Abstract:
:The duration of hospitalization for newborns has declined dramatically, driven by efforts to control health-care costs as well as by efforts to demedicalize childbirth. In order to determine the clinical basis for this practice, the quality of the published literature on discharge timing was analyzed. Thirteen experimental or quasi-experimental studies were retrieved through a computer search. Seven characteristics that influenced the quality of these studies were reviewed: research design; measures of effect; sample descriptions; statistical methods; reliability measures; sample size; and the definition of early discharge, including the use of any related interventions. Although all 13 studies suggest that there are no differences between infants discharged early and their compeers, these studies have three limitations. First, with one exception, these reports are from hospitals where well-defined assessment and follow-up protocols have been established, potentially limiting their wide applicability. Second, these studies lack statistical power to assess the likelihood of rare events such as readmission. Third, few studies report outcomes other than readmission and medical conditions diagnosed within 1 to 6 weeks. Early discharge as the standard of care for well newborns has not been well established by empirical studies. Pediatricians and local public health officials have a responsibility to assure that the health objectives of hospitalization are met whether this occurs in the hospital or through other mechanisms, such as routine home visiting.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Margolis LHdoi
10.1177/000992289503401201subject
Has Abstractpub_date
1995-12-01 00:00:00pages
626-34issue
12eissn
0009-9228issn
1938-2707journal_volume
34pub_type
杂志文章,meta分析abstract::A required PL-3 rotation in community pediatrics, including assignments to preschool and school settings, private pediatric offices, and in-hospital responsibilities, is described. A university-affiliated community hospital provides the organizational base for the program. After 14 PL-3 rotations, analysis of program ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288102000403
更新日期:1981-04-01 00:00:00
abstract::Neisseria meningitidis is an important cause of fulminant septicemia and meningitis in children. Only limited reports of mild disease associated with this organism exist. In this study, we describe eight children, ages 2.5-19 months, with mild meningococcal disease and characterize the meningococcal isolates from some...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288502401101
更新日期:1985-11-01 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::Rotavirus gastroenteritis primarily affects children younger than 5 years of age and is the leading cause of diarrhea-related hospitalizations worldwide. The substantial morbidity associated with this disease and the major burden on healthcare resources underscore the need for an effective vaccine. Two recently develo...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922808314903
更新日期:2008-07-01 00:00:00
abstract::Each year, 3.3 to 10 million children are exposed to domestic violence/abuse (DV). Providers' reporting obligations for these children are unclear. The child maltreatment statutes available on state's web sites (through August 2003) were reviewed. Only Alaska defines DV in the presence of a child as child abuse within...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992280404300506
更新日期:2004-06-01 00:00:00
abstract::English- and Spanish-speaking parents of 1- to 5-year-old children were invited to view 5-10 minutes of parent training program, "Play Nicely," as part of the well-child checkup. Key measures were parents' plans to change how they discipline and, if they planned to use less spanking, how the program worked in their si...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922817693298
更新日期:2018-02-01 00:00:00
abstract::Eleventh- and 6th-grade students from an urban public school district were surveyed concerning vaccination outside the traditional medical home. Survey response rates were 50% for 11th- and 73% for 6th-grade students. Seventy-two percent of 11th-grade students reported that public health clinics were definitely or pro...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922813475703
更新日期:2013-04-01 00:00:00
abstract::Three cases are presented which illustrate the possible difficulties in differentiating between the diagnoses of Guillain-Barre Syndrome and conversion disorder. Accepted criteria are specified for each condition, as well as some associated features often characteristic of similar cases. Supportive interdisciplinary t...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289103001002
更新日期:1991-10-01 00:00:00
abstract::Clinic-based social needs screening has been associated with increased access to social services and improved health outcomes. Using a pragmatic study design in an urban pediatric practice, we used logistic regression to identify factors associated with successful social service uptake. From December 2017 to November ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820908589
更新日期:2020-06-01 00:00:00
abstract::The effects of position (upright vs reclining) and support (held vs chair) on the development and maintenance of feeding behavior were examined in a child with bronchopulmonary dysplasia and gastroesophageal reflux. A reclining position initially facilitated acceptance and swallowing with relatively rapid generalizati...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289403300102
更新日期:1994-01-01 00:00:00
abstract::Rickets as a definite disease manifesting itself by a more or less constant association of symptoms was first described in 1645 by Daniel Whistler, as English physician. However, the disease must have existed years before Dr. Whistler's report, as is evident in the painting by Hans Burgkmair completed in 1509. ...
