Grete Teilmann - Academia.edu (original) (raw)
Papers by Grete Teilmann
PubMed, Jun 21, 2021
During the COVID-19 pandemic, telemedicine and virtual consultations have been rapidly implemente... more During the COVID-19 pandemic, telemedicine and virtual consultations have been rapidly implemented in paediatrics all over the world. Previous and current studies have shown satisfaction with telemedicine, especially from a parental perspective. The largest barrier for implementation is technology. Some studies have found telemedicine equal to in-person visits. Only few studies have measured clinical outcomes, and the perspective of the child and adolescents as well as healthcare personal is rarely examined. There is a need of developing guidelines and education in paediatric telemedicine, as argued in this review.
PubMed, Oct 5, 2021
Introduction: Functional somatic symptoms are commonly encountered among paediatric patients. Eve... more Introduction: Functional somatic symptoms are commonly encountered among paediatric patients. Even so, little is known about the current treatment practice. We aimed to explore the current organisation of clinical care for children and adolescents with functional somatic symptoms in a hospital setting. Methods: A de novo questionnaire with 60 items about practice patterns for children and adolescents with functional somatic symptoms was developed, tested and distributed to all Danish paediatric departments. Results: All 19 paediatric departments in Denmark participated. Two departments had no available treatment programme, whereas the remaining 17 departments offered a treatment programme. Overall, substantial variation was reported in the number of patients in treatment, the composition of multidisciplinary teams and in the tasks and training of these teams. A future increase in paediatric patients with functional somatic symptoms was expected by 95% of the departments. Still, 59% reported a reduction in resources allocated to this group over the past five years. Two thirds of the departments expressed a need for clinical guidelines. Conclusions: Substantial variation was observed in the healthcare services offered to paediatric patients with functional somatic symptoms referred to the Danish hospital setting. Clinicians called for guidelines, which, in the light of the decreasing resources allocated and the increasing patient numbers, may help ensure a systematic approach and better quality of care for this patient group. FUNDING none. TRIAL REGISTRATOIN not relevant.
Pediatric Rheumatology, Sep 14, 2011
Journal of Adolescent Health
Danish medical journal, 2021
INTRODUCTION Functional somatic symptoms are commonly encountered among paediatric patients. Even... more INTRODUCTION Functional somatic symptoms are commonly encountered among paediatric patients. Even so, little is known about the current treatment practice. We aimed to explore the current organisation of clinical care for children and adolescents with functional somatic symptoms in a hospital setting. METHODS A de novo questionnaire with 60 items about practice patterns for children and adolescents with functional somatic symptoms was developed, tested and distributed to all Danish paediatric departments. RESULTS All 19 paediatric departments in Denmark participated. Two departments had no available treatment programme, whereas the remaining 17 departments offered a treatment programme. Overall, substantial variation was reported in the number of patients in treatment, the composition of multidisciplinary teams and in the tasks and training of these teams. A future increase in paediatric patients with functional somatic symptoms was expected by 95% of the departments. Still, 59% rep...
1 Department for Children and Adolescents, University of Copenhagen, Nordsjællands Hospital, Denm... more 1 Department for Children and Adolescents, University of Copenhagen, Nordsjællands Hospital, Denmark. 2 Center of Adolescent Medicine, Rigshospitalet, University of Copenhagen, Denmark 3 Department of Cardiology Endocrinology Nephrology, University of Copenhagen, Nordsjællands Hospital, Denmark. 4 Steno Diabetes Center, Gentofte, Denmark. 5 Childrens Department, Herlev Hospital, University of Copenhagen, Denmark
Ugeskrift for laeger, 2021
During the COVID-19 pandemic, telemedicine and virtual consultations have been rapidly implemente... more During the COVID-19 pandemic, telemedicine and virtual consultations have been rapidly implemented in paediatrics all over the world. Previous and current studies have shown satisfaction with telemedicine, especially from a parental perspective. The largest barrier for implementation is technology. Some studies have found telemedicine equal to in-person visits. Only few studies have measured clinical outcomes, and the perspective of the child and adolescents as well as healthcare personal is rarely examined. There is a need of developing guidelines and education in paediatric telemedicine, as argued in this review.
