Abstract:
OBJECTIVES:To describe national emergency department (ED) trends in computed tomography (CT) and ultrasound imaging for the evaluation of pediatric nontraumatic abdominal pain from 2007 through 2014. METHODS:We used data from the National Hospital Ambulatory Medical Care Survey to measure trends in CT and ultrasound use among children with nontraumatic abdominal pain. We performed multivariable logistic regression to measure the strength of the association of ED type (pediatric versus general ED) with CT and ultrasound use adjusting for potential confounding variables. RESULTS:Of an estimated 21.1 million ED visits for nontraumatic abdominal pain, 14.6% (95% confidence interval [CI], 13.2%-16.0%) had CT imaging only, 10.9% (95% CI, 9.7%-12.1%) had ultrasound imaging only, and 1.9% (95% CI, 1.4%-2.4%) received both CT and ultrasound. The overall use of CT and ultrasound did not significantly change over the study period (P trend .63 and .90, respectively). CT use was lower among children treated in pediatric EDs compared with general EDs (adjusted odds ratio 0.34; 95% CI, 0.17-0.69). Conversely, ultrasound use was higher among children treated in pediatric EDs compared with general EDs (adjusted odds ratio 2.14; 95% CI, 1.29-3.55). CONCLUSIONS:CT imaging for pediatric patients with nontraumatic abdominal pain has plateaued since 2007 after the steady increase seen in the preceding 9 years. Among this population, an increased likelihood of CT imaging was demonstrated in general EDs compared with pediatric EDs, in which there was a higher likelihood of ultrasound imaging. Dissemination of pediatric-focused radiology protocols to general EDs may help optimize radiation exposure in children.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Niles LM,Goyal MK,Badolato GM,Chamberlain JM,Cohen JSdoi
10.1542/peds.2017-0615subject
Has Abstractpub_date
2017-10-01 00:00:00issue
4eissn
0031-4005issn
1098-4275pii
peds.2017-0615journal_volume
140pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract:OBJECTIVE:Our goal was to assess the impact of "Baby-Friendly" hospital practices and other maternity-care practices experienced by mothers on breastfeeding duration. METHODS:This analysis of the Infant Feeding Practices Study II focused on mothers who initiated breastfeeding and intended prenatally to breastfeed for ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-1315e
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:More than 25 million children in the United States are dependent on federal and state medical insurance programs for their health care needs. In California, 3.25 million children depend on Medi-Cal for their health insurance. In Southern California alone, the figure is as high as 1.81 million. However, 9.30 m...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-0210
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:Cardiac arrest is uncommon among pediatric patients. Prehospital data demonstrate differences in care processes between children and adults receiving cardiopulmonary resuscitation and advanced life support. We sought to evaluate whether children receiving in-hospital cardiopulmonary resuscitation would attain...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-0453
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVES:Adenosine infusion causes selective pulmonary vasodilation in fetal and neonatal lambs with pulmonary hypertension. We investigated the effects of a continuous infusion of adenosine on oxygenation in term infants with persistent pulmonary hypertension of newborn (PPHN). DESIGN:A randomized, placebo-controll...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1996-03-01 00:00:00
abstract::Seven instances of child abuse due to poisoning are reported; two of the children died. Forty-one cases of this form of poisoning are found in the literature. Of the total of 48 children, eight (17%) died as a result of the incident; and one was mentally retarded. The seven different agents described here are alcohol,...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1982-07-01 00:00:00
abstract::Routine use of the 7-valent pneumococcal conjugate vaccine (PCV7), available since 2000, has resulted in a dramatic reduction in the incidence of invasive pneumococcal disease (IPD) attributable to serotypes of Streptococcus pneumoniae contained in the vaccine. However, IPD caused by nonvaccine pneumococcal serotypes ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-1280
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:Because of case reports describing hypoxemia on withdrawal of inhaled nitric oxide (I-NO), we prospectively examined this safety issue in newborns with persistent pulmonary hypertension who were classified as treatment successes or failures during a course of I-NO therapy. METHODS:Randomized, placebo-control...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1542/peds.104.2.231
更新日期:1999-08-01 00:00:00
abstract::The American Academy of Pediatrics recently released its new Technical Report and Policy Statement on male circumcision, concluding that current evidence indicates that the health benefits of newborn male circumcision outweigh the risks. The technical report is based on the scrutiny of a large number of complex scient...
journal_title:Pediatrics
pub_type: 评论,杂志文章
doi:10.1542/peds.2012-2896
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVES:Hutchinson-Gilford progeria syndrome is a rare and uniformly fatal segmental "premature aging" disease that affects a variety of organ systems. We sought to more clearly define the bone and weight abnormalities in patients with progeria as potential outcome parameters for prospective clinical trials. PATIEN...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2007-1357
更新日期:2007-10-01 00:00:00
abstract::Experience with more than 375 cases of possible sexual abuse has taught us that much work still needs to be done in understanding normal prepubertal female anatomy and interpreting findings in sexual abuse cases. Because pediatric clinicians are often called upon to assess possible sexual abuse victims, knowledge of w...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1987-08-01 00:00:00
abstract::A 34-day-old previously healthy boy born full term presented to the emergency department with fever at home (38.1°C), fussiness, and decreased oral intake for 1 day. He was difficult to console at home. He had decreased oral intake without emesis, diarrhea, or a change in urine output. He did not have rhinorrhea, coug...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2015-1406
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Adults with childhood-onset epilepsy experience poorer adult social outcomes than their peers. The relative roles of seizures over time versus learning and psychiatric problems are unclear. METHODS:We examined independent influences of psychiatric and learning disorders and of seizure course in 241 young ad...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2015-3944
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Hypothermia during delivery room stabilization of very low birth weight (VLBW) newborns is independently associated with mortality, yet it occurred frequently both in collaborative networks and at our institution. We aimed to attain admission temperatures in the target range of 36 °C to 38 °C i...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2013-1293
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:In 2010, 9120 cases of pertussis were reported in California, more than any year since 1947. Although this resurgence has been widely attributed to waning immunity of the acellular vaccine, the role of vaccine refusal has not been explored in the published literature. Many factors likely contributed to the o...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2013-0878
更新日期:2013-10-01 00:00:00
abstract::Advancements in videoconferencing equipment and Internet-based tools for sharing information have resulted in widespread use of telemedicine for providing health care to people who live in remote areas. Given the limited supply of people trained to provide early-intervention services to infants and young children who ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-0354J
更新日期:2010-08-01 00:00:00
abstract::Participants of the second colloquium of the Residency Review and Redesign in Pediatrics (R(3)P) Project considered 3 primary questions: What is a "good doctor"? How do we make one? and How do we know when we have made one? Experts from other countries and other medical specialties helped participants wrestle with the...
