abstract：BACKGROUND:Pediatric emergency department (PED) overcrowding and prolonged boarding times (admission order to PED departure) decrease quality of care. Timely transfer of patients from the PED to inpatient units is a key driver that relieves overcrowding. In 2015, PED boarding time at our hospital was 10% longer than th...

journal_title：Pediatrics

authors： Kouo T,Kleinman K,Fujii-Rios H,Badaki-Makun O,Kim J,Falco L,Canares TL

更新日期：2020-06-01 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

authors： Rosenblatt T,Ort K,Shaw R,Levy RJ,Chen C,Niemi A,Hoang K

更新日期：2020-06-01 00:00:00

abstract：:Causal analysis is a core function of safety programs. Although established protocols exist for conducting root cause analysis for serious safety events, there is limited guidance for apparent cause analysis (ACA) in health care. At our institution, through a novel facilitated ACA approach, we aim to improve safety cu...

journal_title：Pediatrics

authors： Parikh K,Hochberg E,Cheng JJ,Lavette LB,Merkeley K,Fahey L,Shah RK

更新日期：2020-05-01 00:00:00

abstract：:As avid users of technology, adolescents are a key demographic to engage when designing and developing technology applications for health. There are multiple opportunities for improving adolescent health, from promoting preventive behaviors to providing guidance for adolescents with chronic illness in supporting treat...

journal_title：Pediatrics

authors： Radovic A,Badawy SM

更新日期：2020-05-01 00:00:00

abstract：OBJECTIVES:To test the hypotheses that minority children with long-bone fractures are less likely to (1) receive analgesics, (2) receive opioid analgesics, and (3) achieve pain reduction. METHODS:We performed a 3-year retrospective cross-sectional study of children <18 years old with long-bone fractures using the Pedi...

journal_title：Pediatrics

authors： Goyal MK,Johnson TJ,Chamberlain JM,Cook L,Webb M,Drendel AL,Alessandrini E,Bajaj L,Lorch S,Grundmeier RW,Alpern ER,PEDIATRIC EMERGENCY CARE APPLIED RESEARCH NETWORK (PECARN).

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:The association of dietary fat distribution with markers of subclinical atherosclerosis during early life is unknown. We examined whether success in achieving the main target of an infancy-onset dietary intervention based on the distribution of dietary fat was associated with aortic and carotid intima-media ...

journal_title：Pediatrics

authors： Laitinen TT,Nuotio J,Rovio SP,Niinikoski H,Juonala M,Magnussen CG,Jokinen E,Lagström H,Jula A,Viikari JSA,Rönnemaa T,Simell O,Raitakari OT,Pahkala K

更新日期：2020-04-01 00:00:00

abstract：OBJECTIVES:Reduce postoperative hypothermia by up to 50% over a 12-month period in children's hospital NICUs and identify specific clinical practices that impact success. METHODS:Literature review, expert opinion, and benchmarking were used to develop clinical practice recommendations for maintaining perioperative eut...

journal_title：Pediatrics

authors： Brozanski BS,Piazza AJ,Chuo J,Natarajan G,Grover TR,Smith JR,Mingrone T,McClead RE,Rakesh R,Rintoul N,Guidash J,Bellflower B,Holston M,Richardson T,Pallotto EK

更新日期：2020-04-01 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

authors： Bergman DA,Keller D,Kuo DZ,Lerner C,Mansour M,Stille C,Richardson T,Rodean J,Hudak M

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:Orphan drug development is crucial for children, who are disproportionately affected by rare diseases. Data are lacking on the number, nature, and benefit of recently approved pediatric orphan indications. METHODS:We classified the 402 orphan indications the US Food and Drug Administration approved between ...

journal_title：Pediatrics

authors： Kimmel L,Conti RM,Volerman A,Chua KP

更新日期：2020-04-01 00:00:00

abstract：:Idiopathic acute eosinophilic pneumonia is a rare and potentially life-threatening condition that is defined by bilateral pulmonary infiltrates and fever in the presence of pulmonary eosinophilia. It often presents acutely in previously healthy individuals and can be difficult to distinguish from infectious pneumonia....

journal_title：Pediatrics

authors： Mull ES,Erdem G,Nicol K,Adler B,Shell R

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Use of specific services may help to optimize health for children with autism spectrum disorder (ASD); however, little is known about their service use patterns. We aimed to (1) define service use groups and (2) determine associations of sociodemographic, developmental, behavioral, and health ...

