Abstract:
OBJECTIVES:The current Australian epidemiology of Kawasaki disease (KD) is poorly defined. Previous enhanced surveillance (1993-1995) estimated an incidence of 3.7/100,000 <5 years. METHODS:We identified all patients hospitalized in Western Australia (current population ∼2.4 million) 1979 through 2009 with a discharge diagnosis of KD. We reviewed demographic, clinical, laboratory, and echocardiographic data from individual patient files and derived age-specific population estimates. KD diagnosis was made using standard criteria. RESULTS:There were 353 KD cases, with incomplete KD in 34 (9.6%). Male to female ratio was 1.7:1 and median age was 3.8 years (interquartile range 12-60 months). Fifty (18.1%) patients were Asian. Mean annual incidence increased from 2.82 per 100,000 children aged <5 years (95% confidence interval, 1.93-3.99) in 1980 to 1989, to 7.96 (6.48-9.67) in 1990 to 1999, to 9.34 (7.72-11.20) in 2000 to 2009. The highest incidence was 15.7 in 2005. A total of 293 children (83%) received intravenous immunoglobulin and 331 (95.4%) aspirin. Of 282 children who completed echocardiographic studies, 47 (16.7%) had coronary artery (CA) ectasia/dilatation and 19 (6.8%) had CA aneurysms; male gender was significantly associated with CA abnormalities. CONCLUSIONS:KD epidemiology in Western Australia mirrors that of other industrialized, predominantly European-Caucasian populations. The rising incidence likely reflects both improved ascertainment and a real increase in disease burden. The current Australian incidence is threefold higher than previously reported and similar to the United Kingdom. The CA outcomes, which include the pre-intravenous immunoglobulin era, are comparable to those reported elsewhere.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Saundankar J,Yim D,Itotoh B,Payne R,Maslin K,Jape G,Ramsay J,Kothari D,Cheng A,Burgner Ddoi
10.1542/peds.2013-2936subject
Has Abstractpub_date
2014-04-01 00:00:00pages
e1009-14issue
4eissn
0031-4005issn
1098-4275pii
peds.2013-2936journal_volume
133pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract:CONTEXT:Research reveals racial, ethnic, and socioeconomic disparities in autism diagnosis; there is limited information on potential disparities related to other dimensions of services. OBJECTIVE:We reviewed evidence related to disparities in service use, intervention effectiveness, and quality of care provided to ch...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-1895G
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVES:Neonatal thrombocytopenia occurs commonly in neonatal intensive care units. The role of the thrombopoietin (Tpo) system in normal neonatal platelet regulation and neonatal thrombocytopenia is not well understood. The purpose of our study was to: 1) determine the normal Tpo level at birth in healthy nonthromb...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.105.6.1286
更新日期:2000-06-01 00:00:00
abstract::An instructive case of isolated congenital folate malabsorption provides insight into the understanding of this rare disease. Folate loading tests with both timed serum and cerebrospinal fluid folate determinations suggest that both of the two mechanisms involved in gastrointestinal folate absorption are defective in ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.104.5.1133
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Immunoglobulin A vasculitis (IgAV) might develop after vaccination. However, this potential relationship is essentially based on case reports, and robust pharmaco-epidemiologic data are scarce. We aimed to investigate the effect of vaccination on short-term risk of IgAV in children. METHODS:W...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2018-0841
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:To examine factors associated with the maternal perception of the weight status in related and unrelated children and to examine whether associated health risks for children's physical and mental health are recognized. PATIENTS AND METHODS:Two hundred nineteen mothers with children between 3 and 6 years of a...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-1845
更新日期:2009-07-01 00:00:00
abstract::A healthy 14-year-old presented to an emergency department in Alaska, complaining of shortness of breath, chest pain, and 72 hours of malaise and headache. On admission, her blood pressure was 80/50 mm Hg, and she had cool extremities. Electrocardiography revealed wide-complex ventricular tachycardia. She underwent sy...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2011-2371
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:Sensitization to perennial aeroallergens is associated with asthma in industrialized countries with a Western lifestyle. Because silk products are commonly used in Chinese society, we were interested in examining the relation between sensitization to silk and asthma. DESIGN:Cross-sectional study of 871 child...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.107.5.e80
更新日期:2001-05-01 00:00:00
abstract::In an 8-month-old infant with tuberculous meningitis treatment with isoniazid was unsuccessful and was associated with lower than expected plasma concentrations of isoniazid (measured concentration 0.1 microgram/mL). The infant had received isoniazid as a crushed tablet admixed with apple sauce. Oral administration of...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1986-06-01 00:00:00
abstract::Autism spectrum disorders are not rare; many primary care pediatricians care for several children with autism spectrum disorders. Pediatricians play an important role in early recognition of autism spectrum disorders, because they usually are the first point of contact for parents. Parents are now much more aware of t...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2007-2361
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Meningococcal conjugate vaccination is recommended in the United States. This study evaluates the safety of quadrivalent meningococcal conjugate vaccine in a cohort aged 11 to 21 years. METHODS:This cohort study with self-controlled case-series analysis was conducted at Kaiser Permanente Southern California...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-2084
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:This report is an update of the US Preventive Services Task Force (USPSTF) 2006 recommendation on screening for speech and language delay in preschool-aged children. METHODS:The USPSTF reviewed the evidence on screening for speech and language delay and disorders in children aged 5 years or younger, includi...
