Abstract:
:An online survey was administered through the American Academy of Pediatrics (AAP) Section of Emergency Medicine Survey Listserv in Fall, 2017. Overall compliance was measured as never using chest X-rays, viral testing, bronchodilators, or systemic steroids. Practice compliance was measured as never using those modalities in a clinical vignette. Chi-square tests assessed differences in compliance between modalities. t tests assessed differences on agreement with each AAP statement. Multivariate logistic regression determined factors associated with overall compliance. Response rate was 47%. A third (35%) agreed with all 7 AAP statements. There was less compliance with ordering a bronchodilator compared with chest X-ray, viral testing, or systemic steroid. There was no association between compliance and either knowledge or agreement with the guideline. Physicians with institutional bronchiolitis guidelines were more likely to be practice compliant. Few physicians were compliant with the AAP bronchiolitis guideline, with bronchodilator misuse being most pronounced. Institutional bronchiolitis guidelines were associated with physician compliance.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Rivera-Sepulveda AV,Rebmann T,Gerard J,Charney RLdoi
10.1177/0009922819850462subject
Has Abstractpub_date
2019-08-01 00:00:00pages
1008-1018issue
9eissn
0009-9228issn
1938-2707journal_volume
58pub_type
杂志文章abstract::This study describes the epidemiology of pediatric volleyball-related injuries treated in US hospital emergency departments. Data for children younger than 18 years obtained from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission from 1990 through 2009 were analyzed. An est...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811406262
更新日期:2011-09-01 00:00:00
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
doi:10.1177/0009922810385677
更新日期:2011-03-01 00:00:00
abstract::A comprehensive program was founded in 1982 to provide adolescents with prenatal and family planning care. The program's impact through its first five years of operation on medical aspects of pregnancy course and fetal outcome will be the subject of a separate report. This study examines subsequent maternal and infant...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289103000508
更新日期:1991-05-01 00:00:00
abstract:AIMS:The aims of this study were to detect the infection rates of DNA viruses in liver tissue of biliary atresia and to investigate the effect of perinatal infection of cytomegalovirus in biliary atresia. METHODS:A total of 85 liver biopsies (taken during Kasai portoenterostomy) were tested by fluorescence quantitativ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811406264
更新日期:2012-02-01 00:00:00
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
doi:10.1177/0009922820928054
更新日期:2020-10-01 00:00:00
abstract::In many countries, ibuprofen is available only in oral formulations. The authors aimed to investigate parental satisfaction and possible adverse reactions among children receiving newly marketed ibuprofen suppositories, prior to their arrival at the pharmaceutical points of distribution. Children needing antipyretic m...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810384847
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVES:Functional gastrointestinal disorders (FGIDs) are common. Diagnosis is based on the Rome criteria. It has been argued that performing endoscopies could help by providing reassurance and thus improve outcomes. This study was conducted to evaluate the impact of obtaining normal endoscopies in the outcome of ch...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922810392773
更新日期:2011-05-01 00:00:00
abstract::Scleredema is a rare connective disease which must be differentiated from scleroderma in childhood. Scleredema is characterized by thickening of the dermis of the neck, head, and upper trunk. We report a case of scleredema in an 8-year-old boy with coincident streptococcal colonization. The patient report demonstrates...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992289403301006
更新日期:1994-10-01 00:00:00
abstract::Neonatal intensive care unit (NICU) survivors demonstrate handicapping sensorineural hearing loss up to 50 times more frequently than normal newborns, yet little is known about the etiology of the hearing loss. Theoretically, accurate identification and triage of a particular infant based on a clinical profile would b...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289503400304
更新日期:1995-03-01 00:00:00
abstract::Transient synovitis of the hip is a common cause of hip pain in children. The etiology of transient synovitis of the hip is unknown. Lyme arthritis is characterized by brief, often recurrent episodes of oligoarthritis. Lyme arthritis most often affects a single knee, but hip involvement is uncommon. This report descri...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808318337
更新日期:2008-10-01 00:00:00
abstract::A national sample of pediatricians was surveyed to evaluate preschool vision screening practices (response rate 55%, 377 of 690 eligible respondents). The rate of acuity screening for 3-year-old children was low (35%), but increased for 4- (73%) and 5-year-old children (66%). Few used photoscreening or autorefraction ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992280604500309
更新日期:2006-04-01 00:00:00
abstract::Two infants presented with growth failure and were found to have generalized osteomalacia (rickets) due to phosphate depletion from prolonged administration of an aluminum-containing antacid given for the symptoms of colic. One of the infants developed bilateral proptosis due to craniosynostosis related to the underly...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289503400202
更新日期:1995-02-01 00:00:00
abstract::The goal of this study was to determine the value of a certified child life specialist (CCLS) on the patient and staff experiences in an epilepsy monitoring unit (EMU). We integrated a CCLS into the EMU for all children as well as adults with intellectual disability. We surveyed families to determine the impact of chi...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818769469
更新日期:2018-10-01 00:00:00
abstract::Three hundred eighty-six isolates of Propionibacterium sp. were recovered from 2,003 specimens studied for the identification of anaerobic bacteria in children during a 15-year period. Three hundred forty-three (89%) of these were Propionibacterium acnes. A total of 50 (13%) Propionibacterium isolates identified from ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289403300807
