Abstract:
:Emergency departments (EDs) are a vital component in our health care safety net, available 24 hours a day, 7 days a week, for all who require care. There has been a steady increase in the volume and acuity of patient visits to EDs, now with well over 100 million Americans (30 million children) receiving emergency care annually. This rise in ED utilization has effectively saturated the capacity of EDs and emergency medical services in many communities. The resulting phenomenon, commonly referred to as ED overcrowding, now threatens access to emergency services for those who need them the most. As managers of the pediatric medical home and advocates for children and optimal pediatric health care, there is a very important role for pediatricians and the American Academy of Pediatrics in guiding health policy decision-makers toward effective solutions that promote the medical home and timely access to emergency care.
journal_name
Pediatricsjournal_title
Pediatricsauthors
American Academy of Pediatrics Committee on Pediatric Emergency Medicine.doi
10.1542/peds.2004-1287subject
Has Abstractpub_date
2004-09-01 00:00:00pages
878-88issue
3eissn
0031-4005issn
1098-4275pii
114/3/878journal_volume
114pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract::Well-child visits are a critical opportunity to promote learning and development, encourage positive parenting practices, help children acquire behavioral self-control, enhance the development and well-being of children and their families, identify problems not amenable to brief in-office counseling, and refer for ser...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2013-1859
更新日期:2014-05-01 00:00:00
abstract::In a randomized multicenter trial, involving the collaboration of eight European neonatal intensive care units, the efficacy of replacement therapy with a new surfactant preparation (Curosurf) was tested in 146 patients with severe neonatal respiratory distress syndrome. Criteria for entry included birth weight 700 to...
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:
更新日期:1988-11-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to better estimate the prevalence and severity of childhood food allergy in the United States. METHODS:A randomized, cross-sectional survey was administered electronically to a representative sample of US households with children from June 2009 to February 2010. Eligible participan...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2011-0204
更新日期:2011-07-01 00:00:00
abstract::The Affordable Care Act (ACA) introduces enormous policy changes to the health care system with several anticipated benefits and a growing number of unanticipated challenges for child and adolescent health. Because the ACA gives each state and their payers substantial autonomy and discretion on implementation, underst...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2014-0881
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:As newborn screening (NBS) programs expand to include conditions that challenge traditional public health criteria, little is known about what influences physicians' attitudes toward screening. We examined the effect of state policy and perceived state policy on pediatricians' attitudes toward screening. MET...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-1990
更新日期:2006-05-01 00:00:00
abstract::A retrospective record review was used to examine utilization of a pediatric walk-in clinic available to an entire urban community and to evaluate the effectiveness of follow-up care for a sample of the users of this facility who receive their regular pediatric care at a local comprehensive child health center. Result...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
abstract:OBJECTIVE:To determine the short-term efficacy of meso-2,3-dimercaptosuccinic acid (DMSA) in mild to moderately lead poisoned children. METHODS:Medical records of all pediatric patients receiving 19 days of DMSA between June 1991 and May 1993 were reviewed retrospectively. Patients were included if their pretreatment ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1995-10-01 00:00:00
abstract::Enterovirus 71 (E-71) infection was first reported in 19745 in the United States; subsequent outbreaks were reported in worldwide distribution. In the summer of 1977, we identified 12 patients, mostly children, with E-71 infection. The striking feature of this outbreak is the occurrence of two cases with polio-like pa...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1981-04-01 00:00:00
abstract::Unrecognized congenital hypothyroidism leads to mental retardation. Newborn screening and thyroid therapy started within 2 weeks of age can normalize cognitive development. The primary thyroid-stimulating hormone screening has become standard in many parts of the world. However, newborn thyroid screening is not yet un...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2006-0915
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:The goal was to investigate the relationships of income and income inequality with neonatal and infant health outcomes in the United States. METHODS:The 2000-2004 state data were extracted from the Kids Count Data Center. Health indicators included proportion of preterm births (PTBs), proportion of infants ...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2009-3378
更新日期:2010-12-01 00:00:00
abstract::Developmental dysplasia of the hip (DDH) encompasses a wide spectrum of clinical severity, from mild developmental abnormalities to frank dislocation. Clinical hip instability occurs in 1% to 2% of full-term infants, and up to 15% have hip instability or hip immaturity detectable by imaging studies. Hip dysplasia is t...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2016-3107
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:There is concern that high-deductible health plans may have negative effects on vulnerable groups. The objective of this study was to compare the characteristics of families who have children and switch to high-deductible health plans with those who stay in traditional plans. METHODS:This double-cohort study...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-1738
更新日期:2009-04-01 00:00:00
