Parental education on asthma severity in the emergency department and primary care follow-up rates.


:Asthma is the most prevalent chronic condition affecting children and a common chief complaint in emergency departments (EDs). We aimed to improve parents' understanding of their child's asthma severity on accessing our pediatric ED for an acute asthma exacerbation. A retrospective chart review was conducted to determine outpatient follow-up rates from our ED in 2010-2011. In an attempt to educate parents at ED discharge about their child's asthma severity at presentation, we included a visual severity scale on their discharge instructions. Postdischarge telephone interviews were completed to determine postintervention follow-up rates. Asthma follow-up rates at 1 week improved from 20.8% to 50% after intervention. This difference was statistically significant after controlling for age and clinical asthma score with logistic regression (P < .0001). Offering predischarge education about a child's initial asthma severity is a simple intervention that significantly improved follow-up rates for children seen in the ED for asthma exacerbation.


Clin Pediatr (Phila)


Clinical pediatrics


Williams KW,Word C,Streck MR,Titus MO




Has Abstract


2013-07-01 00:00:00














  • Mobile Complex Care Plans to Enhance Parental Engagement for Children With Medical Complexity.

    abstract::Care plans can reduce care fragmentation for children with medical complexity (CMC); however, implementation is challenging. Mobile health innovations could improve implementation. This mixed methods study's objectives were to (1) evaluate feasibility of mobile complex care plans (MCCPs) for CMC enrolled in a complex ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Ming DY,Jackson GL,Sperling J,Gray M,Wyman Roth N,Spears T,Parente V,Bosworth H

    更新日期:2019-01-01 00:00:00

  • Postinfectious gastroparesis: a case series of three adolescent females.

    abstract::Postinfectious gastroparesis (PIGP) is a subgroup of idiopathic gastroparesis rarely reported in adolescents. This study describes 3 adolescent females with severe PIGP, who each underwent extensive workup prior to referral to a pediatric gastroenterologist. PIGP may be an underrecognized disorder in pediatrics, parti...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Yeh J,Wozniak LJ,Vargas JH,Ament ME

    更新日期:2012-02-01 00:00:00

  • A rachitic infant painted by Burgkmair 136 years before Dr. Whistler described rickets.

    abstract::Rickets as a definite disease manifesting itself by a more or less constant association of symptoms was first described in 1645 by Daniel Whistler, as English physician. However, the disease must have existed years before Dr. Whistler's report, as is evident in the painting by Hans Burgkmair completed in 1509. ...

    journal_title:Clinical pediatrics

    pub_type: 传,历史文章,杂志文章


    authors: Cone TE Jr

    更新日期:1980-03-01 00:00:00

  • Psychological aspects of parenting critically ill neonates.

    abstract::This study was designed to objectively examine depression and distress levels in parents of ill versus parents of healthy neonates by utilizing two well-validated questionnaires, the Beck Depression Inventory (BDI) and Kellner Symptom Questionnaire (KSQ). In addition, morbidity of infants was assessed by the Minde-Whi...

    journal_title:Clinical pediatrics

    pub_type: 临床试验,杂志文章


    authors: McGettigan MC,Greenspan JS,Antunes MJ,Greenspan DI,Rubenstein SD

    更新日期:1994-02-01 00:00:00

  • Late ELISA Testing in Infants Born to HIV-Positive Mothers.

    abstract::We present the case of a young boy who was born to a human immunodeficiency virus (HIV)-positive mother and originally found to be uninfected. Evidence-based guidelines were followed regarding the mother's prenatal and infant's postnatal care, including the avoidance of breast milk. HIV DNA polymerase chain reaction q...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Puertolas MV,Bolton MT,Steele RW

    更新日期:2016-06-01 00:00:00

  • Maternal low- and high-depressive symptoms and safety concerns for low-income preschool children.

    abstract:OBJECTIVES:Our objective was to examine the relationship between low- and high-level depressive symptoms in mothers' and children's risks in the areas of home and car safety, monitoring, and exposure to violence. METHODS:Participants included 978 mothers of preschool-age children who were interviewed about their home ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Conners-Burrow NA,Fussell JJ,Johnson DL,McKelvey LM,Whiteside-Mansell L,Bokony P,Kraleti S