journal_title：Pediatrics

authors： Lindly OJ,Chan J,Levy SE,Parker RA,Kuhlthau KA

更新日期：2020-04-01 00:00:00

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

authors： Smith KA,Gehricke JG,Iadarola S,Wolfe A,Kuhlthau KA

更新日期：2020-04-01 00:00:00

abstract：:Next-generation sequencing has revolutionized the diagnostic process, making broadscale testing affordable and applicable to almost all specialties; however, there remain several challenges in its widespread implementation. Barriers such as lack of infrastructure or expertise within local health systems and complex re...

journal_title：Pediatrics

authors： Biswas S,Medne L,Devkota B,Bedoukian E,Berrodin D,Izumi K,Deardorff MA,Tarpinian J,Leonard J,Pyle L,Gray C,Montgomery J,Williams T,Fortunato S,Weatherly J,McEldrew D,Kaur M,Raible SE,Wilkens A,Spinner NB,Skraban C

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Adolescent men who have sex with men (AMSM) have a high rate of HIV diagnoses. An estimated 14.5% of HIV infections in the United States are undiagnosed; but among 13- to 24-year-olds, the rate is 51.4%. We describe HIV testing rates and identifies salient individual, family, school, and health care influenc...

journal_title：Pediatrics

authors： Mustanski B,Moskowitz DA,Moran KO,Rendina HJ,Newcomb ME,Macapagal K

更新日期：2020-03-01 00:00:00

abstract：:This is the case of a previously healthy 15-month-old girl who initially presented to her primary pediatrician with a 2-week history of intermittent periorbital edema. The edema had improved by the time of the visit, and a urine specimen was unable to be obtained in the clinic. A routine fingerstick demonstrated anemi...

journal_title：Pediatrics

authors： Kamzan AD,Newcomer CA,Wozniak LJ,Federman NC,Kim LS

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Hepatitis C virus (HCV) prevalence doubled among pregnant women from 2009 to 2014, reaching 3.4 per 1000 births nationwide. Infants exposed to HCV may acquire HCV by vertical transmission. National guidelines recommend that infants exposed to HCV be tested; however, it is unclear if these recommendations are...

journal_title：Pediatrics

authors： Lopata SM,McNeer E,Dudley JA,Wester C,Cooper WO,Carlucci JG,Espinosa CM,Dupont W,Patrick SW

更新日期：2020-03-01 00:00:00

abstract：:Successful intervention for inborn errors of metabolism (IEMs) is a triumph of modern medicine. For many of these conditions, medical foods are the cornerstone of therapy and the only effective interventions preventing disability or death. Medical foods are designed for patients with limited or impaired capacity to in...

journal_title：Pediatrics

authors： Berry SA,Brown CS,Greene C,Camp KM,McDonough S,Bocchini JA Jr,Follow-up and Treatment (FUTR) Workgroup for the Advisory Committee on Heritable Disorders in Newborns and Children.

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Children with medical complexity (CMC) often have multiple life-limiting conditions with no unifying diagnosis and an unclear prognosis and are at high risk for morbidity and mortality. Advance care planning (ACP) conversations need to be uniquely tailored to this population. Our primary objec...

journal_title：Pediatrics

authors： Orkin J,Beaune L,Moore C,Weiser N,Arje D,Rapoport A,Netten K,Adams S,Cohen E,Amin R

更新日期：2020-03-01 00:00:00

abstract：:An adolescent female patient presenting with subacute onset of dysphagia and hoarseness underwent a direct laryngoscopy, which revealed epiglottitis. After 2 hospitalizations and multiple consultations and biopsies, all infectious testing results for viral, bacterial, fungal, and acid-fast bacilli etiologies were nega...

journal_title：Pediatrics

authors： Bozzella MJ,Magyar M,DeBiasi RL,Ferrer K

更新日期：2020-03-01 00:00:00

abstract：INTRODUCTION:Identifying trends in smoking behaviors among youth cigarette smokers could inform youth policy and interventions. METHODS:Using 2011-2018 National Youth Tobacco Survey data, logistic/linear regressions were used to analyze trends in smoking frequency, intensity, age of first cigarette use, and electronic...

journal_title：Pediatrics

authors： Azagba S,Manzione L,Shan L,King J

更新日期：2020-03-01 00:00:00

abstract：:Pediatricians regularly care for children who have experienced child maltreatment. Child maltreatment is a risk factor for a broad range of mental health problems. Issues specific to child maltreatment make addressing emotional and behavioral challenges among maltreated children difficult. This clinical report focuses...