abstract::A preterm, very low birth weight infant was born to a mother with early latent syphilis who was treated 10 days and 3 days before delivery with 2.4 mU of benzathine penicillin. The infant had clinical, laboratory, and radiographic abnormalities consistent with congenital syphilis, ie, a Venereal Disease Research Labor...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.104.1.e4
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:Sleep deprivation and sleepiness are associated with poorer school performance, impaired neurobehavioral functioning, and behavioral problems. OBJECTIVE:To determine if adolescents with high levels of sleepiness or short sleep duration have impaired executive functioning. METHODS:Ours was a cross-sectional...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-1182
更新日期:2009-04-01 00:00:00
abstract::The school nurse has a crucial role in the provision of school health services. This statement describes the school nurse as a member of the school health services team and its relation to children with special health care needs. Recommendations for the professional preparation and education of school nurses also are ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.108.5.1231
更新日期:2001-11-01 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:OBJECTIVES:Hospitals are being required to report publically their adjusted mortality rates, which are then being used to rank hospitals. Our objectives were to assess the statistical reliability of the determination of a hospital's adjusted mortality rate, of comparisons of that rate with the rates of other hospitals,...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-3074
更新日期:2011-10-01 00:00:00
abstract::In this article we explore decision-making about treatment when a child faces a life-threatening illness but conventional treatment presents substantial risk and uncertain benefit. When is it acceptable for parents to decide to use complementary and alternative medicine as an alternative, rather than a complement, to ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2010-2720F
更新日期:2011-11-01 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:CONTEXT:Breastfeeding duration and exclusivity among Latinas fall below recommended levels, indicating a need for targeted interventions. The effectiveness of clinical breastfeeding interventions for Latinas remains unclear. OBJECTIVE:To systematically review the documented effectiveness of clinical breastfeeding inte...
journal_title:Pediatrics
pub_type: 杂志文章,meta分析,评审
doi:10.1542/peds.2015-2423
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:Mortality rates in pediatric patients with heart disease have decreased dramatically in recent decades, resulting in an increasing number of survivors with morbidities that impact quality of life. The purpose of this study was to assess and compare how heart disease affects the quality of life of the pediatr...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-2572
更新日期:2009-04-01 00:00:00
abstract::Immunodeficiency-centromeric instability-facial dysmorphism syndrome, characterized by variable immunodeficiency, centromeric instability, and facial anomalies caused by epigenetic dysregulation resulting in hypomethylation, is caused in many patients by mutations in DNMT3B, a DNA methyltransferase gene; associated in...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2007-0640
更新日期:2007-11-01 00:00:00
abstract::The effects of beclomethasone, dipropionate aerosol (DBA) (400 microgram/day) on clinical course, pulmonary function, and pituitary-adrenal function was studied in 34 steroid-dependent asthmatic children. Asthma severity was assessed by daily symptom and medication scores, peak flow measured three times a day, and wee...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章
doi:
更新日期:1978-08-01 00:00:00
abstract::Trainees and clinicians from high-income countries are increasingly engaging in global health (GH) efforts, particularly in resource-limited settings. Concomitantly, there is a growing demand for these individuals to be better prepared for the common challenges and controversies inherent in GH work. This is a state-of...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2016-3783
更新日期:2017-11-01 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::Between June 1979 and June 1989, 54 children with urolithiasis were evaluated and treated at the Johns Hopkins Children's Center. The most common symptoms were flank or abdominal pain (58%) and gross hematuria (28%). In 46 children (86%), stones were secondary to a preexisting condition and in only 8 (14%) no apparent...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1991-04-01 00:00:00
abstract::Beals syndrome, also known as congenital contractural arachnodactyly (Online Mendelian Inheritance in Man: 121050), is an autosomal dominant disorder caused by a mutation in FBN2 that is typically characterized by congenital contractures and arachnodactyly. It shares a number of phenotypic features with Loeys-Dietz sy...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-1281
更新日期:2017-03-01 00:00:00
abstract::To evaluate the long-term effects of slow-release formulations of theophylline and terbutaline on pulmonary function, clinical symptoms, and side effects, 24 children with stable and moderately severe perennial asthma participated in a prospective double-blind cross-over study. The patients and the treatments were ran...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1989-07-01 00:00:00
abstract::Controversy exists regarding the type and/or sequence of imaging studies needed during the first febrile urinary tract infection (UTI) in young children. Several investigators have claimed that because acute-phase Tc-99m dimercaptosuccinic acid (DMSA) renal-scan results are abnormal in the presence of dilating vesicou...
journal_title:Pediatrics
pub_type: 杂志文章,meta分析
doi:10.1542/peds.2010-3460
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Children with medical complexity (CMC) comprise only 6% of the pediatric population, account for ∼40% of pediatric health care spending, and provide an important opportunity for cost saving. Savings in this group can have an important impact on pediatric health care costs. The objective of thi...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2019-2401
更新日期:2020-04-01 00:00:00