Use the keywords feature with a free QxMD account.
Use Read by QxMD to access full text via your institution or open access sources.
Read also provides personalized recommendations to keep you up to date in your field.
Existing User
Sign InNew to Read
Sign Up#21
JOURNAL ARTICLE
Aaron E Kornblith, Chandan Singh, Gabriel Devlin, Newton Addo, Christian J Streck, James F Holmes, Nathan Kuppermann, Jacqueline Grupp-Phelan, Jeffrey Fineman, Atul J Butte, Bin Yu
OBJECTIVE: The Pediatric Emergency Care Applied Research Network (PECARN) has developed a clinical-decision instrument (CDI) to identify children at very low risk of intra-abdominal injury. However, the CDI has not been externally validated. We sought to vet the PECARN CDI with the Predictability Computability Stability (PCS) data science framework, potentially increasing its chance of a successful external validation. MATERIALS & METHODS: We performed a secondary analysis of two prospectively collected datasets: PECARN (12,044 children from 20 emergency departments) and an independent external validation dataset from the Pediatric Surgical Research Collaborative (PedSRC; 2,188 children from 14 emergency departments)...
August 2022: PLOS Digit Health
#22
JOURNAL ARTICLE
Ewa Bućko, Patrycja Sosnowska-Sienkiewicz, Przemysław Lebioda, Przemysław Mańkowski
INTRODUCTION: The aim of the work is to present the possible struggles that a doctor of the Hospital Emergency Department for adults may encounter when admitting a pediatric patient with a head injury. Head trauma is the most common cause of death or permanent injury in the pediatric population. The lack of experience in dealing with a minor patient, as well as the lack of knowledge of anatomical and physiological differences make it necessary to introduce simple algorithms. It helps to facilitate decision-making proces while facing this challange...
April 7, 2022: Polski Przeglad Chirurgiczny
#23
JOURNAL ARTICLE
Laurel A Parker, Laurie L Villamor, Lilly Groszman, Laurel Xiang, Deepika Koganti, Randi Smith, Richard Sola
BACKGROUND: Guidelines developed by the Pediatric Emergency Care Applied Research Network (PECARN) exist to reserve the use of head CT for pediatric patients with a high risk of head injury. However, CTs are still being overutilized especially at adult trauma centers. The aim of our study was to review our use of head CTs in adolescent blunt trauma patients. MATERIALS AND METHODS: Patients aged 11-18 who underwent head CT scans from 2016 to 2019 at our urban level 1 adult trauma center were included...
February 17, 2023: American Surgeon
#24
MULTICENTER STUDY
David A Brent, Lisa M Horowitz, Jacqueline Grupp-Phelan, Jeffrey A Bridge, Robert Gibbons, Lauren S Chernick, Margaret Rea, Mary F Cwik, Rohit P Shenoi, Joel A Fein, E Melinda Mahabee-Gittens, Shilpa J Patel, Rakesh D Mistry, Susan Duffy, Marlene D Melzer-Lange, Alexander Rogers, Daniel M Cohen, Allison Keller, Robert W Hickey, Kent Page, T Charles Casper, Cheryl A King
IMPORTANCE: Screening adolescents in emergency departments (EDs) for suicidal risk is a recommended strategy for suicide prevention. Comparing screening measures on predictive validity could guide ED clinicians in choosing a screening tool. OBJECTIVE: To compare the Ask Suicide-Screening Questions (ASQ) instrument with the Computerized Adaptive Screen for Suicidal Youth (CASSY) instrument for the prediction of suicidal behavior among adolescents seen in EDs, across demographic and clinical strata...
February 1, 2023: JAMA Network Open
#25
RANDOMIZED CONTROLLED TRIAL
Simona Ghetti, Nathan Kuppermann, Arleta Rewers, Sage R Myers, Jeff E Schunk, Michael J Stoner, Aris Garro, Kimberly S Quayle, Kathleen M Brown, Jennifer L Trainor, Leah Tzimenatos, Andrew D DePiero, Julie K McManemy, Lise E Nigrovic, Maria Y Kwok, Cody S Olsen, T Charles Casper, Nicole S Glaser
INTRODUCTION: Young children with type 1 diabetes (T1D) may be at particularly high risk of cognitive decline following diabetic ketoacidosis (DKA). However, studies of cognitive functioning in T1D typically examine school-age children. The goal of this study was to examine whether a single experience of DKA is associated with lower cognitive functioning in young children. We found that recently diagnosed 3- to 5-year-olds who experienced one DKA episode, regardless of its severity, exhibited lower IQ scores than those with no DKA exposure...