Diabetes Care, 2018
OBJECTIVE Type 1 diabetes is associated with an increased risk of psychiatric morbidities. We inv... more OBJECTIVE Type 1 diabetes is associated with an increased risk of psychiatric morbidities. We investigated predictors and diabetes outcomes in a pediatric population with and without psychiatric comorbidities. RESEARCH DESIGN AND METHODS Data from the Danish Registry of Childhood and Adolescent Diabetes (DanDiabKids) and National Patient Register were collected (1996–2015) for this population-based study. We used Kaplan-Meier plots to investigate whether age at type 1 diabetes onset and average glycated hemoglobin (HbA1c) levels during the first 2 years after onset of type 1 diabetes (excluding HbA1c at debut) were associated with the risk of being diagnosed with a psychiatric disorder. Mixed-effects linear and logistic regression models were used to analyze HbA1c, BMI, severe hypoglycemia (SH), or ketoacidosis as outcomes, with psychiatric comorbidities as explanatory factor. RESULTS Among 4,725 children and adolescents with type 1 diabetes identified in both registers, 1,035 were ...
Acta Paediatrica, 2018
AimAdolescence is a vulnerable period in cystic fibrosis, associated with declining lung function... more AimAdolescence is a vulnerable period in cystic fibrosis, associated with declining lung function. This study described, implemented and evaluated a transition programme for adolescents.MethodsWe conducted a single centre, nonrandomised and noncontrolled prospective programme at the cystic fibrosis centre at Copenhagen University Hospital Rigshospitalet from 2010 to 2011, assessing patients aged 12–18 at baseline and after 12 months. Changes implemented included staff training on communication, a more youth‐friendly feel to the outpatient clinic, the introduction of youth consultations partly alone with the adolescent, and a parents’ evening focusing on cystic fibrosis in adolescence. Lung function and body mass index (BMI) were measured monthly and adolescents were assessed for their readiness for transition and quality of life at baseline and 12 months.ResultsWe found that 40 (98%) of the eligible patients participated and youth consultations were successfully implemented with no ...
Diabetologia, Jan 14, 2017
The aim of this study was to investigate psychiatric morbidity following childhood onset of type ... more The aim of this study was to investigate psychiatric morbidity following childhood onset of type 1 diabetes. In a matched, population-based cohort study based on Danish national registers, we identified children and adolescents who had been diagnosed as an in- or outpatient with type 1 diabetes before the age of 18, and afterwards diagnosed with a psychiatric disorder (n = 5084). Control individuals were matched according to sex and date of birth (n = 35,588). The Cox proportional hazards model was used to assess associations between type 1 diabetes and the incidence of psychiatric disorders as well as the effects of age at onset and duration of type 1 diabetes on the risk of subsequently developing psychiatric morbidities. An increased risk of being diagnosed with mood disorders and anxiety, dissociative, eating, stress-related and somatoform disorders was observed in both sexes in the years following type 1 diabetes onset, with the highest risk observed five years or more after on...
