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Clin Assoc Prof Chong Shu-Ling

Clin Assoc Prof Chong Shu-Ling


Senior Staff Physician

KK Women's and Children's Hospital

Specialty: Paediatric Emergency Medicine

Clinical Appointments

  • Senior Staff Physician Children's Emergency KK Women's and Children's HospitalKK Women's and Children's Hospital


Dr Chong Shu-Ling is a Clinician-Researcher interested in clinical prediction rules in the paediatric Emergency Department, sepsis and acquired brain injury.


  • Master of Public Health, MPH (Harvard Chan School of Public Health) 2017
  • Master of Clinical Investigation, MCI (Yong Loo Lin School of Medicine, National University of Singapore) 2016
  • MRCPCH (UK) 2009
  • MBBS 2005

Professional Appointments and Committee Memberships

  • Pediatric Acute & Critical Care Medicine Asian Network (PACCMAN) – Member, Principal Investigator for Traumatic Brain Injury
  • Executive Committee, Research, Emergency Medicine Education and Research by Global Experts (EMERGE)
  • Faculty, SingHealth Duke-NUS Global Health Institute (SDGHI)
  • Faculty, Pre-hospital & Emergency Research Centre (PERC)
  • Faculty, National Assembly of Pediatric Emergency Medicine (NAPEM, India)
  • Member, Pediatric Emergency Medicine Special Interest Group (PEMSIG) (subgroup of International Federation of Emergency Medicine, IFEM)


  • A novel approach to identify Serious Bacterial Infections (SBIs) among febrile young infants: the Serious bacterial Infections in Febrile infants Toolkit (SIFT), NMRC-TA, 2022
  • Rapid Triage for Serious Infections in Infants Younger than 3 Months using A Novel Heart Rate Variability Tool, NMRC-IRG-NIG, 2019
  • Does 3% hypertonic saline decrease mortality and improve long-term neurological outcomes among children with traumatic brain injury? SingHealth Foundation Transition Project Award, 2018

Research Interests

  • Clinical Prediction Rules in the Paediatric Emergency Department
  • Traumatic Brain Injury in Children