    更新日期:2013-02-01 00:00:00

  • A 1999 quality improvement initiative-reassessment in 2004.

    abstract::We obtained a longitudinal overview of physician compliance with the American Academy of Pediatrics Policy RE9539 regarding early newborn discharge between 1999 and 2004. In previous studies we reported the results of a Quality Improvement/Feedback (QI/F) initiative at one community hospital (intervention) in 1999, du...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Feinberg AN,Soyode O

    更新日期:2005-07-01 00:00:00

  • Anemia in children and adolescents with hypothyroidism.

    abstract::In a review of 17 adolescents and children (excluding newborns) with definite clinical signs, symptoms, and laboratory findings of hypothyroidism, 11 patients (65%) had anemia. The mean corpuscular volume (MCV) of the red blood cells was either macrocytic or normocytic. The hemoglobin did not correlate with the serum ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Chu JY,Monteleone JA,Peden VH,Graviss ER,Vernava AM

    更新日期:1981-11-01 00:00:00

  • Efficacy and safety of the "integral" phototherapy for neonatal hyperbilirubinemia. Results of a follow-up at 6 years of age.

    abstract::One hundred and ten full-term newborns were treated with integral phototherapy (IP) in the first week of life for hyperbilirubinemia (peak bilirubin concentration, 19.5 +/- 2.8 mg/dl). IP was provided by an apparatus which irradiated the infants over the entire skin surface with four visible blue light lamps placed ar...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Granati B,Largajolli G,Rubaltelli FF,Pollazzon P,Bottos M,Sartori E

    更新日期:1984-09-01 00:00:00

  • Pain management in young children undergoing diagnostic tympanocentesis.

    abstract:OBJECTIVE:To describe the pain associated with diagnostic tympanocentesis and to gather preliminary data comparing the efficacy of 3 methods of pain reduction for tympanocentesis. METHODS:In children 6 to 36 months of age undergoing tympanocentesis for acute otitis media, the authors measured pain and distress through...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,随机对照试验


    authors: Shaikh N,Hoberman A,Kurs-Lasky M,Rockette HE,Chandra A,Colborn DK,Hooper EG,Reis EC

    更新日期:2011-03-01 00:00:00

  • Techniques for warming red blood cells packaged in different containers for neonatal use.

    abstract::Essential to the management of the sick, low birth weight infant is maintenance of a neutral thermal environment by use of convection incubators and radiant warmers. Manipulation of the infant in preparation for transfusion and the transfusion of cold blood could theoretically lower the infant's body temperature, subs...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Luban NL,Mikesell G,Sacher RA

    更新日期:1985-11-01 00:00:00

  • Exergaming for health: a community-based pediatric weight management program using active video gaming.

    abstract:OBJECTIVE:To evaluate the efficacy and feasibility of a multifaceted, community-based weight intervention program for children using exergaming technology (activity-promoting video gaming). DESIGN AND METHODS:This is a prospective observational pilot study. Forty-eight children, between the ages of 8 and 16 years, who...

    journal_title:Clinical pediatrics

    pub_type: 临床试验,杂志文章


    authors: Christison A,Khan HA

    更新日期:2012-04-01 00:00:00

  • Unwanted sexual experiences in adolescents. Patterns of disclosure.

    abstract::More than 300 patients who presented consecutively to a sexual abuse clinic, a family planning clinic, and a family practice clinic filled out an anonymous survey regarding unwanted sexual experiences. In the family planning and family practice clinics, 40% of females and 16% of males reported having at least one unwa...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究


    authors: Kellogg ND,Huston RL

    更新日期:1995-06-01 00:00:00

  • Ethyl vinyl chloride vapocoolant spray fails to decrease pain associated with intravenous cannulation in children.

    abstract::The purpose of the study was to determine the effect of ethyl vinyl chloride vapocoolant spray on pain reported by children undergoing intravenous cannulation. A randomized, double-blinded, placebo-controlled trial was conducted on eligible children between the ages of 9 and 18 years seen in a pediatric emergency depa...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,随机对照试验


    authors: Costello M,Ramundo M,Christopher NC,Powell KR

    更新日期:2006-09-01 00:00:00

  • Asthma Medication Prescribing Practices in Pediatric Office Visits.