NeoReviews, 2015
A newborn presents with marked swelling and discoloration around the right hip and thigh (Figure ... more A newborn presents with marked swelling and discoloration around the right hip and thigh (Figure 1). Figure 1. Newborn with marked swelling and discoloration around the right hip and thigh. ### Prenatal and Birth Histories ### Presentation Infant was discharged home and did well during the first week; she was well-appearing and feeding by demand every 3 to 4 hours. On day 8 a health visitor found a significant weight loss of 650 g. The infant was admitted to a local neonatal ward. She was moderately dehydrated with a sodium level of 160 mEq/L (160 mmol/L). There were no other significant clinical or laboratory findings, and the dehydration was thought to be caused by difficulties with breastfeeding. Oral rehydration was performed via nasogastric tube, and the infant was subsequently successfully transitioned to breastfeeding and discharged on day 15. On day 20 the parents noticed swelling and bluish discoloration of the infant’s right thigh, but she remained otherwise well. Four days later she held her leg in a fixed flexed position and she was crying during diaper changes. They consulted their general practitioner, who referred the infant to a neonatal intensive care unit. ### Vital Signs
Pediatric Rheumatology, 2011
BMC pediatrics, Jun 26, 2024
BMJ Open, 2021
IntroductionA physically active lifestyle during pregnancy improves maternal and offspring health... more IntroductionA physically active lifestyle during pregnancy improves maternal and offspring health but can be difficult to follow. In Denmark, less than 40% of pregnant women meet physical activity (PA) recommendations. The FitMum study aims to explore strategies to increase PA during pregnancy among women with low PA and assess the health effects of PA. This paper presents the FitMum protocol, which evaluates the effects of structured supervised exercise training or motivational counselling supported by health technology during pregnancy on PA level and health of mother and offspring.Methods and analysisA single-site three-arm randomised controlled trial that aims to recruit 220 healthy, pregnant women with gestational age (GA) no later than week 15 and whose PA level does not exceed one hour/week. Participants are randomised to one of three groups: structured supervised exercise training consisting of three weekly exercise sessions, motivational counselling supported by health tech...
The Social Sciences, 2021
The family represents the cause of as well as the solution to childhood overweight in many family... more The family represents the cause of as well as the solution to childhood overweight in many family-based childhood weight management interventions. Involving the family also entails involving the individual family members’ experiences with, attitudes towards, and understandings of obesity. This study explores how families with life-long experiences of overweight manage and experience a family-based childhood weight management intervention in Northern Zealand in Denmark. The analysis is focused on family narratives and their temporal character. The families’ narratives about overweight and past weight management interventions are crucial to how they understand and manage the present intervention. Additionally, the families expect the focus on weight management to continue to be a constant part of their everyday life. The paper concludes that the understanding of weight management in interventions should take its point of departure in the life-world, which the individual family creates...
Final Oral/Poster Number, Nov 1, 2019
PubMed, Jun 21, 2021
During the COVID-19 pandemic, telemedicine and virtual consultations have been rapidly implemente... more During the COVID-19 pandemic, telemedicine and virtual consultations have been rapidly implemented in paediatrics all over the world. Previous and current studies have shown satisfaction with telemedicine, especially from a parental perspective. The largest barrier for implementation is technology. Some studies have found telemedicine equal to in-person visits. Only few studies have measured clinical outcomes, and the perspective of the child and adolescents as well as healthcare personal is rarely examined. There is a need of developing guidelines and education in paediatric telemedicine, as argued in this review.
PubMed, Oct 5, 2021
Introduction: Functional somatic symptoms are commonly encountered among paediatric patients. Eve... more Introduction: Functional somatic symptoms are commonly encountered among paediatric patients. Even so, little is known about the current treatment practice. We aimed to explore the current organisation of clinical care for children and adolescents with functional somatic symptoms in a hospital setting. Methods: A de novo questionnaire with 60 items about practice patterns for children and adolescents with functional somatic symptoms was developed, tested and distributed to all Danish paediatric departments. Results: All 19 paediatric departments in Denmark participated. Two departments had no available treatment programme, whereas the remaining 17 departments offered a treatment programme. Overall, substantial variation was reported in the number of patients in treatment, the composition of multidisciplinary teams and in the tasks and training of these teams. A future increase in paediatric patients with functional somatic symptoms was expected by 95% of the departments. Still, 59% reported a reduction in resources allocated to this group over the past five years. Two thirds of the departments expressed a need for clinical guidelines. Conclusions: Substantial variation was observed in the healthcare services offered to paediatric patients with functional somatic symptoms referred to the Danish hospital setting. Clinicians called for guidelines, which, in the light of the decreasing resources allocated and the increasing patient numbers, may help ensure a systematic approach and better quality of care for this patient group. FUNDING none. TRIAL REGISTRATOIN not relevant.