  • A Multicenter Study on the Clinical Characteristics and Outcomes Among Children With Moderate to Severe Abusive Head Trauma.
    Yock-Corrales A, Lee JH, Domínguez-Rojas JÁ, Caporal P, Roa JD, Fernandez-Sarmiento J, González-Dambrauskas S, Zhu Y, Abbas Q, Kazzaz Y, Dewi DS, Chong SL; Pediatric Acute and Critical Care Medicine Asian Network (PACCMAN) and Red Colaborativa Pediátrica de Latino America (LARed) Networks.J Pediatr Surg. 2023 Sep 30:S0022-3468(23)00576-6. doi: 10.1016/j.jpedsurg.2023.09.038.
  • Febrile infants risk score at triage (FIRST) for the early identification of serious bacterial infections. Chong SL, Niu C, Ong GY, Piragasam R, Khoo ZX, Koh ZX, Guo D, Lee JH, Ong MEH, Liu N.Sci Rep. 2023 Sep 22;13(1):15845. doi: 10.1038/s41598-023-42854-z.
  • A multicenter observational study on outcomes of moderate and severe pediatric traumatic brain injuries-time to reappraise thresholds for treatment.
    Qadri SK, Lee JH, Zhu Y, Caporal P, Roa G JD, González-Dambrauskas S, Yock-Corrales A, Abbas Q, Kazzaz Y, Shi L, Sri Dewi D, Chong SL; Pediatric Acute, Critical Care Medicine Asian Network (PACCMAN); Pediatric collaborative Latin American network (LARed).Acta Neurochir (Wien). 2023 Nov;165(11):3197-3206. doi: 10.1007/s00701-023-05741-0. Epub 2023 Sep 20.
  • Effective diagnosis of sepsis in critically ill children using probabilistic graphical model. Nguyen TM, Poh KL, Chong SL, Lee JH. Transl Pediatr. 2023 Apr 29;12(4):538-551. doi: 10.21037/tp-22-510. Epub 2023 Apr 4.
  • International perspective on research priorities and outcome measures of importance in the care of children with acute exacerbations of asthma: a qualitative interview study.
    Gray CS, Xu Y, Babl FE, Dalziel S, Powerll CVE, Chong SL, Roland D, Lyttle MD, Fernandes RM, Benito J, Johnson M, Yock-Corrales A, Santhanam I, Schuch S, Cheema B, Couper J, Craig S; Pediatric Emergency Research Network (PERN) BMJ Open Respir Res 2023;10:e001502
  • Gastrointestinal transit time of radiopaque ingested foreign bodies in children: experience of two paediatric tertiary centres.
    Ang CX, Mun WK, Aw MM, Lin D, Chong SL, Ong LY, Nah SA. Singapore Med J. 2023 Apr 25. doi: 10.4103/singaporemedj.SMJ-2021-408. Online ahead of print.
  • Early metabolic derangements and unfavorable outcomes in pediatric traumatic brain injury: a retrospective multi-center cohort study.
    Yao S, Chong SL, Allen JC, Dang H, Ming M, Chan LCN, Gan CS, Ji J, Fan L, Kurosawa H, Lee JH. Transl Pediatr. 2023 Mar 31;12(3):344-353. doi: 10.21037/tp-22-443. Epub 2023 Mar 9.
  • Impact of SARS-CoV-2 Infection on the Association Between Laboratory Tests and Severe Outcomes Among Hospitalized Children.
    Xie J, Kuppermann N, Florin TA, Tancredi DJ, Funk AL, Kim K, Salvadori MI, Yock-Corrales A, Shah NP, Breslin KA, Chaudhari PP, Bergmann KR, Ahmad FA, Nebhrajani JR, Mintegi S, Gangoiti I, Plint AC, Avva UR, Gardiner MA, Malley R, Finkelstein Y, Dalziel SR, Bhatt M, Kannikeswaran N, Caperell K, Campos C, Sabhaney VJ, Chong SL, Lunoe MM, Rogers AJ, Becker SM, Borland ML, Sartori LF, Pavlicich V, Rino PB, Morrison AK, Neuman MI, Poonai N, Simon NE, Kam AJ, Kwok MY, Morris CR, Palumbo L, Ambroggio L, Navanandan N, Eckerle M, Klassen TP, Payne DC, Cherry JC, Waseem M, Dixon AC, Ferre IB, Freedman SB. Open Forum Infect Dis. 2023 Oct 3;10(10):ofad485. doi: 10.1093/ofid/ofad485. eCollection 2023 Oct.PMID: 37869403
  • Risk Factors for Ankle Fractures in Asian Adolescents Seen in a Pediatric Emergency Department. Cher W, Quek SE, Badron J, Feng J, Ong GY, Lee KP, Chong SL. Pediatr Emerg Care. 2022 Dec 1;38(12):672-677. doi: 10.1097/PEC.0000000000002609. Epub 2022 Jan 24.PMID: 36449737