journal_title：Pediatrics

authors： Keeshin B,Forkey HC,Fouras G,MacMillan HL,AMERICAN ACADEMY OF PEDIATRICS, COUNCIL ON CHILD ABUSE AND NEGLECT, COUNCIL ON FOSTER CARE, ADOPTION, AND KINSHIP CARE, AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, COMMITTEE ON CHILD MALTREATMEN

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Material hardship has been associated with adverse health care use patterns for children with special health care needs (CSHCN). In this study, we assessed if resilience factors were associated with lower emergency department (ED) visits and unmet health care needs and if they buffered associations between m...

journal_title：Pediatrics

authors： Fuller AE,Garg A,Brown NM,Tripodis Y,Oyeku SO,Gross RS

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Premature infants have bradycardia and/or desaturation events due to apnea of prematurity that resolve as the infants mature. Despite American Academy of Pediatrics guidelines recommending a standard "event-free" period before discharge, length of observation in our Intensive Care Nursery was variable. By Ju...

journal_title：Pediatrics

authors： Coughlin K,Posencheg M,Orfe L,Zachritz W,Meadow J,Yang K,Christ L

更新日期：2020-02-01 00:00:00

abstract：:Phenotypic and biological characterization of rare monogenic disorders represents 1 of the most important avenues toward understanding the mechanisms of human disease. Among patients with SH3 and multiple ankyrin repeat domains 3 (SHANK3) mutations, a subset will manifest neurologic regression, psychosis, and mood dis...

journal_title：Pediatrics

authors： Bey AL,Gorman MP,Gallentine W,Kohlenberg TM,Frankovich J,Jiang YH,Van Haren K

更新日期：2020-02-01 00:00:00

abstract：CONTEXT:Intranasal dexmedetomidine (IND) is an emerging agent for procedural distress in children. OBJECTIVE:To explore the effectiveness of IND for procedural distress in children. DATA SOURCES:We performed electronic searches of Medline (1946-2019), Embase (1980-2019), Google Scholar (2019), Cumulative Index to Nur...

journal_title：Pediatrics

authors： Poonai N,Spohn J,Vandermeer B,Ali S,Bhatt M,Hendrikx S,Trottier ED,Sabhaney V,Shah A,Joubert G,Hartling L

更新日期：2020-01-01 00:00:00

abstract：:Adenovirus infection is common in childhood and is generally associated with self-limited disease. Cidofovir, a viral DNA polymerase inhibitor, is used to treat adenovirus infection in select populations but is not often recommended for immunocompetent patients because of limited antiviral activity and nephrotoxicity....

journal_title：Pediatrics

authors： Alcamo AM,Wolf MS,Alessi LJ,Chong HJ,Green M,Williams JV,Simon DW

更新日期：2020-01-01 00:00:00

abstract：:This is a joint policy statement from the American Academy of Pediatrics, American College of Emergency Physicians, Emergency Nurses Association, National Association of Emergency Medical Services Physicians, and National Association of Emergency Medical Technicians on pediatric readiness in emergency medical services...

journal_title：Pediatrics

authors： Moore B,Shah MI,Owusu-Ansah S,Gross T,Brown K,Gausche-Hill M,Remick K,Adelgais K,Lyng J,Rappaport L,Snow S,Wright-Johnson C,Leonard JC,AMERICAN ACADEMY OF PEDIATRICS COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE AND SECTION ON EMER

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Provision of high-quality care to acutely ill and injured children is a challenge to US hospitals because many have low pediatric volume. Delineating national trends in definitive pediatric acute care would inform improvements in care. METHODS:We analyzed emergency department (ED) visits by children between...

journal_title：Pediatrics

authors： Michelson KA,Hudgins JD,Lyons TW,Monuteaux MC,Bachur RG,Finkelstein JA

更新日期：2020-01-01 00:00:00

abstract：:Bevacizumab is a human monoclonal immunoglobulin G1 antibody to vascular endothelial growth factor indicated in several adult diseases. Emerging literature and expert opinion support the off-label use of intravitreal bevacizumab in the treatment of retinopathy of prematurity (ROP), a common disease process seen in pre...

journal_title：Pediatrics

authors： Twitty G,Weiss M,Albayram MS,O'Mara K,Mowitz ME

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:The American Board of Pediatrics (ABP) certifies that general and subspecialty pediatricians meet standards of excellence established by their peers, immediately after training and over the course of their careers (ie, Maintenance of Certification [MOC]). In 2015-2016, the ABP developed the Ma...