Pediatric Rheumatology, Sep 14, 2011
Journal of Adolescent Health
Danish medical journal, 2021
INTRODUCTION Functional somatic symptoms are commonly encountered among paediatric patients. Even... more INTRODUCTION Functional somatic symptoms are commonly encountered among paediatric patients. Even so, little is known about the current treatment practice. We aimed to explore the current organisation of clinical care for children and adolescents with functional somatic symptoms in a hospital setting. METHODS A de novo questionnaire with 60 items about practice patterns for children and adolescents with functional somatic symptoms was developed, tested and distributed to all Danish paediatric departments. RESULTS All 19 paediatric departments in Denmark participated. Two departments had no available treatment programme, whereas the remaining 17 departments offered a treatment programme. Overall, substantial variation was reported in the number of patients in treatment, the composition of multidisciplinary teams and in the tasks and training of these teams. A future increase in paediatric patients with functional somatic symptoms was expected by 95% of the departments. Still, 59% rep...
1 Department for Children and Adolescents, University of Copenhagen, Nordsjællands Hospital, Denm... more 1 Department for Children and Adolescents, University of Copenhagen, Nordsjællands Hospital, Denmark. 2 Center of Adolescent Medicine, Rigshospitalet, University of Copenhagen, Denmark 3 Department of Cardiology Endocrinology Nephrology, University of Copenhagen, Nordsjællands Hospital, Denmark. 4 Steno Diabetes Center, Gentofte, Denmark. 5 Childrens Department, Herlev Hospital, University of Copenhagen, Denmark
Ugeskrift for laeger, 2021
During the COVID-19 pandemic, telemedicine and virtual consultations have been rapidly implemente... more During the COVID-19 pandemic, telemedicine and virtual consultations have been rapidly implemented in paediatrics all over the world. Previous and current studies have shown satisfaction with telemedicine, especially from a parental perspective. The largest barrier for implementation is technology. Some studies have found telemedicine equal to in-person visits. Only few studies have measured clinical outcomes, and the perspective of the child and adolescents as well as healthcare personal is rarely examined. There is a need of developing guidelines and education in paediatric telemedicine, as argued in this review.
Diabetes Care, 2018
OBJECTIVE Type 1 diabetes is associated with an increased risk of psychiatric morbidities. We inv... more OBJECTIVE Type 1 diabetes is associated with an increased risk of psychiatric morbidities. We investigated predictors and diabetes outcomes in a pediatric population with and without psychiatric comorbidities. RESEARCH DESIGN AND METHODS Data from the Danish Registry of Childhood and Adolescent Diabetes (DanDiabKids) and National Patient Register were collected (1996–2015) for this population-based study. We used Kaplan-Meier plots to investigate whether age at type 1 diabetes onset and average glycated hemoglobin (HbA1c) levels during the first 2 years after onset of type 1 diabetes (excluding HbA1c at debut) were associated with the risk of being diagnosed with a psychiatric disorder. Mixed-effects linear and logistic regression models were used to analyze HbA1c, BMI, severe hypoglycemia (SH), or ketoacidosis as outcomes, with psychiatric comorbidities as explanatory factor. RESULTS Among 4,725 children and adolescents with type 1 diabetes identified in both registers, 1,035 were ...
Acta Paediatrica, 2018
AimAdolescence is a vulnerable period in cystic fibrosis, associated with declining lung function... more AimAdolescence is a vulnerable period in cystic fibrosis, associated with declining lung function. This study described, implemented and evaluated a transition programme for adolescents.MethodsWe conducted a single centre, nonrandomised and noncontrolled prospective programme at the cystic fibrosis centre at Copenhagen University Hospital Rigshospitalet from 2010 to 2011, assessing patients aged 12–18 at baseline and after 12 months. Changes implemented included staff training on communication, a more youth‐friendly feel to the outpatient clinic, the introduction of youth consultations partly alone with the adolescent, and a parents’ evening focusing on cystic fibrosis in adolescence. Lung function and body mass index (BMI) were measured monthly and adolescents were assessed for their readiness for transition and quality of life at baseline and 12 months.ResultsWe found that 40 (98%) of the eligible patients participated and youth consultations were successfully implemented with no ...