    abstract::This cross-sectional study examined how asthma control, demographic, and clinical characteristics are associated with the use of asthma medications in pediatric office visits in the United States. Data from the 2012-2015 National Ambulatory Medical Care Survey included patients aged 6 to 17 years, with asthma as a pri...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Rege S,Kavati A,Ortiz B,Mosnaim G,Cabana MD,Murphy K,Aparasu RR

    更新日期:2019-04-01 00:00:00

  • Pitfalls in the diagnosis of aerodigestive tract foreign bodies.

    abstract::In the young child, particularly those between the ages of 1 and 3 years, aerodigestive tract foreign bodies continue to be a significant problem. Early diagnosis and treatment can decrease morbidity and length of hospital stay in these children. Three cases of delayed diagnosis in children with bronchial (2) and esop...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Messner AH

    更新日期:1998-06-01 00:00:00

  • Sleep apnea in patients receiving growth hormone.

    abstract::Among 145 patients treated with recombinant human growth hormone (GH), four developed sleep apnea (two obstructive, two mixed) associated with tonsillar and adenoidal hypertrophy in three. These four patients had no local risk factors predisposing to upper airway obstruction (i.e., frequent pharyngitis or sinusitis). ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Gerard JM,Garibaldi L,Myers SE,Aceto T Jr,Kotagal S,Gibbons VP,Stith J,Weber C

    更新日期:1997-06-01 00:00:00

  • Influence of breast-feeding on mental and psychomotor development.

    abstract::The purpose of this study was to analyze the effects of breast-feeding on cognitive and motor development. A prospective cohort study was carried out enrolling 249 babies from 2 rural and urban areas. Cognitive development was assessed at the age of 18 months. Results show that adjusted scores on the mental developmen...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Gómez-Sanchiz M,Cañete R,Rodero I,Baeza JE,Avila O

    更新日期:2003-01-01 00:00:00

  • Waist circumference to height ratio in children and adolescents.

    abstract:BACKGROUND:Waist circumference (WC) to height ratio (WC/HT) is used as a measure of central obesity. However, the optimum ratio that will separate populations with high from low cardiovascular risk remains controversial. This investigation evaluates an optimum WC/HT value to define central obesity in children. METHODS...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Mehta SK

    更新日期:2015-06-01 00:00:00

  • Changes in ET-1, Plasma Neuropeptide Y, and CGRP in Child Patients With Congenital Heart Disease Complicated With Pulmonary Hypertension Before and After Operation.

    abstract::This study aims to explore the changes in endothelin-1 (ET-1), plasma neuropeptide Y, and calcitonin gene-related peptide (CGRP) in child patients before and after operation. A total of 80 child patients with congenital heart disease (CHD) complicated with pulmonary hypertension (PH) were enrolled and divided into con...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Liu Z,Zhang M,Huo Q,Zhu T

    更新日期:2021-01-01 00:00:00

  • Acquired coagulation inhibitor in association with Rocky Mountain spotted fever. With a review of other acquired coagulation inhibitors.

    abstract::An acutely ill 4-year-old girl with Rocky Mountain spotted fever (RMSF) was found to have a coagulation inhibitor. This child had no serious bleeding manifestations and minimal hemorrhagic skin manifestations despite severe RMSF, concurrent thrombocytopenia, as well as the coagulation inhibitor. Hemostatic abnormaliti...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Scimeca PG,Weinblatt ME,Kochen JA

    更新日期:1987-09-01 00:00:00

  • Recurrent hypothermia and thrombocytopenia after severe neonatal brain infection.

    abstract::Two children with multiple severe disabilities due to brain destruction by neonatal infection had recurrent hypothermia (less than 34 degrees C) with associated thrombocytopenia (less than 50,000), and clinical hemorrhage. They also had milder, less consistent erythroid and myeloid cell line abnormalities. The hypothe...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Holm IA,McLaughlin JF,Feldman K,Stone EF

