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A retrospective analysis of infantile haemangioma referrals: a comparison with the IH European Task Force ‘Infantile Haemangioma Referral Score’

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Abstract

Background

Infantile haemangiomas (IH) are common vascular tumours of infancy that can have significant complications. The IH European Task Force developed the IH Referral Score (IHReS) to help non-specialists quickly identify IH that need to be referred to optimise outcomes in high-risk lesions.

Aims

The aim of this study was to assess the quality of IH referrals to a national care centre and compare the IH referred to the IHReS tool.

Methods

This was a retrospective cross-sectional study that collected data from a random sample of 56 IH patients over a 13-month period.

Results

Less than 10% included a photograph (8.93%) and a minority of referrals included if there were complications including ulceration (1.79%) or function threatening (8.93%). Three-quarters of patients satisfied the IHReS criteria.

Conclusion

The IHReS screening tool is a convenient and efficient resource for non-experts to identify children who require referral to a specialist centre.

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Data availability

The data underlying this article will be shared on reasonable request to the corresponding 24 author.

References

  1. Krowchuk DP, Frieden IJ, Mancini AJ et al (2019) Clinical practice guideline for the management of infantile hemangiomas. Pediatrics 143(1)

  2. Sadlier M, Watson R (2018) Paediatric dermatology, 8th ed. Oxford University Press

  3. Surlis T, De Sa Reilly H, Sadlier M, Nelson J (2022) Infantile haemangiomas. BMJ 378. Available from: https://www.bmj.com/content/378/bmj-2021-068734

  4. Zvulunov A, McCuaig C, Frieden IJ et al (2011) Oral propranolol therapy for infantile hemangiomas beyond the proliferation phase: a multicenter retrospective study. Pediatr Dermatol. 28(2):94–8. Available from: https://doi.org/10.1111/j.1525-1470.2010.01379.x

  5. Léauté-Labrèze C, Torres EB, Weibel L et al (2020) The infantile hemangioma referral score: a validated tool for physicians. Pediatrics 145(4)

  6. Fagan N, Sadlier M (2021) Infantile haemangiomas – when to worry. Guidance on referrals to secondary care. Available from: https://www.medicalindependent.ie/update-journal-dermatology/

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Funding

The work of N.F. on this project was facilitated by the Irish INE‐NDTP Academic Track Internship programme.

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Authors

Corresponding author

Correspondence to Nicole Fagan.

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Ethics approval

Data used in this project received an exemption from full ethical review for research study and was granted approval from the University College of Dublin School of Medicine UTMREC-SM under reference number UTMREC-SM-E-PG-20–2-Fagan-Carroll.

Conflict of interest

The authors declare no competing interests.

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Fagan, N., Nic Dhonncha, E. & Sadlier, M. A retrospective analysis of infantile haemangioma referrals: a comparison with the IH European Task Force ‘Infantile Haemangioma Referral Score’. Ir J Med Sci 193, 1291–1293 (2024). https://doi.org/10.1007/s11845-023-03556-7

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  • DOI: https://doi.org/10.1007/s11845-023-03556-7

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