Calgary Daycare STEC Outbreak Long-Term Follow-Up Study
In the fall of 2023, several daycares in Calgary experienced a Shiga toxin-producing E. coli (STEC) outbreak. This bacterial infection is most common in children and can lead to potentially severe outcomes. In addition to causing severe diarrhea and abdominal pains, the major consequential effect of this infection occurs in the kidney. However, additional severe acute effects can be seen in essentially any organ system, and some of these lead to life-threatening acute complications and long-term disabilities. Unfortunately, few studies have followed large numbers of children with varying severities of acute infection over prolonged periods of time and as such, long-term prognosis cannot be predicted with accuracy. As such this study aims to clarify the long-term consequences associated with infection across a range of severity in terms of the acute infection.
A Multi-Disciplinary, Patient-Partnered, Pan-Canadian, Comparative Effectiveness Evaluation of an Innovative Acute Pediatric Mental Health and Addiction Care Bundle
A Multi-Disciplinary, Patient-Partnered, Pan-Canadian, Comparative Effectiveness Evaluation of an Innovative Acute Pediatric Mental Health and Addiction Care Bundle is a comparative effectiveness cluster randomized controlled trial involving eight pediatric Emergency Departments (EDs) across Canada. The purpose of this trial is to compare the effectiveness of the novel acute mental healthcare bundle first introduced in our Alberta-based cohort study, to the delivery of ED mental healthcare in children nationally.
Precision Medicine for Improving the Diagnosis of Pediatric Appendicitis in the Emergency Department
Accurate, timely diagnosis is important to decrease the risk of serious complications in appendicitis in children. The goal of the PRIMED study is to identify unique “bioprofiles”, like fingerprints, in the blood and urine of children with suspected appendicitis. These profiles can be integrated into point-of-care clinical tests to rapidly identify children at risk.
Indices of Inflammation in Children Presenting to the Emergency Department with Wheeze
The diagnosis and management of wheeze in children can be challenging for health care providers. Children present to the Emergency Department (ED) with wheeze associated with many diseases, including asthma, bronchiolitis, and pneumonia. It is essential to identify the correct diagnosis underlying the symptom of wheeze in children as management of these diseases varies greatly. The Wheeze study aims to determine whether nasopharyngeal aspirate specimens from children presenting with wheeze can help establish an objective way to differentiate asthma, bronchiolitis, and pneumonia in children presenting to the ED with wheeze.
Bicycling Injuries in Kids and the Environment
The Bicycling Injuries in Kids and the Environment (BIKE) study is a national study which is looking at the determinants of bicycling injuries in children and adolescents. Every year in Canada, bicycling results in 20 deaths 1,800 hospital admissions and 4% of all Emergency Department visits for those under 15 years old. The members of the BIKE team collect data and conduct location audits to identify site characteristics associated with injury. The results of this work will inform urban planning policies to make bicycling safer for children.
A Randomized Controlled Trial Comparing Epinephrine and Dexamethasone to Placebo in the Treatment of Infants with Bronchiolitis
The BIPED study is a phase III multicenter, randomized, double-blind trial comparing treatment with nebulized epinephrine and 2-day course of oral dexamethasone to placebo for infants with bronchiolitis. The study participants are enrolled at six pediatric academic Emergency Departments (EDs) across Canada and in three pediatric EDs in New Zealand and three in Australia.
Canadian Anaphylaxis Network- Predicting Recurrence after Emergency Presentation for Allergic Reaction
A multi-centre observational prospective cohort to develop a clinical prediction rule that will identify children with anaphylaxis who are at risk of biphasic anaphylaxis. Our team will follow participants during their Emergency Department (ED) visit to determine if the participant had a biphasic reaction during their ED visit and a post-discharge survey will determine if a biphasic reaction occurred 48 hours of enrollment following ED disposition.
The Canadian Pediatric Imaging Platform (C-PIP): A Platform to Support Research in Child Brain Health
Early disruptions in brain development contribute to many childhood psychiatric and neurodevelopmental conditions, yet research is limited by rapid developmental changes and the difficulty of obtaining high‑quality pediatric neuroimaging data. To address this, three major Canadian pediatric hospitals have partnered to create the Canadian‑Pediatric Imaging Platform (C‑PIP). This national initiative will study how the brain develops using magnetic resonance imaging from birth through adolescence. Ultimately, this work will accelerate discovery and support interventions that improve outcomes for children and youth with brain‑based disorders.
E. coli Antibody Protein in Children
It is known that there are differences between how the immune system responds to infection in males and females. We recently found that in female mice, at puberty estrogen caused the immune system to start making antibodies against Enteropathogenic E. coli which causes diarrheal disease and kills more children globally than any other disease. We found that moms were protected against E.coli infection but more importantly, mother’s milk and blood were capable of offering protection during E.coli infection. The goal of the E.coli Antibody Protein in Children (EPIC) study is to determine if a similar mechanism is present in humans by determining if sex, age and breastfeeding history influence anti-E.coli antibody levels in children.
Predicting Severe Pneumonia in the Emergency Department: A Global Study of the Pediatric Emergency Research Networks
Pneumonia is one of the most common serious bacterial infections in children worldwide, an important case of childhood morbidity and mortality globally, and a frequent and costly cause of Emergency Department (ED) visits and hospitalizations. There is currently no evidence-based, validated tool to assist physicians in making targeted site-of-care and management decisions for children with Community-Acquired Pneumonia (CAP). An evidence-based clinical prediction rule for CAP severity in children would assist physicians to accurately risk stratify children with CAP in the ED and improve clinical decisions.
Symptom Management versus Alternative Randomized Treatment of Concussion Trial
The SMART study is a randomized controlled trial addressing the need for early implementation of treatment approaches to concussed youth aged 13-19 years. This trial has multifaceted treatment approaches, specifically 3 arms of treatment: Headache, Dizziness/Neck Pain, Sleep. The purpose of this clinical trial is to examine which treatment option within the arm is most effective for post-concussion symptom relief.
Education Assessment on Awareness of Testicular Torsion in Patients with Acute Scrotum
Testicular torsion is a time-sensitive emergency in which delays in diagnosis and treatment can result in long-term dysfunction, complications, or the need for surgical intervention to remove the affected tissue. A prior pan-Canadian study of referral patterns found that once patients and caregivers sought medical care, the healthcare system responded quickly and provided appropriate intervention. This suggests that patient and caregiver awareness of symptoms and urgency to seek care may play a key role in improving outcomes.
This is a multi-center, prospective survey study taking place at pediatric hospitals and emergency departments across Canada. The study enrolls pediatric patients and/or their parents or guardians who present with symptoms of acute scrotum and collects survey data on their knowledge of symptoms and how this influenced their decision to seek medical care. The goal is to identify knowledge gaps and patient factors that contribute to delays in visiting a healthcare centre, and to inform strategies to address these gaps.