: Marginally LBW infants were more likely to be underweight and have a short stature at 3.5 years of age and the absence of catch-up growth during the first five months after birth identified those at highest risk. This article is protected by copyright. All rights reserved.
    No preview · Article · Feb 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: This study compared problematic Internet use (PIU) rates in 12 to 18 year olds with major depressive disorder (MDD) and healthy controls and explored potential links between PIU and suicide among MDD patients. Methods: The study sample consisted of 120 MDD patients (62.5% girls) and 100 controls (58% girls) with a mean age of 15. Suicide ideation and suicide attempts were evaluated and sociodemographic data were collected. In addition, the Children's Depression Inventory, Young Internet Addiction Test and Suicide Probability Scale were applied. Results: The results showed that PIU rates were significantly higher in the MDD cases than the controls (p<0.001). The analysis of covariance results showed that there was no relationship between potential suicide and the Young Internet Addiction Test score in MDD cases. However, the hopelessness subscale scores of the MDD patients with PIU were significantly higher than the scores of those without PIU. Conclusion: Our results show that PIU was higher in adolescents with MDD and hopelessness was more prevalent among MDD patients with PIU, but no links with potential suicide were found. As the present study was a cross-sectional one, it did not allow us to infer a causality relationship between PIU and MDD. This article is protected by copyright. All rights reserved.
    No preview · Article · Feb 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: There is limited literature on brain imaging studies of children with cerebral palsy (CP) in low- and middle-income countries. We investigated neuroimaging patterns of children with CP attending a tertiary referral centre in Uganda in order to determine how they differed from studies reported from high-income countries and their relationship with prenatal and post-natal factors. Methods: Pre-contrast and post-contrast computed tomography (CT) scans of 78 CP children aged 2-12 years were conducted using a Philips MX 16-slice CT scanner. Two radiologists, blinded to the patient's clinical status, independently reviewed the scans. Results: Abnormal CT scans were detected in 69% of the children sampled, with very few having primary white matter injuries (4%). Primary grey matter injuries (PGMI) (44%) and normal scans (31%) were most frequent. Children with a history of hospital admission following birth were three times more likely to have PGMI (odds ratio [OR] 2.8; 95% CI 1.1- 7.1), suggesting a perinatal period with medical complications. Conclusion: Brain imaging patterns in this group of CP children differed markedly from imaging studies reported from high-income countries, suggesting a perinatal aetiology in full-term infants and reduced survival in preterm infants. This article is protected by copyright. All rights reserved.
    No preview · Article · Feb 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: We aimed to explore the prevalence and determinants of overweight including obesity among children in Sweden in 2003 and 2011. Methods: Two population-based cross-sectional surveys included 7,728 and 12,882 12-year-old children in Sweden, and 1,198 and 2,699 eight-year-old children in Stockholm County, in 2003 and 2011. Weighted prevalence of overweight including obesity and multivariate-adjusted relative risks (RRs) with 95% confidence intervals (CIs) were calculated. Results: In 2011, the overweight prevalence was lower for 12-year-old girls than boys (RR=0.84, CI=0.77-0.92), lower for girls and boys with a higher rather than a lower educated mother (for example, RRgirls =0.76, CI=0.65-0.88), but higher for girls and boys in smaller rather than main cities (RRgirls =1.52, CI=1.28-1.82). There was no difference in overweight prevalence between 2003 and 2011 among the 12-year-old children. However, eight-year-old girls had a lower overweight prevalence in 2011 than in 2003 (RR=0.76, CI=0.59-0.97). The strongest decrease in overweight was among eight-year-old girls with mothers with lower levels of education (RR=0.63, CI=0.47-0.86). Conclusion: The prevalence of overweight including obesity was stable among Swedish children between 2003 and 2011. Gradients in the determinants of overweight persisted. There was some evidence of a less steep socioeconomic gradient in overweight in eight-year-old girls over time. This article is protected by copyright. All rights reserved.
