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Matthew L Yuknis, Elizabeth Weinstein, Hannah Maxey, Lori Price, Sierra X Vaughn, Tom Arkins, Brian D Benneyworth
: media-1vid110.1542/5789654354001PEDS-VA_2017-3082 Video Abstract BACKGROUND: Management of pediatric emergencies is challenging for ambulatory providers because these rare events require preparation and planning tailored to the expected emergencies. The current recommendations for pediatric emergencies in ambulatory settings are based on 20-year-old survey data. We aimed to objectively identify the frequency and etiology of pediatric emergencies in ambulatory practices. METHODS: We examined pediatric emergency medical services (EMS) runs originating from ambulatory practices in the greater Indianapolis metropolitan area between January 1, 2012, and December 31, 2014...
July 20, 2018: Pediatrics
Jaspreet Loyal, James A Taylor, Carrie A Phillipi, Neera K Goyal, Kelly E Wood, Carl Seashore, Beth King, Eve Colson, Veronika Shabanova, Eugene D Shapiro
BACKGROUND AND OBJECTIVE: Refusal of intramuscular (IM) vitamin K administration by parents is an emerging problem. Our objective was to assess the frequency of and factors associated with refusal of IM vitamin K administration in well newborns in the United States. METHODS: We determined the number of newborns admitted to well newborn units whose parents refused IM vitamin K administration in the Better Outcomes through Research for Newborns network and, in a nested patient-control study, identified factors associated with refusal of IM vitamin K administration by using a multiple logistic regression model...
July 20, 2018: Pediatrics
Sharon Levy, Michael D Campbell, Corinne L Shea, Robert DuPont
: media-1vid110.1542/5789654654001PEDS-VA_2017-3498 Video Abstract BACKGROUND AND OBJECTIVES: Adolescent substance use is a prevalent modifiable health behavior; understanding long-term trends is essential to inform prevention efforts and public health policy. We investigated changes in the proportion of substance nonuse among adolescents over a 40-year period and associations between abstinence and individual risk and protective factors. METHODS: Data from the nationally representative Monitoring the Future survey, administered 1975-2014, were analyzed to determine the annual proportion of abstinent students...
July 19, 2018: Pediatrics
Philip R Curtis, Jennifer R Frey, Cristina D Watson, Lauren H Hampton, Megan Y Roberts
CONTEXT: A large number of studies have shown a relationship between language disorders and problem behaviors; however, methodological differences have made it difficult to draw conclusions from this literature. OBJECTIVE: To determine the overall impact of language disorders on problem behaviors in children and adolescents between the ages of birth and 18 years and to investigate the role of informant type, age, and type of problem behavior on this relationship...
July 19, 2018: Pediatrics
Moira Szilagyi
No abstract text is available yet for this article.
July 18, 2018: Pediatrics
Can Liu, Bo Vinnerljung, Viveca Östberg, Karl Gauffin, Sol Juarez, Sven Cnattingius, Anders Hjern
OBJECTIVES: Adverse early-life experience may affect preterm delivery later in life through priming of stress response. We aim to investigate the links between out-of-home care (OHC) experience in childhood, as a proxy of severe adversities, on subsequent risk of preterm delivery. METHODS: A register-based national cohort of all women born in Sweden between 1973 and 1977 ( N = 175 821) was crosslinked with information on these women's subsequent deliveries as recorded in the Swedish medical birth register...
July 18, 2018: Pediatrics
H Hughes Evans, Sarah T Rice
No abstract text is available yet for this article.
July 17, 2018: Pediatrics
Mikko Hirvonen, Riitta Ojala, Päivi Korhonen, Paula Haataja, Kai Eriksson, Mika Gissler, Tiina Luukkaala, Outi Tammela
OBJECTIVES: Our aim was to determine and compare the incidences of sensory impairments among very preterm (VP) (<32 + 0/7 weeks), moderately preterm (MP) (32 + 0/7-33 + 6/7 weeks), late preterm (LP) (34 + 0/7-36 + 6/7 weeks), and term infants (≥37 weeks) and to establish risk factors of neurosensory disabilities. METHODS: This national register study included all live-born infants in Finland between 1991 and 2008. Infants who died before the age of 1 year, who had any major congenital anomaly, or had missing data were excluded ( n = 21 007; 2...
July 17, 2018: Pediatrics
Cecilia P Chung, S Todd Callahan, William O Cooper, William D Dupont, Katherine T Murray, Andrew D Franklin, Kathi Hall, Judith A Dudley, C Michael Stein, Wayne A Ray
BACKGROUND AND OBJECTIVES: Little is known about opioid prescribing for children without severe conditions. We studied the prevalence of and indications for outpatient opioid prescriptions and the incidence of opioid-related adverse events in this population. METHODS: This retrospective cohort study between 1999 and 2014 included Tennessee Medicaid children and adolescents aged 2 to 17 without major chronic diseases, prolonged hospitalization, institutional residence, or evidence of a substance use disorder...
July 16, 2018: Pediatrics
Elliot J Krane, Steven J Weisman, Gary A Walco
No abstract text is available yet for this article.
July 16, 2018: Pediatrics
Catherine B Kemp, Claire Adams Spears, Terry F Pechacek, Michael P Eriksen
BACKGROUND: Given the changing landscape of tobacco products in recent years, the array of products through which children could be exposed to nicotine has grown substantially. Thus, it is particularly important to understand adults' perceptions of the harms of nicotine to children and to identify any sociodemographic factors related to inaccurate risk perceptions. METHODS: Data were drawn from 2015 to 2016 US nationally representative surveys ( n = 11 959). Using multinomial logistic regression analyses, we examined whether race, sex, education, tobacco product use, and having a minor child in the home are associated with the level of perceived harmfulness of nicotine to children...