journal_title:Clinical pediatrics
pub_type: 传,历史文章,杂志文章
doi:10.1177/000992288001900305
更新日期:1980-03-01 00:00:00
abstract::Pediatricians and family physicians can play a significant role in the initiation of dental care for preschool children because they are seen more often by a physician than a dentist. The Committee on Standards for Child Health Care of the American Academy of Pediatrics recommends inspection of the mouth, teeth, and g...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288602500705
更新日期:1986-07-01 00:00:00
abstract::The Parent Attitudes about Childhood Vaccines (PACV) survey for identifying vaccine-hesitant parents was recently validated in Washington State but did not include all recommended childhood vaccines. The current study compares vaccination rates for all recommended childhood vaccines and PACV scores at one pediatric pr...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815615823
更新日期:2016-06-01 00:00:00
abstract::We present the case of a young boy who was born to a human immunodeficiency virus (HIV)-positive mother and originally found to be uninfected. Evidence-based guidelines were followed regarding the mother's prenatal and infant's postnatal care, including the avoidance of breast milk. HIV DNA polymerase chain reaction q...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815601032
更新日期:2016-06-01 00:00:00
abstract::The authors administered an abbreviated revision of a previously field-tested, self-administered, brief screening test (the 30-item Drug and Alcohol Problem Quick Screen) to 355 consecutive middle-class adolescent patients seen at a five-pediatrician group practice setting. Ninety-six percent (341) of the subjects com...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992289002900106
更新日期:1990-01-01 00:00:00
abstract::Nationally recommended universal lipid screening (ULS) in children aged 9 to 11 years is low. Little is known about parents' understanding of screening. We conducted a survey exploring parental knowledge and attitudes regarding ULS. Of 91 parent respondents, 81.3% were female, 69.2% were non-Hispanic white, 90.1% had ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922820903043
更新日期:2020-05-01 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::A case study of a family referred for clarification of cultural issues illustrates how a transcultural psychiatric service developed in the pediatric hospital setting can be used to advantage. A Vietnamese family with an inherited disorder. Mucopolysaccharidosis type VI (Maroteaux-Lamy syndrome, MPS VI), resisted gene...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288902801009
更新日期:1989-10-01 00:00:00
abstract::Nephrotic syndrome (NS) is one of the most common causes of chronic kidney disease in children. Mostly, NS is controlled by steroids. In spite of this, 10% to 20% of the patients have steroid resistant NS (SRNS), and the rest have steroid sensitive NS (SSNS). Eighty-seven children with NS (66 SSNS; 21SRNS) were retros...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922816645521
更新日期:2017-02-01 00:00:00
abstract::A case of cystic fibrosis presenting as a right lower quadrant mass in a five-year-old white female is presented. At laparotomy, a mucoid, impacted appendix was found which microscopically suggested the diagnosis of cystic fibrosis. Cystic fibrosis must be added to conditions presenting with abdominal masses. ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992287501400913
更新日期:1975-09-01 00:00:00
abstract::Two hundred and seventy one infants were enrolled in a study to compare six different methods of treating the umbilical cord. Antimicrobial control was equal for all methods. Repeated triple dye application was considered least acceptable by staff and parents and had the longest attachment time. Povidone-iodine was as...
journal_title:Clinical pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/000992288802700302
更新日期:1988-03-01 00:00:00
abstract::Over-the-counter cold remedies are widely used for symptomatic relief of upper respiratory tract infections. The safety of these drugs is not well established in infants and their efficacy is questionable. Our aim was to study the attitude of family physicians and pediatricians toward the use of cold remedies in infan...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922806295281
更新日期:2006-11-01 00:00:00
abstract::We analyzed findings from the 2009-2010 National Survey of Children with Special Health Care Needs to identify associations between families with children and youth with special health care needs (CYSHCN) reporting adequate care coordination (CC) with family-provider relations, shared decision making (SDM), and child ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922818783501
更新日期:2018-10-01 00:00:00
abstract::Patients with selective IgA deficiency, the most common primary immunodeficiency, occasionally may undergo spontaneous recovery. In this paper we present three additional children whose IgA levels spontaneously returned to normal. All three presented with gastrointestinal symptoms, and one child also had frequent uppe...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288202100202
更新日期:1982-02-01 00:00:00
abstract::Dextromethorphan hydrobromide (DXM), a constituent of more than 125 patent cough/cold remedies, is the most popular antitussive medication in the United States. Cough syrups or capsules also contain additional ingredients such as acetaminophen, chlorpheniramine maleate, guaifenesin, and/or pseudoephedrine, and toxicit...
journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992280504400702
更新日期:2005-09-01 00:00:00
abstract::This study compares 2 sampling methods for urine cultures in young infants. We analyzed data on urine samples obtained from 83 infants using 2 sources of urine: suprapubic bladder aspiration (SPA) and bladder catheterization. All specimens were subjected to both urinalysis and culture, and the results compared. Eighty...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922815608278
更新日期:2016-08-01 00:00:00
abstract::An eight-year-old boy developed staphylococcal endocarditis. He was treated initially with nafcillin and gentamicin, but he remained febrile. The minimum bactericidal concentration (MBC) of nafcillin was 130 times the minimum inhibitory concentration (MIC). Following the addition of rifampin to the antibiotic regimen,...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288202100414
更新日期:1982-04-01 00:00:00
abstract:OBJECTIVE:To determine which anthropometric measure best correlates with change in fat mass (FM) over time. METHODS:The authors performed a retrospective cohort study of 76 obese patients (mean body mass index [BMI] 38 kg/m(2) and mean age 13 years) presenting to an obesity clinic between 2005 and 2010. For each patie...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922812440838
更新日期:2012-07-01 00:00:00
abstract::Eighty two infants, aged 2-12 months, were prospectively studied for infectious episodes following diphtheria-pertussis-tetanus (DPT) immunization. The occurrence of infectious episodes during the month following vaccination was compared to that during the month prior to its administration. The 3 days following vaccin...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288802701005
更新日期:1988-10-01 00:00:00
abstract::A 13-year old boy with acute lymphoblastic leukemia on chemotherapy developed neutropenia and acute cellulitis progressing to fulminating septicemia due to Pseudomonas pseudomallei. Septicemic melioidosis should be considered in the differential diagnosis of a febrile illness in children who are susceptible to infecti...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288001901012
更新日期:1980-10-01 00:00:00