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Hospital Pediatrics

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https://www.readbyqxmd.com/read/28424245/oral-nutrition-in-children-with-bronchiolitis-on-high-flow-nasal-cannula-is-well-tolerated
#1
Anthony Alexander Sochet, Jessica Ann McGee, Tessie Wazeerah October
OBJECTIVES: To determine the incidence of aspiration-related respiratory failure and nutrition interruptions in children with bronchiolitis on high-flow nasal cannula (HFNC) receiving enteral nutrition. METHODS: We performed a single-center, prospective, observational cohort study within a 313-bed tertiary medical center from January through December 2015. We included term children 1 month to 2 years of age without comorbid bacterial pneumonia or chronic medical conditions who were diagnosed with bronchiolitis while receiving HFNC and enteral nutrition...
April 19, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28424244/children-with-bronchiolitis-on-high-flow-nasal-cannula-to-feed-or-not-feed-that-is-not-the-only-question
#2
Michael C Tracy, David N Cornfield
No abstract text is available yet for this article.
April 19, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28424243/nutrition-and-high-flow-nasal-cannula-respiratory-support-in-children-with-bronchiolitis
#3
Katherine N Slain, Natalia Martinez-Schlurmann, Steven L Shein, Anne Stormorken
OBJECTIVES: No guidelines are available regarding initiation of enteral nutrition in children with bronchiolitis on high-flow nasal cannula (HFNC) support. We hypothesized that the incidence of feeding-related adverse events (AEs) would not be associated with HFNC support. METHODS: This retrospective study included children ≤24 months old with bronchiolitis receiving HFNC in a PICU from September 2013 through April 2014. Data included demographics, respiratory support during feeding, and feeding-related AEs...
April 19, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28408388/hyponatremia-and-hypotonic-intravenous-fluids-are-associated-with-unfavorable-outcomes-of-bronchiolitis-admissions
#4
Steven L Shein, Katherine Slain, Natalia Martinez Schlurmann, Richard Speicher, Alexandre T Rotta
OBJECTIVES: Hyponatremia has been associated with unfavorable outcomes when present at admission in children with bronchiolitis. Delayed hyponatremia may be a modifiable risk factor for severe disease that is influenced by intravenous fluid (IVF) tonicity. We hypothesized that both hyponatremia and prescription of severely hypotonic IVF are associated with unfavorable outcomes, and that prescription of severely hypotonic IVF is associated with subsequent hyponatremia. METHODS: Data were retrospectively extracted for 1557 pediatric inpatients with bronchiolitis...
April 13, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28408387/how-to-improve-maintenance-intravenous-fluid-prescribing-practices-in-bronchiolitis
#5
Michael L Moritz, Juan C Ayus
No abstract text is available yet for this article.
April 13, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28400420/penny-for-your-thoughts-a-coin-in-the-stomach-why-did-it-get-stuck
#6
Asiya K Shakir, Faridali Ramji, Issam El Halabi
No abstract text is available yet for this article.
April 11, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28381595/rsv-hospitalizations-in-comparison-with-regional-rsv-activity-and-inpatient-palivizumab-administration-2010-2013
#7
Alexander F Glick, Stephanie Kjelleren, Annika M Hofstetter, Anupama Subramony
OBJECTIVES: To compare pediatric respiratory syncytial virus (RSV) hospitalizations in the United States to regional RSV activity and inpatient palivizumab administration. METHODS: We characterized inpatients, excluding newborns, with RSV from the Pediatric Health Information System (July 2010-June 2013). RSV regional activity timing was defined by the National Respiratory and Enteric Virus Surveillance System. RSV hospitalization season (defined by at least 3 SDs more than the mean regional baseline number of RSV hospitalizations for 3 consecutive weeks) was compared with RSV regional activity season (2 consecutive weeks with ≥10% RSV-positive testing)...
April 5, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28351944/defining-pediatric-chronic-critical-illness-for-clinical-care-research-and-policy
#8
Miriam C Shapiro, Carrie M Henderson, Nancy Hutton, Renee D Boss
Chronically critically ill pediatric patients represent an emerging population in NICUs and PICUs. Chronic critical illness has been recognized and defined in the adult population, but the same attention has not been systematically applied to pediatrics. This article reviews what is currently known about pediatric chronic critical illness, highlighting the unique aspects of chronic critical illness in infants and children, including specific considerations of prognosis, outcomes, and decision-making. We propose a definition that incorporates NICU versus PICU stays, recurrent ICU admissions, dependence on life-sustaining technology, multiorgan dysfunction, underlying medical complexity, and the developmental implications of congenital versus acquired conditions...
March 28, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28330941/nurse-driven-clinical-pathway-for-inpatient-asthma-a-randomized-controlled-trial
#9
Catherine M Pound, Victoria Gelt, Salwa Akiki, Kaylee Eady, Katherine Moreau, Franco Momoli, Barbara Murchison, Roger Zemek, Brett Mulholland, Tom Kovesi
OBJECTIVE: We examined the impact of a nurse-driven clinical pathway on length of stay (LOS) for children hospitalized with asthma. METHODS: We conducted a randomized controlled trial involving children hospitalized with asthma. Nurses of children in the intervention group weaned salbutamol frequency using an asthma scoring tool, whereas physicians weaned salbutamol frequency for the control group patients as per standard care. The primary outcome was LOS in hours...