May 2023: Endocrinology, Diabetes & Metabolism
#26
MULTICENTER STUDY
José Antonio Alonso-Cadenas, Rosa María Calderón Checa, Clara Ferrero García-Loygorri, Isabel Durán Hidalgo, María José Pérez García, Pablo Delgado Gómez, Raquel Jiménez García
INTRODUCTION: In the assessment of infants younger than 3 months with minor traumatic head injury (MHI), it is essential to adapt the indication of imaging tests. The Pediatric Head Injury/Trauma Algorithm (PECARN) clinical prediction rule is the most widely used to guide clinical decision making. OBJECTIVES: To analyse the variability in the performance of imaging tests in infants under 3 months with MHI in paediatric emergency departments (PEDs) and the adherence of each hospital to the recommendations of the PECARN rule...
February 2023: Anales de pediatría
#27
JOURNAL ARTICLE
Gargi Mukherjee, Evan Orenstein, Shabnam Jain, Nicole Hames
BACKGROUND: The Pediatric Emergency Care Applied Research Network (PECARN) prediction rule identifies febrile infants at low risk for serious bacterial infection (SBI). However, its impact on avoidable interventions in the emergency department remains unknown. OBJECTIVE: To study the impact on lumbar puncture (LP) performance, empiric antibiotic use, and admissions after implementing a febrile infant clinical practice guideline for infants aged 29 to 60 days based on the PECARN prediction rule in the pediatric emergency department...
October 1, 2023: Pediatric Emergency Care
#28
JOURNAL ARTICLE
Kavita Krishnan, Alice Su, Garry Sigman, Cara Joyce, Megan A Rech, Christina M Long
OBJECTIVES: The diagnosis and treatment of mild traumatic brain injuries (mTBIs) by emergency medicine providers is greatly varied. Because of the frequency and long-term consequences associated with pediatric head injuries, it is crucial that adequate counseling is provided in acute care settings. The purpose of our study is to evaluate existing practices at Loyola University Medical Center emergency department to address inconsistencies in diagnostic or discharge practices and determine future quality improvement measures...
February 1, 2023: Pediatric Emergency Care
#29
JOURNAL ARTICLE
Chris A Rees, David C Brousseau, Fahd A Ahmad, Jonathan Bennett, Seema Bhatt, Amanda Bogie, Kathleen M Brown, T Charles Casper, Laura L Chapman, Corrie E Chumpitazi, Daniel M Cohen, Carlton Dampier, Angela M Ellison, Hartmut Grasemann, Dunia Hatabah, Robert W Hickey, Lewis L Hsu, Nitya Bakshi, Sara Leibovich, Prabhumallikarjun Patil, Elizabeth C Powell, Rachel Richards, Syana Sarnaik, Debra L Weiner, Claudia R Morris
Children with sickle cell disease (SCD) commonly experience vaso-occlusive pain episodes (VOE) due to sickling of erythrocytes, which often requires care in the emergency department. Our objective was to assess the use and impact of intranasal fentanyl for the treatment of children with SCD-VOE on discharge from the emergency department in a multicenter study. We conducted a cross-sectional study at 20 academic pediatric emergency departments in the United States and Canada. We used logistic regression to test bivariable and multivariable associations between the outcome of discharge from the emergency department and candidate variables theoretically associated with discharge...
January 6, 2023: American Journal of Hematology
#30
JOURNAL ARTICLE
Tadashi Miyagawa, Marina Saga, Minami Sasaki, Miyuki Shimizu, Akira Yamaura
BACKGROUND: Minor head trauma in children is a common reason for emergency department visits, but the risk of traumatic brain injury (TBI) in those children is very low. Therefore, physicians should consider the indication for computed tomography (CT) to avoid unnecessary radiation exposure to children. The purpose of this study was to statistically assess the differences between control and mild TBI (mTBI). In addition, we also investigate the feasibility of machine learning (ML) to predict the necessity of CT scans in children with mTBI...