journal_title:Pediatrics
pub_type:
doi:10.1542/peds.2008-1578F
更新日期:2009-01-01 00:00:00
abstract::The package inserts of live viral vaccines include immunodeficiency as a contraindication. Nevertheless, patients with mild forms of immunodeficiency may benefit from vaccination. No published guidelines exist for the administration of these vaccines specifically to patients with chromosome 22q11.2 deletion syndrome. ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.112.4.e325
更新日期:2003-10-01 00:00:00
abstract::Thirty-three children with acute rheumatic fever were studied using echocardiography to characterize heart involvement in this disease. Among 26 subjects with a first episode of acute rheumatic fever, 18 had a clinical diagnosis of carditis and six had heart failure. Heart failure usually resulted from valvular incomp...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1983-05-01 00:00:00
abstract::The therapeutic approach to childhood nephrotic syndrome is based on a series of studies that began with an international collaborative effort sponsored by the International Study of Kidney Disease in Children in 1967. The characteristics of children presenting with nephrotic syndrome have changed over recent decades ...
journal_title:Pediatrics
pub_type: 共识发展会议,杂志文章
doi:10.1542/peds.2008-1559
更新日期:2009-08-01 00:00:00
abstract::A previously healthy 15-year-old boy presented with 3 months of progressive psychosis, insomnia, back and groin pain, and hyperhidrosis. On examination, the patient was disheveled, agitated, and soaked with sweat, with systolic blood pressure in the 160s and heart rate in the 130s. Aside from occasional auditory and v...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-3786
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:We sought to document gender differences in lymphocyte subsets and plasma RNA levels in a pediatric cohort with presumed minimal hormonal differences (on the basis of age). METHODS:Blood samples from antiretroviral therapy-treated, HIV-infected children (n = 158) and HIV-uninfected children (n = 1801) who we...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2005-0294
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence and most common etiologies of scalp scaling in infants and prepubertal children and the specificity of head and neck lymphadenopathy for the diagnosis of tinea capitis associated with scalp scaling. DESIGN/METHODS:A cross-sectional study of 300 children, 200 from an urban general ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-1616
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVES:We tested the hypotheses that apolipoprotein E genotype, in particular carriage of the epsilon4 allele, is more likely to be associated with cerebral palsy and that children with more severe neurologic impairment are more likely to carry this allele. METHODS:In this cross-sectional study, 209 children with ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-1083
更新日期:2007-02-01 00:00:00
abstract::In February 1981, a measles outbreak occurred in a pediatric practice in DeKalb County, GA. The source case, a 12-year-old boy vaccinated against measles at 11 1/2 months of age, was in the office for one hour on the second day of rash, primarily in a single examining room. On examination, he was noted to be coughing ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1985-04-01 00:00:00
abstract::This study examined conceptions of illness in young adolescents. A group of 77 urban junior high school students aged 11 to 15 years were asked for their definitions of illness. Themes occurring in definitions of illness were identified and coded according to a previously developed coding scheme. Evidence in support o...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1981-12-01 00:00:00
abstract::Given the pervasive use of screen-based media and the high prevalence of insufficient sleep among American youth and teenagers, this brief report summarizes the literature on electronic media and sleep and provides research recommendations. Recent systematic reviews of the literature reveal that the vast majority of s...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2016-1758J
更新日期:2017-11-01 00:00:00
abstract::Commercially available mouse monoclonal antibodies to human IgG subclass (IgG1 to IgG4) were applied to an enzyme-linked immunosorbent assay to measure IgG subclass-specific antibodies to varicella-zoster virus in children naturally infected with varicella-zoster virus and in varicella vaccine recipients. In children ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1987-12-01 00:00:00
abstract:BACKGROUND:Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neurobehavioral conditions of childhood and adolescence. Despite availability of effective treatment options, initiation of treatment is variable and persistence with therapeutic regimens is poor. OBJECTIVE:We sought to better underst...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-2569
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:Most clinical descriptions of invasive staphylococcal disease (ISD) in neonates date from before the mid-1980s, when neonatal viability and intensive care differed substantially from current standards. We aimed to describe the contemporary incidence, clinical features, and outcome of infants with ISD in a neo...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-0043
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE:Each year, children die from heat stroke after being left unattended in motor vehicles. In 2003, the total was 42, up from a national average of 29 for the past 5 years. Previous studies found that on days when ambient temperatures exceeded 86 degrees F, the internal temperatures of the vehicle quickly reache...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-2368
更新日期:2005-07-01 00:00:00