    No preview · Article · Feb 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: The Working Group on Acute Diarrhoea, part of The Consensus Group on Outcome Measures Made in Paediatric Enteral Nutrition Clinical Trials, previously developed a core outcome set for clinical trials on acute diarrhoea. The current study aimed to create a core outcome measurement set to complement it. Methods: The study had three phases. The first identified how the literature defined core outcome measures in clinical trials on acute diarrhoea and measured outcomes. The second phase used a questionnaire to seek the views of 109 leading researchers and clinicians in this specialist field. The third phase achieved a consensus on the core outcome measurement set. Results: First we identified 52 different measurement instruments or definitions. A questionnaire was then used to ask our experts what they thought were the most valid core outcome measurement instruments or definitions for each measure and 53 (49%) responded. Core outcome measurement instruments were then developed, including definitions of diarrhoea and acute gastroenteritis, diarrhoea duration, dehydration, the need for hospitalisation, discharge criteria and duration of hospitalisation. Conclusions: The outcome measurement set can be used to evaluate therapeutic or preventive strategies and can be recommended for use in future acute diarrhoea trials. This article is protected by copyright. All rights reserved.
    No preview · Article · Jan 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: Few studies have been published on children with hereditary angioedema (HAE), an autosomal dominant disease caused by mutations on chromosome 11. This study explored various aspects of the disease in the Swedish paediatric population. Methods: A retrospective questionnaire was sent to all 36 Swedish children known to have HAE and a physician carried out follow-up telephone interviews. Results: Most of the questionnaires were completed by the parents of 31 (86%) children with HAE, with or without their input, at a median age of nine years (range one to 17) and the physician also interviewed 29. HAE symptoms were experienced by 23 children, including abdominal attacks (96%), skin swelling (78%) and swelling in the mouth and, or, upper airways (52%). Psychological stress was the most common trigger for abdominal attacks and trauma and sports triggered skin swelling. The majority (n=19) had access to complement-1 esterase inhibitor concentrate at home. Current health and quality of life were generally rated as good independent of whether the child had experienced HAE symptoms or not. Conclusion: Most children with HAE had experienced abdominal attacks and skin swelling, but their overall health and quality of life were generally perceived to be good. This article is protected by copyright. All rights reserved.
    No preview · Article · Jan 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: The association between Helicobacter pylori infection and gastrointestinal symptoms is debatable in childhood. We examined the potential relationship between H. pylori infection and gastrointestinal symptoms in Brazilian children with non-ulcer dyspepsia. Methods: This prospective observational study analysed 240 Brazilian children and adolescents (68.7% girls) with chronic non-ulcer dyspepsia, who underwent upper gastrointestinal endoscopy and biopsy. Their mean age was 9.8 years (range 4-17). Upper gastrointestinal symptoms, including abdominal pain, nausea, burning, early satiety, belching and weigh loss, were evaluated by a questionnaire and H. pylori infection was determined by histopathology of gastric biopsies. Results: H. pylori infection was identified in 123/240 patients (52%). There was no significant association between the H. pylori infection and gastrointestinal symptoms and no relationship between the infection and abdominal pain or pain characteristics. However, nausea was significantly associated with the H. pylori infection, with an odds ratio of 1.76 and 95% confidence interval of 1.1-2.94 p<0.03. Symptoms lasting longer than 12 months were significantly more frequent in children with pangastritis than in those with antral gastritis (p< 0.05). Conclusion: The prevalence of H. pylori infection was high in Brazilian children with non-ulcer dyspepsia, but was not associated with specific signs and symptoms, except for nausea. This article is protected by copyright. All rights reserved.
    No preview · Article · Jan 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: A systematic review with meta-analysis was carried out to investigate the effects of increased nutritional intake, via either macronutrient or multi-nutrient intervention, during the neonatal period on neurodevelopmental outcomes in infants born at <32 weeks of gestation or weighing <1501g at birth. Although the relationship remains unclear, increased early nutrition may reduce neurodevelopmental impairment in this group of infants. Future research should focus on using standardised nutritional interventions and an agreed neurodevelopmental assessment battery. This article is protected by copyright. All rights reserved.