2023: PloS One
#31
JOURNAL ARTICLE
Amélie Tremblay, Kathryn J Schneider, Keith Owen Yeates, Geoff Schneider, Pierre Frémont
BACKGROUND: Decision rules (eg, Canadian computed tomography head rule [CCHR] for adults and Pediatric Emergency Care Applied Research Network [PECARN] rule for children/adolescents) are used in emergency settings (emergency room [ER] rules) to assess traumatic brain injuries (TBIs). The rules have a high-sensitivity and near-perfect negative predictive value that help to rule out more severe TBI. CLINICAL QUESTION: Which criteria should be added to the Sport Concussion Assessment Tool 5 (SCAT5) to reach the sensitivity of the ER rules and improve the utility of the SCAT5 for screening for higher-severity head and brain injuries? KEY RESULTS: We performed a comparative analysis of the SCAT5 with the CCHR and PECARN rules...
March 2023: Journal of Orthopaedic and Sports Physical Therapy
#32
José Antonio Alonso-Cadenas, Rosa María Calderón Checa, Arístides Rivas García, Isabel Durán Hidalgo, Marta Cabrero Hernández, Sara Ruiz González, María José Pérez García, Maria De Ceano-Vivas, Pablo Delgado Gómez, Miguel Antoñón Rodríguez, Rubén Moreno Sánchez, José Martínez Hernando, Cristina Muñoz López, Irene Ortiz Valentín, Raquel Jiménez García
No abstract text is available yet for this article.
December 5, 2022: European Journal of Pediatrics
#33
JOURNAL ARTICLE
Irma T Ugalde, Pradip P Chaudhari, Mohamed Badawy, Paul Ishimine, Kevan A McCarten-Gibbs, Kenneth Yen, Nisa S Atigapramoj, Allyson Sage, Donovan Nielsen, P David Adelson, Jeffrey Upperman, Daniel Tancredi, Nathan Kuppermann, James F Holmes
BACKGROUND: Traumatic brain injuries (TBIs) and intra-abdominal injuries (IAIs) are 2 leading causes of traumatic death and disability in children. To avoid missed or delayed diagnoses leading to increased morbidity, computed tomography (CT) is used liberally. However, the overuse of CT leads to inefficient care and radiation-induced malignancies. Therefore, to maximize precision and minimize the overuse of CT, the Pediatric Emergency Care Applied Research Network (PECARN) previously derived clinical prediction rules for identifying children at high risk and very low risk for IAIs undergoing acute intervention and clinically important TBIs after blunt trauma in large cohorts of children who are injured...
November 24, 2022: JMIR Research Protocols
#34
JOURNAL ARTICLE
Natalia Sutiman, Zi Xean Khoo, Gene Yong Kwang Ong, Rupini Piragasam, Shu Ling Chong
INTRODUCTION: Differentiating infants with serious bacterial infections (SBIs) or invasive bacterial infections (IBIs) from those without remains a challenge. We sought to compare the diagnostic performances of single biomarkers (absolute neutrophil count [ANC], C-reactive protein [CRP] and procalcitonin [PCT]) and 4 diagnostic approaches comprising Lab-score, Step-by-Step approach (original and modified) and Pediatric Emergency Care Applied Research Network (PECARN) rule. METHOD: This is a prospective cohort study involving infants 0-90 days of age who presented to an emergency department from July 2020 to August 2021...
October 2022: Annals of the Academy of Medicine, Singapore
#35
MULTICENTER STUDY
José Antonio Alonso-Cadenas, Rosa María Calderón Checa, Arístides Rivas García, Isabel Durán Hidalgo, Marta Cabrero Hernández, Sara Ruiz González, María José Pérez García, Maria De Ceano-Vivas, Pablo Delgado Gómez, Miguel Antoñón Rodríguez, Rubén Moreno Sánchez, José Martínez Hernando, Cristina Muñoz López, Irene Ortiz Valentín, Raquel Jiménez García
UNLABELLED: Infants < 3 months with minor head trauma (MHT) are a particularly vulnerable group, though few studies have focused specifically on these patients. We aimed to evaluate the application of the PECARN prediction rule, designed for clinically important traumatic brain injury (ciTBI) in children < 2 years in infants < 3 months, and create a specific prediction rule for this population. We conducted a prospective multicenter observational study in 13 pediatric emergency departments (PEDs) in Spain...