    更新日期:1988-07-01 00:00:00

  • Outpatient radiographic exposure in the first five years of life.

    abstract::Young children receive a variety of diagnostic radiographs over time. In some cases the exposure to radiation may be unwarranted because the films may yield confusing results, or may also need to be repeated because of poor technical quality. Even when the results are clearly negative, the subsequent treatment may pro...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Fosarelli PD,DeAngelis C

    更新日期:1987-06-01 00:00:00

  • Successful treatment of supraventricular tachycardia with metoprolol, a cardioselective beta blocker.

    abstract::Paroxysmal supraventricular tachycardia is a common problem in infancy and childhood. Past treatment has included digitalis and nonselective beta blockers (propranolol). We describe a new mode of therapy with a cardioselective beta blocker (metoprolol) that may be of use in patients resistant to standard therapy. ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Hepner SI,Davoli E

    更新日期:1983-07-01 00:00:00

  • Impact of a Personalized Audit and Feedback Intervention on Antibiotic Prescribing Practices for Outpatient Pediatric Community-Acquired Pneumonia.

    abstract::Antibiotic choice for pediatric community-acquired pneumonia (CAP) varies widely. We aimed to determine the impact of a 6-month personalized audit and feedback program on primary care providers' antibiotic prescribing practices for CAP. Participants in the intervention group received monthly personalized feedback. We ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Diaz MCG,Handy LK,Crutchfield JH Jr,Cadilla A,Hossain J,Werk LN

    更新日期:2020-10-01 00:00:00

  • Congenital anomalies of the hand.

    abstract::This manuscript reviews the basic and most common types of congenital hand anomalies seen by the pediatrician. Each disorder is categorized into the standard classification system used, and the main highlights of each condition are detailed with representative illustrations. Other system anomalies associated with cong...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Smith JG,Weiss AP,Weiss YS

    更新日期:1998-08-01 00:00:00

  • Does body mass index accurately reflect body fat? A comparison of anthropometric measures in the longitudinal assessment of fat mass.

    abstract:OBJECTIVE:To determine which anthropometric measure best correlates with change in fat mass (FM) over time. METHODS:The authors performed a retrospective cohort study of 76 obese patients (mean body mass index [BMI] 38 kg/m(2) and mean age 13 years) presenting to an obesity clinic between 2005 and 2010. For each patie...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Phan TL,Maresca MM,Hossain J,Datto GA

    更新日期:2012-07-01 00:00:00

  • Difficulty in defecation in infants with gastroesophageal reflux treated with smaller volume feeds thickened with rice cereal.

    abstract::We prospectively evaluated the incidence of difficulty in defecation in infants with gastroesophageal reflux who were treated with smaller volume feeds thickened with rice cereal and also assessed the effect of changing the cereal to oatmeal. We evaluated 53 thriving infants with uncomplicated gastroesophageal reflux ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Mascarenhas R,Landry L,Khoshoo V

    更新日期:2005-10-01 00:00:00

  • Association between the frequency of disposable diaper changing and urinary tract infection in infants.

    abstract:BACKGROUND:Often diapers are not changed after infants pass urine. AIM:To define the association between the frequency of changing diapers and urinary tract infection (UTI) in infants. METHODS:Urine samples were tested in 131 infants (aged from 2 months to 2.5 years) who had a temperature > or =38 degrees C. The auth...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Sugimura T,Tananari Y,Ozaki Y,Maeno Y,Tanaka S,Ito S,Kawano K,Masunaga K

    更新日期:2009-01-01 00:00:00

  • A Comparison of Bladder Catheterization and Suprapubic Aspiration Methods for Urine Sample Collection From Infants With a Suspected Urinary Tract Infection.

    abstract::This study compares 2 sampling methods for urine cultures in young infants. We analyzed data on urine samples obtained from 83 infants using 2 sources of urine: suprapubic bladder aspiration (SPA) and bladder catheterization. All specimens were subjected to both urinalysis and culture, and the results compared. Eighty...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章


    authors: Eliacik K,Kanik A,Yavascan O,Alparslan C,Kocyigit C,Aksu N,Bakiler AR

    更新日期:2016-08-01 00:00:00