Abstract:
:Twenty cases of gastrointestinal perforations not associated with necrotizing enterocolitis or a bowel obstruction (GPNN) were reviewed. Fifteen infants suffered perforations during cycle ventilation. Perforations were localized in the stomach, duodenum, ileum, and jejunum. To determine if the type of mechanical ventilation used (ie, face mask, nasal prongs, or endotracheal tube) was associated with GPNN, a matched case-control analysis was performed. Case and control infants were matched by means of Apgar scores, gestational age, and length of time on ventilatory support. The Mantel-Haenszel estimate for estimating odds-ratios was used to determine that infants ventilated with nasal prongs or face mask were more likely to develop a gastrointestinal perforation than control infants ventilated with endotracheal tubes (odds-ratio greater than or equal to 29.6). This risk was associated with both upper gastrointestinal perforations (odds-ratio greater than or equal to 21.0) and lower gastrointestinal perforations (odds-ratio greater than or equal to 15.3). Routine use of mechanical ventilation with either nasal prongs or face mask appears to be associated with an unacceptable risk of gastrointestinal perforations in sick neonates.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Garland JS,Nelson DB,Rice T,Neu Jsubject
Has Abstractpub_date
1985-09-01 00:00:00pages
406-10issue
3eissn
0031-4005issn
1098-4275journal_volume
76pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract::Retinitis pigmentosa (RP) and congenital deafness comprise the autosomal recessive Usher syndrome. The four affected siblings discussed here have audiometric curves characteristic of the 10% of patients with the syndrome who are not profoundly deaf. The oldest already has RP. Even though the younger three siblings hav...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1978-10-01 00:00:00
abstract:OBJECTIVE:Intrapartum antibiotic prophylaxis (IAP) in mothers with group B streptococcus (GBS) colonization presents difficult neonatal management decisions. IAP was instituted in response to an increased incidence of early-onset GBS sepsis (EOGBSS), and a study was conducted to evaluate the outcome of these newborns. ...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract:BACKGROUND:Growth-restricted preterm infants are at increased risk of developing necrotizing enterocolitis (NEC) and initiation of enteral feeding is frequently delayed. There is no evidence that this delay is beneficial and it might further compromise nutrition and growth. METHODS:Infants with gestation below 35 week...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1542/peds.2011-2379
更新日期:2012-05-01 00:00:00
abstract::Children with various types of disabilities are beginning to benefit from the extensive developments in the field of electronic and microcomputer technology that have occurred in recent years. There exists now many devices that can assist children with physical or communication handicaps, learning difficulties, or sen...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract::The rapidly changing environment in the health care industry offers great challenges, especially to those providers who traditionally have cared for vulnerable and underserved populations. These populations have special health care needs resulting from various factors, including race, geography, environment, and lack ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1995-10-01 00:00:00
abstract:OBJECTIVE:To identify clinical factors in term neonates with severe respiratory failure that predict which neonates are unlikely to respond to high-frequency oscillatory ventilation (HFOV). DESIGN:This was a retrospective review of patient charts and medical records. PATIENTS:We studied 190 newborns treated with HFOV...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
abstract::A randomized prospective study of the effect of medium-chain triglycerides (MCT) upon the absorption and retention of major minerals and nutrients, as well as upon 25-hydroxy vitamin D levels, was performed in low-birth-weight infants. Ten infants received a high-calcium and vitamin D-containing formula, which contain...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1983-07-01 00:00:00
abstract::Bone health is a critical concern in managing preterm infants. Key nutrients of importance are calcium, vitamin D, and phosphorus. Although human milk is critical for the health of preterm infants, it is low in these nutrients relative to the needs of the infants during growth. Strategies should be in place to fortify...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2013-0420
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:To characterize the cardiac effects of dexamethasone in very low birth weight infants. DESIGN:Prospective, randomized, placebo-controlled, double-blind trial. Enrolled subjects were randomized to receive either a 42-day tapering course of dexamethasone or a saline placebo. Echocardiographic measurements were...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1996-06-01 00:00:00
abstract::Previous studies of childhood chest pain have been retrospective or considered only limited age groups or referred patients. In this study, all children who were admitted to the emergency department with chest pain were evaluated prospectively. Patients with ill-defined chest pain had ECGs and echocardiograms performe...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1988-09-01 00:00:00
abstract::Resistance to thyroid hormone is an uncommon problem, which has rarely been associated with thyroid dysgenesis. We report a case with both thyroid gland ectopy and resistance to thyroid hormone and, thus, a reduced capacity to produce and respond to thyroid hormone. The patient presented at 2 years of age with develop...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2011-0634
更新日期:2012-03-01 00:00:00
abstract::Injury is the third leading cause of death in the United States and the leading cause for children, adolescents, and young adults. Injury results from multiple factors and so may its prevention. The first and simplest approach toward preventing injuries has been to innovatively and aggressively apply a traditional pub...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:
更新日期:1992-11-01 00:00:00
abstract::The technique of decision analysis was used to compare the benefits (prevention of major infectious sequelae of bacteremia) and risks (unnecessary hospitalization and intravenous antibiotic treatment of children whose bacteremia would have resolved spontaneously, discomfort of venipuncture) of alternative diagnostic m...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract:BACKGROUND:In the US, a higher incidence of sudden infant death syndrome (SIDS) and a slower decline in the incidence of SIDS has been found among blacks when compared with white infants. The continued racial disparity in SIDS is thought to be attributable to lack of compliance with SIDS risk reduction recommendations....