  • The Emergency Medicine Education and Research by Global Experts (EMERGE) Network: Challenges and Lessons Learned.
    Mahajan P, Chong SL; EMERGE Network; Kumar VA, Batra P, Belle A, Bloom B, Chaou CH, Ekelund U, Galwankar S, Kaartinen J, Krishnan V, Ma Q, Middleton PM, Morais AM, Ng CJ, Osei-Kwame D, Roth D, Sawaya R, Singh S, Sinha TP, Vasnaik M, Walker K, Yock A.West J Emerg Med. 2022 Oct 18;23(6):947-951. doi: 10.5811/westjem.2022.7.56398.PMID: 36409945
  • Child passenger safety training for healthcare professionals in Singapore.
    Tan RMR, Sherwood SA, Kavalloor NV, Feng JXY, Tyebally A, Chong SL. Ann Acad Med Singap. 2022 Oct;51(10):657-660. doi: 10.47102/annals-acadmedsg.2022169.PMID: 36317578
  • Validation and comparison of the PECARN rule, Step-by-Step approach and Lab-score for predicting serious and invasive bacterial infections in young febrile infants.
    Sutiman N, Khoo ZX, Ong GYK, Piragasam R, Chong SL. Ann Acad Med Singap. 2022 Oct;51(10):595-604. doi: 10.47102/annals-acadmedsg.2022193.PMID: 36317570
  • Non-motorised active mobility device use by children in Singapore: Injury patterns and risk factors for severe injury.
    Chia AZH, Chong SL, Ganapathy S.Ann Acad Med Singap. 2022 Sep;51(9):531-539. doi: 10.47102/annals-acadmedsg.202247.PMID: 36189698
  • Long-Term Outcomes after Non-Traumatic Out-of-Hospital Cardiac Arrest in Pediatric Patients: A Systematic Review.
    Ng ZHC, Ho SJ, Caleb T, Yaow CYL, Teoh SE, Tham LP, Ong MEH, Chong SL, Ho AFW.J Clin Med. 2022 Aug 26;11(17):5003. doi: 10.3390/jcm11175003.PMID: 36078931
  • Post-COVID-19 Conditions Among Children 90 Days After SARS-CoV-2 Infection.
    Funk AL, Kuppermann N, Florin TA, Tancredi DJ, Xie J, Kim K, Finkelstein Y, Neuman MI, Salvadori MI, Yock-Corrales A, Breslin KA, Ambroggio L, Chaudhari PP, Bergmann KR, Gardiner MA, Nebhrajani JR, Campos C, Ahmad FA, Sartori LF, Navanandan N, Kannikeswaran N, Caperell K, Morris CR, Mintegi S, Gangoiti I, Sabhaney VJ, Plint AC, Klassen TP, Avva UR, Shah NP, Dixon AC, Lunoe MM, Becker SM, Rogers AJ, Pavlicich V, Dalziel SR, Payne DC, Malley R, Borland ML, Morrison AK, Bhatt M, Rino PB, Beneyto Ferre I, Eckerle M, Kam AJ, Chong SL, Palumbo L, Kwok MY, Cherry JC, Poonai N, Waseem M, Simon NJ, Freedman SB; Pediatric Emergency Research Network–COVID-19 Study Team.JAMA Netw Open. 2022 Jul 1;5(7):e2223253. doi: 10.1001/jamanetworkopen.2022.23253.PMID: 3586706
  • Abusive head injury in the very young: outcomes from a Singapore children's hospital.
    Primalani NK, Chan YH, Ng ZM, Chong SL, Seow WT, Loh LE, Mok YH, Low SYY.Childs Nerv Syst. 2022 Jul 18. doi: 10.1007/s00381-022-05572-x. Online ahead of print.PMID: 35851614
  • Do paediatric early warning systems reduce mortality and critical deterioration events among children? A systematic review and meta-analysis.
    Chong SL, Goh MSL, Ong GY, Acworth J, Sultana R, Yao SHW, Ng KC; International Liaison Committee on Resuscitation (ILCOR) and ILCOR Pediatric Life Support Task Force.Resusc Plus. 2022 Jun 29;11:100262. doi: 10.1016/j.resplu.2022.100262. eCollection 2022 Sep.PMID: 35801231
  • Contemporary Trends in Global Mortality of Sepsis Among Young Infants Less than 90 Days: A Systematic Review and Meta-Analysis.
    Gam MY, Lee WL, Yap BJ, Seethor STT, Greenberg RG, Pek JH, Tan B, Hornik CPV, Lee JH, Chong SL. Front Pediatr. 2022 Jun 3;10:890767
  • Moderate Pediatric Traumatic Brain Injury: What is the Best Way Forward?
    Chong SL, Quek SE, Lee JH. Pediatr Crit Care Med 2022;23:e300-301
  • Delays in Time-to-Antibiotics for Young Febrile Infants with Serious Bacterial Infections: A Prospective Single-Center Study
