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JOURNAL ARTICLE
Zlatan Zvizdic, Asmir Jonuzi, Una Glamoclija, Semir Vranic
OBJECTIVE: Finding a reliable preoperative predictor of complicated acute appendicitis (AA) has been a challenging diagnostic problem. The present study aimed to identify potential factors that may predict complicated AA in the pediatric emergency department (ED) based on routine, widely available laboratory tests on admission to the ED, including plasma sodium concentration. METHODS: We retrospectively reviewed clinical and laboratory data of pediatric patients with AA who underwent emergency surgery at our department between January 2020 and December 2022...
April 9, 2024: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
#22
MULTICENTER STUDY
Paola Ilaria Bianchi, Marco Vincenzo Lenti, Clarissa Petrucci, Giulia Gambini, Nicola Aronico, Matteo Varallo, Carlo Maria Rossi, Elena Pozzi, Elena Groppali, Francesca Siccardo, Giulia Franchino, Gian Vincenzo Zuccotti, Grazia Di Leo, Chiara Zanchi, Fernanda Cristofori, Ruggiero Francavilla, Marina Aloi, Giulia Gagliostro, Monica Montuori, Sara Romaggioli, Caterina Strisciuglio, Marco Crocco, Noemi Zampatti, Angela Calvi, Renata Auricchio, Costantino De Giacomo, Silvia Maria Elena Caimmi, Carolina Carraro, Annamaria Staiano, Sabrina Cenni, Mauro Congia, Enrico Schirru, Francesca Ferretti, Carolina Ciacci, Nicoletta Vecchione, Mario Andrea Latorre, Semela Resuli, Giusy Cinzia Moltisanti, Giulia Maria Abruzzese, Andrea Quadrelli, Simone Saglio, Pietro Canu, Damiano Ruggeri, Annalisa De Silvestri, Catherine Klersy, Gian Luigi Marseglia, Gino Roberto Corazza, Antonio Di Sabatino
IMPORTANCE: The extent and factors associated with risk of diagnostic delay in pediatric celiac disease (CD) are poorly understood. OBJECTIVES: To investigate the diagnostic delay of CD in childhood, and to assess factors associated with this delay. DESIGN, SETTING, AND PARTICIPANTS: Multicenter, retrospective, cross-sectional study (2010-2019) of pediatric (aged 0-18 years) patients with CD from 13 pediatric tertiary referral centers in Italy...
April 1, 2024: JAMA Network Open
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JOURNAL ARTICLE
Izzet Turkalp Akbasli, Oguzhan Serin
The catastrophic earthquakes that struck Southern Turkey in 2023 highlighted the pressing need for effective disaster management strategies. The unprecedented scale of the crisis tested the robustness of traditional healthcare responses and highlighted the potential of e-health solutions. Despite the deployment of Emergency Medical Teams, initial responders - primarily survivors of the earthquakes - faced an enormous challenge due to their lack of training in mass-casualty situations. An e-health platform was introduced to support these first responders, offering tools for drug calculations, case management guidelines, and a deep learning model for pediatric X-ray analysis...
April 9, 2024: Disaster Medicine and Public Health Preparedness
#24
JOURNAL ARTICLE
Thomas Lun, Jessica Schiro, Emeline Cailliau, Julien Tchokokam, Melany Liber, Claire de Jorna, Alain Martinot, François Dubos
BACKGROUND: The continual increase in patient attendance at the emergency department (ED) is a worldwide health issue. The aim of this study was to determine whether the use of a secondary prioritization software reduces the patients' median length of stay (LOS) in the pediatric ED. METHODS: A randomized, controlled, open-label trial was conducted over a 30-day period between March 15th and April 23rd 2021 at Lille University Hospital. Work days were randomized to use the patient prioritization software or the pediatric ED's standard dashboard...
April 8, 2024: International Journal of Emergency Medicine
#25
JOURNAL ARTICLE
Emre Gungor, Goknur Haliloglu, Dilek Yalnizoglu, Kader Karli Oguz, Ozlem Teksam
OBJECTIVE: The aim of the study is to evaluate predictors of clinically important neuroimaging results, that is, computed tomography and magnetic resonance imaging in children in an academic pediatric emergency department (PED) from 2015 to 2019. METHODS: This study was conducted in an academic PED. The patient's demographic and clinical characteristics of PED visits and neuroimaging findings requested at the PED were recorded for January 1, 2015, to December 31, 2019...
April 8, 2024: Pediatric Emergency Care
#26
JOURNAL ARTICLE
Milton Tenenbein
"One Pill Can Kill" is a meme originating in the 1990s. This construct lists pharmaceuticals that have the alleged potential for fatality after the ingestion of a single pill by a toddler. However, its foundation is fundamentally flawed because it contravenes a basic principle of pediatric pharmacology, allometric scaling. Other than opioids, there are no literature examples of one pill killing a toddler. The negative outcome of the one pill can kill construct is inappropriate management manifested by over-referral of young children by poison centers to emergency departments for care, overly prolonged emergency department observation and needless hospital admissions...