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.111.4.e347
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:To determine the risk of mortality associated with cardiometabolic risk factors in a national sample of adolescents and young adults. METHODS:Prospective study of participants in the third NHANES (1988-1994), aged 12 to 39 years at the time of the survey (n = 9245). Risk factors included 3 measures of adipos...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-2583
更新日期:2013-03-01 00:00:00
abstract::Pediatricians in the Washington, DC, metropolitan area were surveyed to assess their readiness to deal with life-threatening emergencies in their offices. Information about emergency equipment, prearranged emergency plans, advanced life support training, and emergency medical services assistance was elicited. Recommen...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract::Puberty-timing measures have historically been used as indicators of adequate nutrition and growth. More recently, these measures have been examined in relation to exposure to estrogenic or antiandrogenic agents, as well as other environmental factors. The scientific community has debated whether puberty timing is occ...
journal_title:Pediatrics
pub_type: 共识发展会议,杂志文章
doi:10.1542/peds.2007-1813C
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVES:To examine long-term outcomes of toddlers with autism spectrum disorder (ASD) who received a 6-month early intervention at age 2. METHODS:Forty-eight toddlers diagnosed with an ASD received a 6-month evidence-based intervention. Cognitive (IQ) and communication ability, as well as severity of autism symptom...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-0900Q
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Ciliary ultrastructural defects with total lack of dynein arms (DA) cause abnormal mucociliary function leading to the chronic infections observed in primary ciliary dyskinesia. The role of partial ciliary ultrastructural defects, especially those involving the central complex, and their relationship with re...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.108.5.e86
更新日期:2001-11-01 00:00:00
abstract::The opportunity to improve health care using existing scientific knowledge is immense. Much is known that is not being used in routine care, leading to a large gap between knowledge and practice. Collaborative improvement models bring health care professionals together to focus on this gap and to accelerate the pace o...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::Height, weight, and head circumference data up to age 4 years are reported for 124 children with phenylketonuria (PKU) who had been started on diet management before 4 months (121 days) of age and who were participating in the Collaborative Study of Children Treated for Phenylketonuria. Growth measurements of both the...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1979-05-01 00:00:00
abstract::In this cross-sectional study, the vision-screening process is described for 8417 children aged 3 to 5 seen for health supervision in a group of 102 pediatric practices in 23 states and Puerto Rico. Three hundred forty children who failed screening (63% of those who failed) were followed up 2 months after initial scre...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract:OBJECTIVE:The goal was to examine the relationships between management after confirmation, family participation, and speech and language outcomes in the same group of children with permanent childhood hearing impairment. METHODS:Speech, oral language, and nonverbal abilities, expressed as z scores and adjusted in a re...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-2116
更新日期:2007-09-01 00:00:00
abstract::This publication contains the pediatric and neonatal sections of the 2005 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations (COSTR). The consensus process that produced this document was sponsored by the International Liaison Committee on ...
journal_title:Pediatrics
pub_type: 杂志文章,实务指引
doi:10.1542/peds.2006-0206
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:This study compared the prevalence of psychopathological conditions in children with heavy prenatal alcohol exposure (N = 39) and nonexposed, typically developing peers (N = 30), matched with respect to age, gender, and socioeconomic status. METHODS:Caregivers were interviewed with either the Kiddie Schedule...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-1606
更新日期:2007-03-01 00:00:00
abstract::Hydrocarbon ingestions account for a substantial number of accidental poisonings; when aspirated, it can lead to severe pneumonitis. Treatment for severe pneumonitis is generally supportive, and outcomes are frequently poor. We report here the case of a 19-month-old girl who was treated successfully with early adminis...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-3229
更新日期:2011-06-01 00:00:00
abstract::A retrospective study of risk factors for traumatic infant deaths in Oregon occurring from 1973 through 1982 was performed using vital records and medical examiner records. A total of 146 such deaths occurred during this period. Relative risks were calculated for various risk factors in the study group compared with a...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1986-04-01 00:00:00
abstract:BACKGROUND:To define the nature and frequency of brain injury and brain growth impairment in very preterm (VPT) infants by using MRI at term-equivalent age and to relate these findings to perinatal risk factors and 2-year neurodevelopmental outcomes. METHODS:MRI scans at term-equivalent age from 3 VPT cohorts (n = 325...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2013-2336
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:Adults born at a very low birth weight (VLBW) (< 1500 g), compared with those born at term, bear risk factors for cardiovascular disease, including higher blood pressure and insulin resistance. OBJECTIVE:We studied, in young adults born at a VLBW, early signs of an accelerated atherosclerotic process and th...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2010-2199
更新日期:2011-02-01 00:00:00
abstract::To assess the relative competence of pediatricians and general practitioners in managing febrile illnesses in childhood, a prospective study was undertaken of 259 children less than 10 years of age seen consecutively at the emergency room of a children's hospital and a general hospital. Both groups of patients were si...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1982-10-01 00:00:00