KK Women's and Children's Hospital

Terminal discharge of the imminently dying from hospital to home: A realist evaluation

Background: Rapid terminal discharge home is increasingly prevalent, yet processes remain inconsistent and stressful for both clinicians and families. A harmonised ‘compassionate discharge’ protocol was collaboratively developed by providers across settings to improve overall exp...

Pediatric outpatient referrals to a tertiary centre in Singapore: a 10-year review of referral characteristics and attendance patterns

Singapore, a high-income country with declining birth rates, operates a primary care–led referral system for pediatric specialist services. Understanding referral characteristics, waiting times and attendance rates are important for service planning and the efficient use of healt...

Automated Vision-Based Sensing of Paediatric Pain Using 2D-Facial Landmark Trajectories Derived from 3D Geometric Normalisation and a Spatial-Temporal Attention Long Short-Term Memory (STA-LSTM) Network

Background: Accurate pain assessment in children remains challenging because conventional behavioural assessment tools are subjective and provide only intermittent observations. This study evaluated a vision-based sensing system for automated paediatric pain detection using two-d...

Quality and concordance of international paediatric sepsis guidelines: a cross-sectional appraisal from the SENTINEL International study

Objectives To evaluate the methodological quality of hospital-specific paediatric sepsis clinical practice guidelines (CPGs) from sites participating in an international study using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool and to assess the consi...

Early adolescent self-harm: examining prevalence and risk factors in a multi-ethnic Asian birth cohort

Abstract Background Early adolescence marks a vulnerable developmental phase for the emergence of self-harm behaviours, which can potentially be life-threatening. However, the prevalence and risk factors of early adolescent self-harm, particularly in non-Western community-based p...