April 8, 2024: Pediatric Emergency Care
#27
JOURNAL ARTICLE
Benjamin K Nti, Nicole Benzoni, Rebecca Starr, Matthew Hays, Dylan Vish, Bradley End, Frances Russell
BACKGROUND: Ultrasound has established utility within pediatric emergency medicine and has an added benefit of avoiding excessive radiation exposure. The serial focused assessment with sonography in trauma (sFAST) examination is a potential alternative to improve pediatric trauma evaluation. We sought to evaluate the accuracy of sFAST in pediatric patients with blunt abdominal trauma. METHODS: We performed a multicenter, retrospective observational study of electronic medical records, trauma registry data, and image archiving records of previous sFAST examinations...
April 8, 2024: Pediatric Emergency Care
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JOURNAL ARTICLE
Bea Brix B Pedersen, Kasper G Lauridsen, Sandra Thun Langsted, Bo Løfgren
BACKGROUND: Improving survival from pediatric cardiac arrest requires a well-functioning system of care with appropriately trained healthcare providers and designated cardiac arrest teams. This study aimed to describe the current organization and training for pediatric cardiac arrest in Denmark. METHODS: We performed a nationwide cross-sectional study. A questionnaire was distributed to all hospitals in Denmark with a pediatric department. The survey included questions about receiving patients with out-of-hospital cardiac arrest, protocols for extracorporeal life support, cardiac arrest team compositions, and training...
March 2024: Resuscitation plus
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REVIEW
Lexie Leon, Tram Tran, Meera Navadia, Janavi Patel, Annelies Vanderveen, Maria I Cruz, Thuy-Mai Le, Freda B Assuah, Victoria Prager, Darshil Patel, Joshua M Costin
In recent years, there has been an increase in the prevalence of the diagnosis of attention-deficit/hyperactivity disorder (ADHD), a cognitive and behavioral disorder in which individuals present with inattention and impulsivity, in the pediatric population. With an increase in diagnoses, there is also increasing concern regarding overdiagnosis and overtreatment with medications for ADHD. The objective of this study was to map out and compile the recent literature pertaining to alternative therapies (e.g., physical activity, diet, mindfulness, and computer-based interventions) for children and adolescents diagnosed with ADHD in an attempt to reduce or replace the use of pharmacological therapy...
March 2024: Curēus
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JOURNAL ARTICLE
James Jim L Homme, Katherine Katie Homme, Tomas Leng
No abstract text is available yet for this article.
April 2024: Journal of the American College of Emergency Physicians open
#31
JOURNAL ARTICLE
Kyla Casey, Erin R Reilly, Katherine Biggs, Michelle Caskey, Jonathan D Auten, Kevin Sullivan, Theodore Morrison, Ann Long, Sherri L Rudinsky
STUDY OBJECTIVES: Fever following immunizations is a common presenting chiefcomplaint among infants. The 2021 American Academy of Pediatrics (AAP) febrile infant clinical practice guidelines exclude recently immunized (RI) infants. This is a challenge for clinicians in the management of the febrile RI young infant. The objective of this study was to assess the prevalence of SBI in RI febrile young infants between 6 and 12 weeks of age. METHODS: This was a retrospective chart review of infants 6-12 weeks who presented with a fever ≥38 °C to two U...
March 24, 2024: American Journal of Emergency Medicine
#32
REVIEW
Jessica Hauser Chatterjee, Heidi K Blume
PURPOSE OF REVIEW: To summarize recent findings regarding triptan use in the acute treatment of pediatric migraine. RECENT FINDINGS: Prevalence of pediatric migraine is rising. The American Headache Society and American Academy of Neurology updated guidelines to provide evidence-based recommendations for the treatment of acute migraine in youth. In the setting of a dearth of new randomized controlled trials (RCTs), we review current guidelines, triptan use in the emergency department, and an era of secondary analyses...
April 6, 2024: Current Pain and Headache Reports
#33
JOURNAL ARTICLE
Luciana Harumi Miranda Omori, Deoclecio Avigo, Itamar de Souza Santos, Gustavo Diniz Ferreira Gusso, Maria Teresa Bechere Fernandes
INTRODUCTION: Child health actions in Brazil have their primary focus on early childhood. A new epidemiological profile is emerging for children after the first one thousand days: an increase in non-communicable chronic diseases. This research aimed to analyze the attributes of Primary Health Care comparatively among different age groups, using three years of age as the cutoff point. METHODS: The study design was cross-sectional and conducted in three Primary Health Care Units and three Ambulatory Medical Assistance facilities in the Western Region of São Paulo...
April 4, 2024: Clinics
#34
JOURNAL ARTICLE
Xin-Bin Zhou, Qin Xu, Li Chen, Wei-Ming Qian
This study aimed to investigate factors associated with the clinical outcomes of patients who underwent pediatric liver transplantation (LT) and received enhanced recovery after surgery (ERAS) nursing. A cohort of 104 pediatric patients was studied at our hospital. Data on 8 indicators and 2 clinical outcomes, including length of hospital stay (LOS) and 30-day readmission rates, were collected. Linear and logistic regression analyses were employed to examine the associations of the 8 indicators with hospital-LOS and readmission risks, respectively...