January 2023: European Journal of Pediatrics
#36
JOURNAL ARTICLE
Prashant Mahajan, John M VanBuren, Leah Tzimenatos, Andrea T Cruz, Melissa Vitale, Elizabeth C Powell, Aaron N Leetch, Michelle L Pickett, Anne Brayer, Lise E Nigrovic, Peter S Dayan, Shireen M Atabaki, Richard M Ruddy, Alexander J Rogers, Richard Greenberg, Elizabeth R Alpern, Michael G Tunik, Mary Saunders, Jared Muenzer, Deborah A Levine, John D Hoyle, Kathleen Grisanti Lillis, Rajender Gattu, Ellen F Crain, Dominic Borgialli, Bema Bonsu, Stephen Blumberg, Jennifer Anders, Genie Roosevelt, Lorin R Browne, Daniel M Cohen, James G Linakis, David M Jaffe, Jonathan E Bennett, David Schnadower, Grace Park, Rakesh D Mistry, Eric W Glissmeyer, Allison Cator, Amanda Bogie, Kimberly S Quayle, Angela Ellison, Fran Balamuth, Rachel Richards, Octavio Ramilo, Nathan Kuppermann
UNLABELLED: It is unknown whether febrile infants 29 to 60 days old with positive urinalysis results require routine lumbar punctures for evaluation of bacterial meningitis. OBJECTIVE: To determine the prevalence of bacteremia and/or bacterial meningitis in febrile infants ≤60 days of age with positive urinalysis (UA) results. METHODS: Secondary analysis of a prospective observational study of noncritical febrile infants ≤60 days between 2011 and 2019 conducted in the Pediatric Emergency Care Applied Research Network emergency departments...
October 1, 2022: Pediatrics
#37
Nicole S Glaser, Sage R Myers, Lise E Nigrovic, Michael J Stoner, Leah Tzimenatos, Kathleen M Brown, T Charles Casper, Cody S Olsen, Nathan Kuppermann
Acute kidney injury occurs frequently during pediatric diabetic ketoacidosis (DKA). We reviewed urinalyses from 561 children with DKA; pyuria was detected in 19% overall and in 40% of children with more comprehensive urine testing (≥3 urinalyses) during DKA.
September 6, 2022: Journal of Pediatrics
#38
Nicole S Glaser, Kimberly S Quayle, Julie K McManemy, Lise E Nigrovic, Leah Tzimenatos, Michael J Stoner, Jonathan E Bennett, Jennifer L Trainor, Arleta Rewers, Jeff E Schunk, Sage R Myers, Maria Y Kwok, Kathleen M Brown, Simona Ghetti, T Charles Casper, Cody S Olsen, Nathan Kuppermann
Previous studies have identified more severe acidosis and higher blood urea nitrogen (BUN) as risk factors for cerebral injury during treatment of diabetic ketoacidosis (DKA) in children; however, cerebral injury also can occur before DKA treatment. We found that lower pH and higher BUN levels also were associated with cerebral injury at presentation.
November 2022: Journal of Pediatrics
#39
JOURNAL ARTICLE
Colleen Fant, Jennifer R Marin, Sriram Ramgopal, Norma-Jean E Simon, Rachel Richards, Cody S Olsen, Evaline A Alessandrini, Elizabeth R Alpern
OBJECTIVES: This study aims to update the Diagnosis Grouping System (DGS) for International Classification of Disease, Tenth Revision (ICD-10) codes for ongoing use. The DGS was developed in 2010 using ICD-9 codes with 21 major groups and 27 subgroups to facilitate research on pediatric patients presenting to emergency departments and required updated classification for more recent ICD codes. METHODS: All emergency department discharges available in the Pediatric Emergency Care Applied Research Network (PECARN) database for 2016 were included to identify ICD-10 codes...
May 25, 2022: Pediatric Emergency Care
#40
MULTICENTER STUDY
Nicky Niele, Frans B Plötz, Ellen Tromp, Bart Boersma, Maarten Biezeveld, Matthijs Douma, Katja Heitink, Gavin Ten Tusscher, Hans B van Goudoever, Marlies A van Houten
Currently, in young children with minor traumatic head injuries (MTHI) classified as intermediate risk (IR), PECARN recommends clinical observation over computer tomography (CT) scan depending on provider comfort, although both options being possible. In this study, we describe clinicians' choice and which factors were associated with this decision. This was a planned sub-study of a prospective multicenter observational study that enrolled 1006 children younger than 18 years with MTHI who presented to six emergency departments in The Netherlands...
September 2022: European Journal of Pediatrics
Make the most of Read.
Download the mobile app.
Download the mobile app.
Fetching more papers... 