March 22, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28325786/impact-on-hospital-resources-of-systematic-evaluation-and-management-of-suspected-nonaccidental-trauma-in-patients-less-than-4-years-of-age
#10
Bethann M Pflugeisen, Mauricio A Escobar, Dustin Haferbecker, Yolanda Duralde, Elizabeth Pohlson
OBJECTIVE: There has been an increasing movement worldwide to create systematic screening and management procedures for atypical injury patterns in children with the hope of better detecting and evaluating nonaccidental trauma (NAT). A legitimate concern for any hospital considering implementation of a systematic evaluation process is the impact on already burdened hospital resources. We hypothesized that implementation of a guideline that uses red flags related to history, physical, or radiologic findings to trigger a standardized NAT evaluation of patients <4 years would not negatively affect resource utilization at our level II pediatric trauma center...
March 21, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28292849/chasing-the-latest-rabbit-high-flow-nasal-cannula-and-bronchiolitis
#11
Brent A Mothner, Ricardo A Quinonez
No abstract text is available yet for this article.
March 14, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28280119/speaking-up-the-next-step-to-improving-health-care-worker-hand-hygiene
#12
W Matthew Linam
No abstract text is available yet for this article.
March 9, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28270431/routine-use-of-postoperative-acid-suppression-gi-prophylaxis-in-non-critically-ill-pediatric-appendectomy-patients
#13
Tatiana Gurevich-Panigrahi, Sarah Worley, Vera Hupertz, Lucy Andrews, Moises Auron
No abstract text is available yet for this article.
March 7, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28250095/evaluation-of-a-screening-program-to-detect-critical-congenital-heart-defects-in-newborns
#14
Rachel Klausner, Eugene D Shapiro, Robert W Elder, Eve Colson, Jaspreet Loyal
OBJECTIVES: To report the results of and to identify problems with implementing a screening program to detect critical congenital heart defects (CCHDs) in newborns by using differential pulse oximetry (POx). METHODS: Charts of all live-born infants from 4 Yale-New Haven health system hospitals in Connecticut between January 1 and December 31, 2014, were reviewed. RESULTS: Of 10 589 newborns, 171 (1.6%) underwent an echocardiogram before screening, 10 320 (97...
March 1, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28232377/using-quality-improvement-to-introduce-and-standardize-the-national-early-warning-score-news-for-adult-inpatients-at-a-children-s-hospital
#15
Erin E Conway-Habes, Brian F Herbst, Lori A Herbst, Benjamin Kinnear, Kristen Timmons, Deborah Horewitz, Rachel Falgout, Jennifer K O'Toole, Michael Vossmeyer
INTRODUCTION: The population of adults with childhood-onset chronic illness is growing across children's hospitals and constitutes a high risk population. National Early Warning Score (NEWS) is among the most recently validated adult early warning scores (EWSs) for early recognition of and response to clinical deterioration. Our aim was to implement and standardize NEWS scoring in 80% of patients age 21 and older admitted to a children's hospital. METHODS: Our intervention was tested on a single unit of our children's hospital...
February 23, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28223320/prime-time-for-primes
#16
Matthew Garber
No abstract text is available yet for this article.
February 21, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28223319/development-and-testing-of-the-pediatric-respiratory-illness-measurement-system-primes-quality-indicators
#17
Rita Mangione-Smith, Carol P Roth, Maria T Britto, Alex Y Chen, Julie McGalliard, Thomas F Boat, John L Adams, Elizabeth A McGlynn
OBJECTIVES: To develop and test quality indicators for assessing care in pediatric hospital settings for common respiratory illnesses. PATIENTS: A sample of 2796 children discharged from the emergency department or inpatient setting at 1 of the 3 participating hospitals with a primary diagnosis of asthma, bronchiolitis, croup, or community-acquired pneumonia (CAP) between January 1, 2010, and December 31, 2011. SETTING: Three tertiary care children's hospitals in the United States...
February 21, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28209637/the-impact-of-payer-source-on-trauma-outcomes-in-a-pediatric-population
#18
Felecia A Lee, Ashley M Hervey, Arash Sattarin, Aaron Deeds, Gina M Berg, Kimberly Molik
OBJECTIVES: Determine if there were differences in conclusions drawn regarding disparities in trauma outcomes based on literature-derived payer source definitions in a pediatric population. PATIENTS AND METHODS: Retrospective registry review of admitted pediatric trauma patients (≤17 years of age) at a level II pediatric trauma facility. Eligible patients were categorized into 3 payer source definitions: definition 1: commercially insured, Medicaid, uninsured; definition 2: insured, uninsured; definition 3: commercially insured, underinsured...
February 16, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28196831/child-and-adolescent-mental-health-repeat-visits-to-the-emergency-department-a-systematic-review
#19
REVIEW
Stephanie L Leon, Paula Cloutier, Christine Polihronis, Roger Zemek, Amanda S Newton, Clare Gray, Mario Cappelli
OBJECTIVES: Repeat visits represent up to 45% of mental health (MH) presentations to emergency departments (EDs) and are associated with higher health care costs. We aimed to synthesize available literature on predictors of pediatric MH repeat ED visits and differences between repeat visitors and nonrepeat visitors. METHODS: A systematic review was performed using PsycINFO, PubMed, and CINAHL databases. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement checklist...
February 14, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28183726/injury-region-and-risk-of-hospital-acquired-pneumonia-among-pediatric-trauma-patients
#20
Gretchen J Cutler, Anupam B Kharbanda, Jeffrey Nowak, Henry W Ortega
OBJECTIVE: To describe the relationship between injury region and risk of hospital-acquired pneumonia (HAP) in pediatric trauma patients. METHODS: Analyses included patients <19 years of age from the National Trauma Data Bank, during 2009-2011. Multivariable logistic regression was used to examine the association between injury region and odds of developing HAP stratified by age group. RESULTS: A total of 71 377 patients were eligible for analysis, and 1818 patients developed pneumonia...
February 9, 2017: Hospital Pediatrics
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