April 5, 2024: Medicine (Baltimore)
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JOURNAL ARTICLE
Indrė Stacevičienė, Inga Ivaškevičienė, Sigita Burokienė, Aušra Steponavičienė, Daiva Vaičiūnienė, Gabrielė Tarutytė, Augustina Jankauskienė
BACKGROUND: Since the start of the COVID-19 pandemic, the epidemiology of acute respiratory infections (ARIs) has continually changed, making it difficult to predict. Our study aimed to evaluate epidemiological changes and clinical outcomes of ARIs in pediatric patients in the post-lockdown period. METHODS: A single-center retrospective cross-sectional study was performed in one of the largest pediatric emergency departments in Lithuania during two cold seasons-from October 1, 2021, to April 30, 2022 (Season I) and in the same period in 2022-2023 (Season II)...
2024: PloS One
#36
JOURNAL ARTICLE
Xiangchun Yang, Shuxia Ding, Jianping Zhang, Zhuojie Hu, Danyan Zhuang, Fei Wang, Shanshan Wu, Changshui Chen, Haibo Li
BACKGROUND: Neonatal screening for inherited metabolic diseases (IMDs) has been revolutionized by tandem mass spectrometry (MS/MS). This study aimed to enhance neonatal screening for IMDs using machine learning (ML) techniques. METHODS: The study involved the analysis of a comprehensive dataset comprising 309,102 neonatal screening records collected in the Ningbo region, China. An advanced ML system model, encompassing nine distinct algorithms, was employed for the purpose of predicting the presence of 31 different IMDs...
2024: Frontiers in Pediatrics
#37
JOURNAL ARTICLE
David Daoyong Lai, Xi Zhen Low, Yang Yang Lee, Weizhong Jonathan Sng
BACKGROUND Meckel's diverticulum is a congenital remnant of the omphalomesenteric duct and is the most common congenital gastrointestinal malformation. Most patients are asymptomatic, but a rare presentation is with subacute small bowel obstruction (SBO) due to herniation of bowel loops through an internal hernia formed by the Meckel's diverticulum and adjacent mesentery that forms an internal hernia. This report is of a 15-year-old girl presenting as an emergency with vomiting and small bowel obstruction due to an internal hernia associated with Meckel's diverticulum...
April 5, 2024: American Journal of Case Reports
#38
REVIEW
Islam E Alkhazali, Ahmad Alrawashdeh, Mohd Hashairi Fauzi, Nik Hisamuddin Nik Ab Rahman
INTRODUCTION: The quality of healthcare for pediatric asthma patients in the emergency department (ED) is of growing importance. This systematic review aimed to identify and describe existing quality indicators (QIs) designed for use in the ED for pediatric asthma care. METHODS: We systematically searched three main electronic databases in May 2023 for all English-language qualitative and quantitative publications that suggested or described at least one QI related to pediatric asthma care in the ED...
2024: Archives of Academic Emergency Medicine
#39
JOURNAL ARTICLE
Alireza Peyman, Alireza Dehghani, Alireza Hoghooghi, Kazhaal Sheykhi, Mehri Khoshhali, Mahdi Abounoori, Hajar Khosrropour, Mohsen Pourazizi
INTRODUCTION: One of the main causes of acquired blindness and impairment in children is ocular trauma. This study aimed to evaluate the epidemiological and clinical characteristics of pediatric patients hospitalized with open globe injuries (OGI). METHODS: A retrospective cross-sectional study was conducted on children diagnosed with OGI at a referral Hospital affiliated with Isfahan University of Medical Sciences, Isfahan, Iran, from 2014 to 2018. RESULTS: 375 OGI medical records were detected during the study period...
2024: Archives of Academic Emergency Medicine
#40
JOURNAL ARTICLE
Management of youth with suicidal ideation: Challenges and best practices for emergency departments.
Genevieve Santillanes, Ashley A Foster, Paul Ishimine, Kathleen Berg, Tabitha Cheng, Ann Deitrich, Melanie Heniff, Gwen Hooley, Christian Pulcini, Timothy Ruttan, Annalise Sorrentino, Muhammad Waseem, Mohsen Saidinejad
Suicide is a leading cause of death among youth, and emergency departments (EDs) play an important role in caring for youth with suicidality. Shortages in outpatient and inpatient mental and behavioral health capacity combined with a surge in ED visits for youth with suicidal ideation (SI) and self-harm challenge many EDs in the United States. This review highlights currently identified best practices that all EDs can implement in suicide screening, assessment of youth with self-harm and SI, care for patients awaiting inpatient psychiatric care, and discharge planning for youth determined not to require inpatient treatment...
April 2024: Journal of the American College of Emergency Physicians open
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