Does nurse-led vaccination lead to increased difficulty completing subsequent developmental assessment in children below 18 months of age?. Ng, W. L. D., Chang, X. P., & Han, A. N. Annals of the Academy of Medicine Singapore, 43(9 SUPPL. 1):S389, 2014.
Does nurse-led vaccination lead to increased difficulty completing subsequent developmental assessment in children below 18 months of age? [link]Paper  abstract   bibtex   
Background & Hypothesis: Vaccination practices differ across polyclinics in National Healthcare Group. Some polyclinics vaccinate children before developmental assessment once potential contraindications are excluded, while others only do so after. There are no studies favouring one approach over another. The aim of this study was to see if vaccination sequence led to increased difficulty with developmental assessment in children below 18 months of age. Method(s): Over a 2-week period, children below 18 months were vaccinated by the nurse after excluding potential contraindications, then sent to the doctor for developmental assessment. In the subsequent 2- week period, all children were vaccinated after developmental assessment. The doctor who was blinded to vaccination sequence documented any inability to complete 1 or more parts of the developmental assessment in these children. Result(s): A total of 110 children were seen over the 4-week period. Seventy-nine (49.3%) were below 18 months of age; 39 (35.5%) were vaccinated before seeing the doctor. In children below 18 months of age, 2 (6.67%) children vaccinated before developmental assessment had problems with subsequent developmental assessment while 1 (3.03%) child had problems with developmental assessment despite not vaccinating the child beforehand (P = 0.49). Children more than 18 months of age were more likely to have problems completing developmental assessment even though they were not vaccinated beforehand (19.4% vs. 3.80%, P = 0.007). Discussion & Conclusion(s): Nurse-led vaccination before developmental assessment does not lead to increased difficulty completing developmental assessment in children below 18 months of age. Children 18 months of age and above have increased difficulty completing developmental assessment and should have developmental assessment performed first.
@article{ng_does_2014,
	title = {Does nurse-led vaccination lead to increased difficulty completing subsequent developmental assessment in children below 18 months of age?},
	volume = {43},
	issn = {0304-4602},
	url = {http://www.annals.edu.sg/pdf/43VolNo9Sep2014/SHBC2014_Final.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed15&NEWS=N&AN=71796644},
	abstract = {Background \& Hypothesis: Vaccination practices differ across polyclinics in National Healthcare Group. Some polyclinics vaccinate children before developmental assessment once potential contraindications are excluded, while others only do so after. There are no studies favouring one approach over another. The aim of this study was to see if vaccination sequence led to increased difficulty with developmental assessment in children below 18 months of age. Method(s): Over a 2-week period, children below 18 months were vaccinated by the nurse after excluding potential contraindications, then sent to the doctor for developmental assessment. In the subsequent 2- week period, all children were vaccinated after developmental assessment. The doctor who was blinded to vaccination sequence documented any inability to complete 1 or more parts of the developmental assessment in these children. Result(s): A total of 110 children were seen over the 4-week period. Seventy-nine (49.3\%) were below 18 months of age; 39 (35.5\%) were vaccinated before seeing the doctor. In children below 18 months of age, 2 (6.67\%) children vaccinated before developmental assessment had problems with subsequent developmental assessment while 1 (3.03\%) child had problems with developmental assessment despite not vaccinating the child beforehand (P = 0.49). Children more than 18 months of age were more likely to have problems completing developmental assessment even though they were not vaccinated beforehand (19.4\% vs. 3.80\%, P = 0.007). Discussion \& Conclusion(s): Nurse-led vaccination before developmental assessment does not lead to increased difficulty completing developmental assessment in children below 18 months of age. Children 18 months of age and above have increased difficulty completing developmental assessment and should have developmental assessment performed first.},
	language = {English},
	number = {9 SUPPL. 1},
	journal = {Annals of the Academy of Medicine Singapore},
	author = {Ng, W. L. D. and Chang, X. P. and Han, A. N.},
	year = {2014},
	keywords = {*Singapore, *child, *health, *human, *nurse, *vaccination, health care, hypothesis, outpatient department, physician},
	pages = {S389},
}

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