    Yang J, Ong WJ, Piragasam R, Allen JC, Lee JH, Chong SL. Fron Pediatr. 2022;10:873043
  • Slowing down in the fast lane: could this be sinus tachycardia>
    Man SY, Choo JTL, Chong SL, Tan RMR. Singapore Med J. 2022;65:10-13
  • Pyrexia in a young infant – is height of fever associated with serious bacterial infection?
    Tan VSR, Ong GY, Lee KP, Ganapathy S, Chong SL. BMC Pediatr 2022; 22:188
  • Outcomes of SARS-COV-2-Positive Youths Tested in Emergency Departments: The Global PERN-COVID-19 Study
    Funk AL, Florin TA, Kupperman N et al. Pediatric Emergency Research Network –COVID-19 Study Team. JAMA Net Open 2022;5:e2142322
  • Early prediction of serious infections in febrile infants incorporating heart rate variability in an emergency department: a pilot study.*
    Chong SL, Ong GY, Allen JC et al. Emerg Med J. 2021. doi: 10.1136/emermed-2020-210675
  • Heart rate n-variability (HRnV) measures for prediction of mortality in sepsis patients presenting at the emergency department*
    Liu N, Chee ML, Foo MZQ, Pong JZ, Guo D, Koh ZX, Ho AFW, Niu C, Chong SL, Ong MEH. PLoS One.2021;16:e0249868
  • Predictors of serious bacterial infections using serum biomarkers in an infant population aged 0 to 90 days: a prospective cohort study*
    Chang SSY, Lim AZ, Ong GYK, R Piragasam, JC Allen, KC Ng, I Maconochie, Chong SL. BMJ Paediatrics Open 2021;5:e000861. doi:10.1136/bmjpo-2020-000861
  • The impact of Traumatic Brain Injury on Neurocognitive Outcomes in Children: a Systematic Review and Meta-analysis
    Goh MSL, Looi DSH, Goh JL, Sultana R, Goh SSM, Lee JH, Chong SL. J Neurol Neurosurg Psychiatry.2021. doi: 10.1136/jnnp-2020-325066
  • Early Coagulopathy in Pediatric Traumatic Brain Injury: A Pediatric Acute and Critical Care Medicine Asian Network (PACCMAN) Retrospective Study
    Chong SL, Ong GY, Zheng CQ et al. Neurosurgery. 2021. doi:10.1093/neuros/nyab157 Early posttraumatic seizures in pediatric traumatic brain injury: a multicentre analysis.
    Chong SL, Suyun Qian, SHW Yao, JC Allen, HX Dang, LCN Chan, MX Ming, CS Gan, JSM Ong, H Kurosawa, JH Lee. J Neurosurg Pediatr.2021;29:1-7
  • Common diagnoses among pediatric attendances at emergency departments*
    Yoong SYC, Ang PH, Chong SL, et al. BMC Pediatr. 2021;21:172
  • Differences in intubation outcomes for pediatric patients between pediatric and general Emergency Departments
    To YH, Ong YG, Chong SL, et al. Paediatr Anaesth.2021;31:713-719
  • Psychosocial impact of the COVID-19 pandemic on paediatric healthcare workers
    Kirk AHP, Chong SL, Kam KQ, et al. Ann Acad Med Singap. 2021;50:203-211
  • Traumatic Brain Injury Outcomes in 10 Asian Pediatric ICUs: A Pediatric Acute and Critical Care Medicine Asian Network Retrospective Study. ¬Chong SL, Dang H, Ming M, Mahmood M, Zheng CQS, Gan CS, Lee OPE, Ji J, Chan LCN, Ong JSM, Kurosawa H, Lee JH; Pediatric Acute & Critical Care Medicine Asian Network (PACCMAN). Pediatr Crit Care Med. 2020 doi:10.1097/PCC.0000000000002575. Online ahead of print
  • Timing of tracheal intubation on mortality and duration of mechanical ventilation in critically ill children: A propensity score analysis. Chong SL, Dang TK, Loh TF, Mok YH, Bin Mohamed Atan MS, Montanex E, Lee JH, Feng M. Pediatr Pulmonol. 2020 Aug 14. Online ahead of print
  • Analysis of emergency department prediction tools in evaluating febrile young infants at risk for serious infections. SHW Yao, Ong YKG, I Maconochie, KP Lee, Chong SL. Emerg Med J 2019. doi:10.1136/emerned-2018-208210