    No preview · Article · Jan 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: It is unclear whether parents' weight affects their ability to recognise whether their teenage children are overweight. This study analysed whether overweight parents assessed their child's weight as well as normal weight parents. Methods: This cross-sectional was carried out in Londrina, Brazil, in 2011 and included teenagers between 14 and 17 years of age and their parents or guardians. We recorded the weight and height of the teenagers and asked the parents or guardians to fill in a questionnaire that included how they perceived their child's weight and demographic information. Results: We studied 1,231 teenagers - 58.2% girls - and 19.4% were overweight or obese. In 842 (68.4%) of cases both parents replied to the questionnaire. We found that 8.7% of the 1,202 mothers and 10.0% of the 871 fathers underestimated how overweight their child was. The adjusted analyses confirmed they were twice as likely to underestimate their child's weight if they were overweight themselves, with an odds ratio of 1.96 for the mothers and 2.04 for the fathers. Socio-demographic characteristics did not affect the results. Conclusion: Overweight parents were twice as likely to underestimate the weight of their teenage children, regardless of the sociodemographic characteristics. This article is protected by copyright. All rights reserved.
    No preview · Article · Jan 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: Suboptimal cardiopulmonary resuscitation (CPR) is associated with a poor outcome and international guidelines state that resuscitators should optimise compression and ventilation techniques with as few interruptions as possible. We investigated compression and ventilation quality during simulated CPR with four compression to ventilation (C:V) methods. Methods: In this crossover manikin study, 42 pairs of doctors, nurses, midwives and sixth-year medical students from two Norwegian hospitals provided two-minute resuscitation using the 3:1, 9:3 and 15:2 C:V methods and continuous chest compressions at 120 per minute with asynchronous ventilations (CCaV-120). We measured chest compression, ventilation mechanics and the resuscitators' preferences. Results: C:V methods 3:1 and 9:3 provided comparable chest compressions and ventilation mechanics, whereas 15:2 produced fewer ventilations and lower minute volumes. The CCaV-120 method was significantly less effective than the 3:1 C:V ratio method: the chest compression depth was 1.9mm lower, there were 25 fewer chest compressions and 21 fewer ventilations per minute and the minute volume was 69ml lower. The 3:1 C:V method also provided better coordination between resuscitators. Conclusion: Our comparison of four simulated infant cardiopulmonary resuscitation methods favoured the 3:1 C:V method and the multi-disciplinary group of participants felt it offered the best level of co-ordination between resuscitators. This article is protected by copyright. All rights reserved.
    No preview · Article · Jan 2016 · Acta Paediatrica
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: Children with refractory or high-risk malignancies frequently suffer from poor quality of life during palliative care. This study explored the effect of metronomic drug administration on survival and quality of life in paediatric patients with various refractory or high-risk tumours. Methods: We treated 17 patients with a maintenance therapy that consisted of metronomic thalidomide, etoposide and celecoxib. The endpoints of the study were overall and progression-free survival, changes in the Karnofsky-Lansky scores from baseline to the end of the study therapy and radiological responses. Results: The median overall survival after the start of the study therapy was 6.2 months (range 2.0-57.7) and the six, 12 and 24-month survival rates were 59%, 18% and 18%, respectively. The median progression-free survival was 3.2 months (range 0.3-17.8). The Karnofsky-Lansky scores increased significantly during the study therapy (p=0.02), with 35% of the patients having a transient improvement in their clinical status. Radiologically, one partial response and two disease stabilisations were encountered. Grade III-IV adverse events occurred in 76% of the patients. Conclusion: Metronomic therapy may increase the quality of life during palliative care for childhood cancer, but requires careful patient selection to minimise the risk of serious adverse events. This article is protected by copyright. All rights reserved.
    No preview · Article · Jan 2016 · Acta Paediatrica