更新日期:1994-08-01 00:00:00
abstract::The Danish social system provides competent, accessible, continuous, and coordinated medical care to the pediatric population. The pediatrician does not deal with the routine aspects of well-infant and child care but is rather hospital based and acts on consultant to the generalists in his district. The generalist has...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287501400409
更新日期:1975-04-01 00:00:00
abstract::With discouragingly low vaccination rates for human papillomavirus (HPV), we sought to improve the HPV vaccine completion rate for adolescents by increasing the consistency and quality of provider recommendations. Baseline data was extracted for vaccine completion rates among patients aged 13 to 17 years. Quality impr...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817722014
更新日期:2018-03-01 00:00:00
abstract::Gastroesophageal reflux disease can have variable manifestations including regurgitation, irritability, arching, choking, and apnea. The disorder is also frequently mistaken for seizures (Sandifer syndrome). We report 6 patients in whom the opposite phenomenon occurred: their seizures were mistaken for gastroesophagea...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922806295400
更新日期:2007-05-01 00:00:00
abstract::Little is known of the characteristics of children experiencing school dysfunction who are evaluated by multidisciplinary teams. The records of 87 children seen during a calendar year were reviewed and information was gathered regarding their age, sex, and referral source. In addition, the chief concerns of the child'...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802700406
更新日期:1988-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Little is known about the magnitude of multiple chronic conditions (MCC) in children. This study describes the prevalence of and patterns of comorbidities in children receiving Medicaid assistance. METHODS:Diagnoses from 5 years of Medicaid claims data were reviewed and identified 128,044 chi...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815574073
更新日期:2015-04-01 00:00:00
abstract::Childhood thyrotoxicosis is not an uncommon illness, but there is a considerable relapse rate in these patients on medical treatment. An attempt is made in this study to identify those markers that are predictive of a tendency to relapse in childhood thyrotoxicosis. A total of 32 patients with Graves disease were incl...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288702600306
更新日期:1987-03-01 00:00:00
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
doi:10.1177/000992289503400603
更新日期:1995-06-01 00:00:00
abstract::A masked, randomized, parallel growth study was conducted in infants fed an amino acid-based formula (AF) or an extensively hydrolyzed casein-based formula (HF). Infants were enrolled between 0 and 9 days and studied to 112 days of age. Growth, formula intake, stool patterns, and serum albumin concentrations were asse...
journal_title:Clinical pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/0009922813492883
更新日期:2013-10-01 00:00:00
abstract::The aim of this study was to determine the French norms and examine the validity of a parent-report inventory: the Child Development Inventory (CDI), called "Inventaire du Développement de l'Enfant (IDE)" in French. This assesses the general level of a child's development in 8 developmental domains. The norms were det...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922811398390
更新日期:2011-07-01 00:00:00
abstract::Serum IgG, IgM, and IgA were measured in 316 infants younger than 12 months of age. Information including the child's race, sex, age, and past history of infections or atopy was collected. Birth records were also reviewed to ascertain the child's birthweight and gestational age. Serum IgG levels were higher in black i...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502400204
更新日期:1985-02-01 00:00:00
abstract::Prior to the 1990s, most 46,XX infants with clitoromegaly secondary to congenital adrenal hyperplasia were treated with feminizing genitoplasty to make their cosmetic appearance congruent with their genotypic sex. A 2006 consensus statement for the management of intersex disorders accepted input from patient advocates...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818803407
更新日期:2018-12-01 00:00:00
abstract::Electronic cigarettes, or e-cigarettes as they are commonly called, have gained wide acceptance among adolescents, especially those with sweet flavors such as bubble gum and cheesecake. Although health effects of e-cigarettes have not been well characterized, their use increases a teen's exposure to nicotine and may s...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/0009922817705188
更新日期:2017-09-01 00:00:00
abstract::Fever is a common complaint leading families to seek medical attention. Its routine management is the bread and butter of pediatric practice. When fever is seen as prolonged beyond the expected time course (eg, 10 days for a presumed viral respiratory tract infection or 3 weeks for mononucleosis), concern for fever of...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/0009922809347799
更新日期:2010-03-01 00:00:00
abstract::Mycoplasma pneumoniae is a common cause of upper and lower respiratory tract infections of varying severity. It is also responsible for producing a wide spectrum of nonpulmonary manifestations including neurologic, hepatic, cardiac, and hematologic diseases. The neurologic manifestations are reported to be the most co...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992280003900401
更新日期:2000-04-01 00:00:00
abstract::Anemia is defined as a reduction in red blood cell mass or hemoglobin concentration in blood. It is statistically differentiated from normal states as a hemoglobin concentration or hematocrit 2 SD below the mean for the healthy population adjusted for age and sex. Anemias may be classified based on the morphologic fun...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808323115
更新日期:2009-01-01 00:00:00
abstract::Two children with congenital ocular motor apraxia (C-OMA) associated with congenital malformations of the central nervous system (CNS) are presented, and the literature is reviewed. C-OMA is an abnormality of ocular motility characterized by defective or absent voluntary horizontal gaze, associated with a characterist...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992288802700105
更新日期:1988-01-01 00:00:00