Diabetologia, Jan 14, 2017
The aim of this study was to investigate psychiatric morbidity following childhood onset of type ... more The aim of this study was to investigate psychiatric morbidity following childhood onset of type 1 diabetes. In a matched, population-based cohort study based on Danish national registers, we identified children and adolescents who had been diagnosed as an in- or outpatient with type 1 diabetes before the age of 18, and afterwards diagnosed with a psychiatric disorder (n = 5084). Control individuals were matched according to sex and date of birth (n = 35,588). The Cox proportional hazards model was used to assess associations between type 1 diabetes and the incidence of psychiatric disorders as well as the effects of age at onset and duration of type 1 diabetes on the risk of subsequently developing psychiatric morbidities. An increased risk of being diagnosed with mood disorders and anxiety, dissociative, eating, stress-related and somatoform disorders was observed in both sexes in the years following type 1 diabetes onset, with the highest risk observed five years or more after on...
NeoReviews, 2015
A newborn presents with marked swelling and discoloration around the right hip and thigh (Figure ... more A newborn presents with marked swelling and discoloration around the right hip and thigh (Figure 1). Figure 1. Newborn with marked swelling and discoloration around the right hip and thigh. ### Prenatal and Birth Histories ### Presentation Infant was discharged home and did well during the first week; she was well-appearing and feeding by demand every 3 to 4 hours. On day 8 a health visitor found a significant weight loss of 650 g. The infant was admitted to a local neonatal ward. She was moderately dehydrated with a sodium level of 160 mEq/L (160 mmol/L). There were no other significant clinical or laboratory findings, and the dehydration was thought to be caused by difficulties with breastfeeding. Oral rehydration was performed via nasogastric tube, and the infant was subsequently successfully transitioned to breastfeeding and discharged on day 15. On day 20 the parents noticed swelling and bluish discoloration of the infant’s right thigh, but she remained otherwise well. Four days later she held her leg in a fixed flexed position and she was crying during diaper changes. They consulted their general practitioner, who referred the infant to a neonatal intensive care unit. ### Vital Signs
Pediatric Rheumatology, 2011
BMC pediatrics, Jun 26, 2024
BMJ Open, 2021
IntroductionA physically active lifestyle during pregnancy improves maternal and offspring health... more IntroductionA physically active lifestyle during pregnancy improves maternal and offspring health but can be difficult to follow. In Denmark, less than 40% of pregnant women meet physical activity (PA) recommendations. The FitMum study aims to explore strategies to increase PA during pregnancy among women with low PA and assess the health effects of PA. This paper presents the FitMum protocol, which evaluates the effects of structured supervised exercise training or motivational counselling supported by health technology during pregnancy on PA level and health of mother and offspring.Methods and analysisA single-site three-arm randomised controlled trial that aims to recruit 220 healthy, pregnant women with gestational age (GA) no later than week 15 and whose PA level does not exceed one hour/week. Participants are randomised to one of three groups: structured supervised exercise training consisting of three weekly exercise sessions, motivational counselling supported by health tech...
The Social Sciences, 2021
The family represents the cause of as well as the solution to childhood overweight in many family... more The family represents the cause of as well as the solution to childhood overweight in many family-based childhood weight management interventions. Involving the family also entails involving the individual family members’ experiences with, attitudes towards, and understandings of obesity. This study explores how families with life-long experiences of overweight manage and experience a family-based childhood weight management intervention in Northern Zealand in Denmark. The analysis is focused on family narratives and their temporal character. The families’ narratives about overweight and past weight management interventions are crucial to how they understand and manage the present intervention. Additionally, the families expect the focus on weight management to continue to be a constant part of their everyday life. The paper concludes that the understanding of weight management in interventions should take its point of departure in the life-world, which the individual family creates...
Final Oral/Poster Number, Nov 1, 2019