July 16, 2018: Pediatrics
David C Stockwell, Christopher P Landrigan, Sara L Toomey, Samuel S Loren, Jisun Jang, Jessica A Quinn, Sepideh Ashrafzadeh, Michelle J Wang, Melody Wu, Paul J Sharek, David C Classen, Rajendu Srivastava, Gareth Parry, Mark A Schuster
: media-1vid110.1542/5789657761001PEDS-VA_2017-3360 Video Abstract BACKGROUND: Patient safety concerns over the past 2 decades have prompted widespread efforts to reduce adverse events (AEs). It is unclear whether these efforts have resulted in reductions in hospital-wide AE rates. We used a validated safety surveillance tool, the Global Assessment of Pediatric Patient Safety, to measure temporal trends (2007-2012) in AE rates among hospitalized children. METHODS: We conducted a retrospective surveillance study of randomly selected pediatric inpatient records from 16 teaching and nonteaching hospitals...
July 13, 2018: Pediatrics
Ricardo A Quinonez, Alan R Schroeder
No abstract text is available yet for this article.
July 13, 2018: Pediatrics
Outi Riihimäki, Marjo Metsäranta, Jorma Paavonen, Tiina Luukkaala, Mika Gissler, Sture Andersson, Mika Nuutila, Minna Tikkanen
BACKGROUND AND OBJECTIVES: Placental abruption causes asphyxia and leads to high perinatal mortality. Our objective was to study the overall mortality and causes of death among children born after placental abruption. METHODS: Data on children born from singleton pregnancies complicated by placental abruption between 1987 and 2005 were collected from the Finnish Medical Birth Register, the Hospital Discharge Register, and the Cause-of-Death Register. A reference group consisted of children born from pregnancies without placental abruption...
July 12, 2018: Pediatrics
Marina Ybarra, Tiago Jeronimo Dos Santos, Claudia Teixeira Cabido Pinheiro, Vaê Dichtchekenian, Durval Damiani
Transient hypothyroidism can present itself as clinically asymptomatic or with few symptoms. Early treatment with levothyroxine (L-T4) prevents complications related to this disorder. We report a case of a male infant with concomitant short bowel syndrome and transient hypothyroidism treated with rectal L-T4. A 4-month-and-10-day-old boy with previous gastroschisis underwent multiple surgical approaches for small bowel resection and developed short bowel syndrome. We suspected hypothyroidism because of jaundice (direct bilirubin up to 59 mg/dL), the absence of evacuation, oral diet intolerance, and intestinal dysmotility...
July 12, 2018: Pediatrics
Caroline S Watnick, Donald H Arnold, Richard Latuska, Michael O'Connor, David P Johnson
OBJECTIVES: Implementation of an asthma clinical practice guideline did not achieve desired chest radiograph (CXR) usage goals. We attempt to use quality improvement methodology to decrease the percentage of CXRs obtained for pediatric patients with acute asthma exacerbations from 29.3% to <20% and to evaluate whether decreases in CXR use are associated with decreased antibiotic use. METHODS: We included all children ≥2 years old at our children's hospital with primary billing codes for asthma from May 2013 to April 2017...
July 11, 2018: Pediatrics
Ryan J Coller, Thomas S Klitzner, Carlos F Lerner, Bergen B Nelson, Lindsey R Thompson, Qianqian Zhao, Adrianna A Saenz, Siem Ia, Jessica Flores-Vazquez, Paul J Chung
OBJECTIVES: We sought to examine the effect of a caregiver coaching intervention, Plans for Action and Care Transitions (PACT), on hospital use among children with medical complexity (CMC) within a complex care medical home at an urban tertiary medical center. METHODS: PACT was an 18-month caregiver coaching intervention designed to influence key drivers of hospitalizations: (1) recognizing critical symptoms and conducting crisis plans and (2) supporting comprehensive hospital transitions...
July 11, 2018: Pediatrics
Behnam Sadeghirad, Rebecca L Morgan, Dena Zeraatkar, Adriana M Zea, Rachel Couban, Bradley C Johnston, Ivan D Florez
CONTEXT: Human and bovine colostrum (HBC) administration has been linked to beneficial effects on morbidity and mortality associated with necrotizing enterocolitis (NEC). OBJECTIVES: To determine the effectiveness and safety of HBC for reducing NEC, mortality, sepsis, time to full-feed and feeding intolerance in preterm infants. DATA SOURCES: We conducted searches through Medline, Embase, Cumulative Index of Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, and gray literature...
July 10, 2018: Pediatrics
Nia Heard-Garris, Tyler N A Winkelman, Hwajung Choi, Alex K Miller, Kristin Kan, Rebecca Shlafer, Matthew M Davis
OBJECTIVES: To determine if longitudinal associations exist between parental incarceration (PI) and health care use or health behaviors among a national sample of young adults. METHODS: We used the National Longitudinal Survey of Adolescent to Adult Health to examine associations between history of mother incarceration (MI) and father incarceration (FI), health care use, and 3 dimensions of health behaviors (eg, general health behaviors, substance use, and other risky behaviors) ( N = 13 084)...
July 9, 2018: Pediatrics
Christopher P Landrigan
No abstract text is available yet for this article.
July 9, 2018: Pediatrics
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