journal_title:Pediatrics
pub_type: 杂志文章,实务指引
doi:10.1542/peds.2015-1711
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:Inattention and hyperactivity are frequent among children with sleep-disordered breathing (SDB) and often improve when SDB is treated. However, the frequency of SDB symptoms among inattentive and hyperactive children has received little study. DESIGN:Cross-sectional survey. SETTING:Two university-affiliated...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.109.3.449
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:To describe the prevalence of continuity of care over a 5-year period in a complete cohort of urban children universally insured for medical care provided under fee-for-service reimbursement. METHOD:All children enrolled in the study were born to women living in metropolitan Winnipeg between July 1, 1987 and...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVE:We investigated whether the duration and exclusivity of breastfeeding affects the likelihood of gross and fine motor delay in infants and examined the effect of factors that might explain any observed differences. METHODS:The study sample included all term singleton infants who weighed > 2500 g at birth and ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-3141
更新日期:2006-09-01 00:00:00
abstract::Lysosomal storage disorders are rare inborn errors of metabolism, with a combined incidence of 1 in 1500 to 7000 live births. These relatively rare disorders are seldom considered when evaluating a sick newborn. A significant number of the >50 different lysosomal storage disorders, however, do manifest in the neonatal...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2008-0635
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:Many infants who have experienced an apparent life-threatening event (ALTE) seem normal by the time they reach the hospital. Nevertheless, they typically undergo an extensive evaluation to rule out serious underlying conditions. The purpose of the present investigation was to determine the yield of different ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2004-0847
更新日期:2005-04-01 00:00:00
abstract::Cocaine use during pregnancy was assessed by interviews and urine assays obtained prenatally and immediately postpartum from 679 urban women enrolled in prenatal care. Of these, 17% were found to have used cocaine at least once during pregnancy. Eight percent had urine assays positive for cocaine metabolites using the...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1988-12-01 00:00:00
abstract::We describe here the case of a boy who presented 2 days after birth with purpura fulminans on his feet and scalp. Laboratory investigations revealed signs of disseminated intravascular coagulation. An underlying coagulation disorder was suspected, and therapy with recombinant tissue plasminogen activator, fresh-frozen...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2009-2913
更新日期:2011-05-01 00:00:00
abstract::Parents, educators, law enforcement officials, and health professionals are all concerned about the violent radicalization of adolescents. Health professionals may be called on to assess teenagers regarding the risk that they will become dangerous. We present a case in which a psychiatrist is asked to do a forensic ev...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2017-0685
更新日期:2017-10-01 00:00:00
abstract::We have studied the epidemiology of inguinal hernias in preterm infants. Inguinal hernias occur with increased frequency in infants less than or equal to 32 weeks' gestational age or less than or equal to 1,250 g birth weight. Among infants less than or equal to 32 weeks' gestational age, intrauterine growth retardati...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1986-02-01 00:00:00
abstract:OBJECTIVE:To call attention to a cutaneous marker for neural tube closure defects of the scalp, the "hair collar" sign. This finding consists of a ring of long, dark, coarse hair surrounding a midline scalp nodule. METHODS AND RESULTS:Four children with small congenital scalp nodules and the hair collar sign were stud...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1995-08-01 00:00:00
abstract:BACKGROUND:Little is known about the impact of providing health insurance to uninsured children who have asthma or other chronic diseases. OBJECTIVES:To evaluate the association between health insurance and the utilization of health care and the quality of care among children who have asthma. DESIGN:Before-and-during...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract::To determine the rate and factors that affect carbamazepine absorption, six patients being treated in the pediatric intensive care unit for frequent seizures received loading doses (7.4 to 10.4 mg/kg) of carbamazepine suspension by either nasogastric or nasoduodenal tube. Carbamazepine serum concentrations were determ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1990-08-01 00:00:00
abstract:OBJECTIVE:To develop a quantitative model to estimate the probability of neonatal early-onset bacterial infection on the basis of maternal intrapartum risk factors. METHODS:This was a nested case-control study of infants born at ≥34 weeks' gestation at 14 California and Massachusetts hospitals from 1993 to 2007. Case-...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2010-3464
更新日期:2011-11-01 00:00:00
abstract::Hyperthermia as a human teratogen has been implicated as one cause for neurulation defects. To determine whether there is an association between early maternal hyperthermia (20 to 28 days' gestation) and isolated occipital encephalocele, record reviews were conducted for the period 1969 through 1979 in three major med...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1981-10-01 00:00:00
abstract:BACKGROUND:The incidence of skin cancer has increased in the United States, concomitant with increased UV radiation (UVR) exposure among young adults. We examined whether tanning facilities in Missouri, a state without indoor-tanning regulations, acted in accordance with the Food and Drug Administration's recommendatio...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2012-1781
更新日期:2013-03-01 00:00:00
abstract::The appropriate determination of adequate tissue perfusion and the best approach to treatment of perceived abnormalities in blood pressure in the neonate remain controversial. There is no consensus regarding the actual definition of hypotension in the neonate or how best to raise perceived low blood pressure. In addit...
journal_title:Pediatrics
pub_type:
doi:10.1542/peds.2005-0620F
更新日期:2006-03-01 00:00:00
abstract::Lyme disease is currently the most frequently reported vector-borne illness in the United States, accounting for more than 95% of such cases. The purpose of this report is to provide recommendations for preventing Lyme disease, including the use of Lyme disease vaccine. Individuals can reduce their risk of Lyme diseas...
journal_title:Pediatrics
pub_type: 指南,杂志文章,实务指引,评审
doi:
更新日期:2000-01-01 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:BACKGROUND:NICU patients have characteristics believed to increase their risk for wrong-patient errors; however, little is known about the frequency of wrong-patient errors in the NICU or about effective interventions for preventing these errors. We conducted a quality improvement study to evaluate the frequency of wro...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-2863
更新日期:2017-05-01 00:00:00