journal_title：Pediatrics

authors： Leslie LK,Turner AL,Smith AC,Dounoucos V,Olmsted MG,Althouse L

更新日期：2019-12-01 00:00:00

abstract：OBJECTIVES:To examine associations of the timing of complementary feeding (CF) introduction with adiposity throughout childhood. METHODS:We studied 1013 children from Project Viva. Our exposure was CF introduction, categorized as <4 months (19%), 4 to <6 months (68%; reference group), and ≥6 months of age (14%). Our o...

journal_title：Pediatrics

authors： Gingras V,Aris IM,Rifas-Shiman SL,Switkowski KM,Oken E,Hivert MF

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:Asthma exacerbations in children are a leading cause of missed school days and health care use. Patients discharged from the hospital often do not fill discharge prescriptions and are at risk for future exacerbations. METHODS:A multidisciplinary team aimed to increase the percentage of patients discharged f...

journal_title：Pediatrics

authors： Parikh K,Perry K,Pantor C,Gardner C

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:Disparities in health service use have been described across a range of sociodemographic factors. Patterns of PICU use have not been thoroughly assessed. METHODS:This was a population-level, retrospective analysis of admissions to the Cincinnati Children's Hospital Medical Center PICU between 2011 and 2016....

journal_title：Pediatrics

authors： Andrist E,Riley CL,Brokamp C,Taylor S,Beck AF

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Fetal alcohol spectrum disorders (FASD) comprise the continuum of disabilities associated with prenatal alcohol exposure. Although infancy remains the most effective time for initiation of intervention services, current diagnostic schemes demonstrate the greatest confidence, accuracy, and reli...

journal_title：Pediatrics

authors： Kalberg WO,May PA,Buckley D,Hasken JM,Marais AS,De Vries MM,Bezuidenhout H,Manning MA,Robinson LK,Adam MP,Hoyme DB,Parry CDH,Seedat S,Elliott AJ,Hoyme HE

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:The 9-valent human papillomavirus vaccine (9vHPV) was approved for females and males aged 9 to 26 years in 2014. We analyzed postlicensure surveillance reports to the Vaccine Adverse Event Reporting System (VAERS). METHODS:We searched VAERS data for US reports of adverse events (AEs) after 9vHPV from Decemb...

journal_title：Pediatrics

authors： Shimabukuro TT,Su JR,Marquez PL,Mba-Jonas A,Arana JE,Cano MV

更新日期：2019-12-01 00:00:00

abstract：:Millions of children are subjected to abuse, neglect, and displacement, and millions more are at risk for not achieving their developmental potential. Although there is a global movement to change this, driven by children's rights, progress is slow and impeded by political considerations. The United Nations Convention...

journal_title：Pediatrics

authors： Uchitel J,Alden E,Bhutta ZA,Goldhagen J,Narayan AP,Raman S,Spencer N,Wertlieb D,Wettach J,Woolfenden S,Mikati MA

更新日期：2019-12-01 00:00:00

abstract：OBJECTIVES:Incomplete subspecialty referrals, whether unscheduled or unattended, represent unmet patient needs and an opportunity to improve patient safety and experiences. Our objectives were to describe the rates of appointment scheduling and visit attendance after pediatric subspecialty referral and to examine patie...

journal_title：Pediatrics

authors： Bohnhoff JC,Taormina JM,Ferrante L,Wolfson D,Ray KN

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Pediatric surveillance of young children depends on providers' assessment of developmental milestones, yet normative data are sparse. Our objectives were to develop new norms for common milestones to aid in clinical interpretation of milestone attainment. METHODS:We analyzed responses to the ...

journal_title：Pediatrics

authors： Sheldrick RC,Schlichting LE,Berger B,Clyne A,Ni P,Perrin EC,Vivier PM

更新日期：2019-12-01 00:00:00

abstract：OBJECTIVES:We characterized referral trends over time at a transgender clinic within an integrated health system in Northern California. We identified the transition-related requests of pediatric transgender and gender-nonconforming patients and evaluated differences in referrals by age group. METHODS:Medical records ...

journal_title：Pediatrics

authors： Handler T,Hojilla JC,Varghese R,Wellenstein W,Satre DD,Zaritsky E

更新日期：2019-11-01 00:00:00

abstract：OBJECTIVE:To evaluate the effect of vaccine hesitancy screening on childhood vaccine uptake. METHODS:We conducted a cluster randomized controlled trial in pediatric primary care clinics in Washington state. Vaccine-hesitant parents (VHPs) with a healthy newborn receiving health supervision at participating clinics wer...

journal_title：Pediatrics

authors： Opel DJ,Henrikson N,Lepere K,Hawkes R,Zhou C,Dunn J,Taylor JA

更新日期：2019-11-01 00:00:00