  • Global resuscitation alliance consensus recommendations for developing emergency care systems: Reducing perinatal mortality. Chong SL, Laerdal T, Cordero J, Khursheed M, Haedar A, cai W, Nadarajan GD, Ho AFW, Pek PP< Chan SKT, Ong MEH. Resuscitation 2018; 133:71-74
  • Epidemiology of Pedestrian-Motor Vehicle Fatalities and Injuries, 2006-2015. Chong SL, Chiang LW, Allen JC Jr, Fleegler EW, Lee LK. Am J Prev Med. 2018 Jul;55(1):98-105. doi: 10.1016/j.amepre.2018.04.005.
  • Pediatric Preparedness of the Emergency Departments. Ang PH, Chong SL, Ong YG, Pek JH. Pediatr Emerg Care. 2020 Oct 8 doi:10.1097/PEC.0000000000002257. Online ahead of print
  • Assessment of the Understanding of Concussion and Care Protocols Amongst Student Athletes and Coaches: A Qualitative Study. Subramaniam A, Tan RMR, Chan D, Ng ZM, Dong CY, Feng JXY, Chong SL. Front Pediatr. 2020 Sep 24;8:526986
  • Protocol for a systematic review and meta-analysis of long-term neurocognitive outcomes in paediatric traumatic brain injury. Looi DSH, Goh SSM, Goh JL, Sultana R, Lee JH, Chong SLBMJ Open 2020;10:e035513 
  • Neurocognitive impairment after neonatal sepsis: protocol for a systematic review and meta-analysis Pek JH, Yap BJ, Gan MY, Seethor STT, Greenberg R, Hornik CPV, Tan B, Lee JH, Chong SLBMJ Open 1010;`0:e038816
  • Dynamic adaptation to COVID-19 in a Singapore paediatric emergency department. Tan RMR, Ong GY, Chong SL, Ganapathy S, Tyebally A, Lee KP. Emerg Med J. 2020;37(5);252-254
  • Early coagulopathy in children with isolated blunt head injury is associated with mortality and poor neurological outcomes. James V, Chong SL, Shetty SS, Ong GY. [published online ahead of print, 2020 Mar 6] J Neurosurg Pediatr. 2020;1-7
  • Long term outcomes in children with moderate to severe traumatic brain injury: a single-centre retrospective study. Hwang SY, Ong JW, Ng ZM, Foo CY, Chua SZ, D Sri, Lee JH and Chong SL. Brain Inj 2019. doi: 10.1080/02699052.2019.1641625
  • Evaluation of the criteria for trauma activation in the paediatric emergency department Pek JH, Ong YKG, Quek ECS, Feng XYJ, JA Carson, Chong SL. Emerg Med J 2019;0:1-6. doi:10.1136/emermed-2018-207857
  • Parental knowledge and beliefs on the use of child car restraints in Singapore: a qualitative study RMR Tan, CY Dong, Shen QY, Feng XYJ, R Piragasam, A Tyebally, Chong SL. Singapore Med J 2019.1-19.
  • Global resuscitation alliance utstein recommendations for developing emergency care systems to improve cardiac arrest survival. Nadarajan GD, Tiah L, Ho AFW, Azazh A, Castren MK, Chong SL, El Sayed MJ, Hara T, Leong BS, Lippert FK, Ma MHM, Ng YY, Ohn HM, Overton J, Pek PP, Perret S, Wallis LA, Wong KD, Ong MEH Resuscitation 2018;132: 85-89
  • Nasal high-mobility group box 1 and caspase in bronchiolitis. Chong SL, Lai OF, Castillo L, Yeo JG, Nadkarni N, Teoh OH, Lee JH. Pediatr Pulmonol 2018;53:1627 – 1632
  • Risk of Serious Infections Associated with Biologic Agents in Juvenile Idiopathic Arthritis: A Systematic Review and Meta-Analyses. Aeschlimann FA, Chong SL, Lyons TW, Beinvogl BC, Goez-Mogolion LM, Tan S, Laxer RM. J Pediatr 2018;204:162 – 171
  • A novel heart rate variability based risk prediction model for septic patients presenting to the emergency department. Samsudin MI, Liu N, Prabhakar SM, Chong SL, Kit Lye W, Koh ZX, Guo D, Rajesh R, Ho AFW, Ong MEH. Medicine (Baltimore). 2018 Jun;97(23):e10866.
  • A retrospective review of vital signs and clinical outcomes of febrile infants younger than 3 months old presenting to the emergency department. Chong SL, Ong GY, Chin WYW, Chua JM, Nair P, Ong ASZ, Ng KC, Maconochie I. PLoS One. 2018 Jan 5;13(1):e0190649. doi: 10.1371/journal.pone.0190649.

Research Trials