Lilly Proctor
1 May 2024 · Coroner Oliver Longstaff · West Yorkshire (Eastern)
The coroner's concerns
1. lack of child-specific screening tool for pulmonary thromboembolism
“no child-specific screening tool is available in the UK and no existing screening tool for use in the adult population has been validated for use in children in the UK”
Responses
2024-0237-Response-from-NICE.pdf ↗· National Institute for Health and Care Excellence
Stated action
“Following receipt of your report, senior clinical advisors within the patient safety team at NICE have reviewed the concerns raised. They have advised that incidence of VTE in children is low -1.4-2.1 cases per 100,000 children per year. This is much lower than the incidence in adults. In children, the most common risk factors for VTE are the presence of a central venous catheter (CVC) or conditions such as congenital cardiac disease. Other risk factors include inherited hypercoagulable state (as”
2024-0237-Response-from-RCPCH.pdf ↗· National Institute for Health and Care Excellence
Stated action
“We would look to the National Institute for Healthcare Excellence to take a lead on this work to help develop a further evidence base or consensus guidance in this complex area of clinical practice.”
Stated action
“RCPCH are currently reviewing our Emergency Care Standards and the information within your report has been shared with our Emergency Care Committee to inform this work.”