journal
https://read.qxmd.com/read/38631614/use-of-initial-endotracheal-versus-intravenous-epinephrine-during-neonatal-cardiopulmonary-resuscitation-in-the-delivery-room-review-of-a-national-database
#1
JOURNAL ARTICLE
C Halling, S Conroy, T Raymond, E E Foglia, M Haggerty, L L Brown, M H Wyckoff
OBJECTIVE: To assess whether initial epinephrine administration by endotracheal tube (ET) in newly born infants receiving chest compressions and epinephrine in the delivery room is associated with lower rates of return of spontaneous circulation (ROSC) compared with newborns receiving initial intravenous (IV) epinephrine. STUDY DESIGN: We conducted a retrospective review of neonates receiving chest compressions and epinephrine in the delivery room (DR) from the AHA Get With The Guidelines®-Resuscitation registry from October 2013 through July 2020...
April 15, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38615944/single-center-incidence-and-patterns-of-stroke-in-early-renal-anhydramnios-after-serial-amnioinfusions
#2
JOURNAL ARTICLE
Dawn B Lammert, Jena L Miller, Meredith A Atkinson, Lisa R Sun
The Renal Anhydramnios Fetal Therapy (RAFT) trial is a study of serial amnioinfusions to prevent lethal neonatal pulmonary hypoplasia from early renal anhydramnios. Infant neurologic outcomes were not originally evaluated. We describe the high incidence of stroke observed among infants in the treatment arm of the trial at our center.
April 12, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38615943/psychotropic-medication-use-and-polypharmacy-among-children-and-adolescents-initiating-intensive-behavioral-therapy-for-severe-challenging-behavior
#3
JOURNAL ARTICLE
Matthew J O'Brien, Alexander M Pauls, Anna M Cates, Priya D Larson, Alithea N Zorn
OBJECTIVE: To evaluate the prevalence, trends, and factors associated with psychotropic medication use and polypharmacy among children and adolescents initiating intensive behavioral therapy for severe challenging behavior over a 10-year period. STUDY DESIGN: In this retrospective observational study, we examined data from caregiver interviews and patient medical records on the number and types of psychotropic medications prescribed to patients initiating intensive behavioral therapy between January 1, 2013, through December 31, 2022...
April 12, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38615942/distinguishing-clinical-features-of-cannabinoid-hyperemesis-syndrome-and-cyclic-vomiting-syndrome-a-retrospective-cohort-study
#4
JOURNAL ARTICLE
Meera Shah, Andrew Jergel, Roshan P George, Elan Jenkins, Hillary Bashaw
OBJECTIVE: To identify clinical characteristics that distinguish cannabinoid hyperemesis syndrome (CHS) from cyclic vomiting syndrome (CVS), two conditions marked by episodes of nausea, vomiting, and abdominal pain. STUDY DESIGN: We performed a retrospective chart review of patients admitted to a large children's healthcare system from 2015 through 2022. CHS and CVS patients were identified by the electronic medical record using ICD-9/10 codes. RESULTS: Of 201 patients screened, 125 were included...
April 12, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38615941/cardiorespiratory-instability-after-percutaneous-patent-ductus-arteriosus-closure-a-multicenter-cohort-study
#5
JOURNAL ARTICLE
Adrianne R Bischoff, Carl H Backes, Brian Rivera, Bonny Jasani, Foramben Patel, Erica Cheung, Shyam Sathanandam, Ranjit Philip, Patrick J McNamara
OBJECTIVE: To evaluate post-procedural clinical characteristics of preterm infants undergoing transcatheter patent ductus arteriosus (PDA) closure, including oxygenation/ventilation failure and cardiovascular compromise STUDY DESIGN: Multicenter retrospective cohort study of preterm infants who were ≤2 kg at the time of percutaneous PDA closure between August 2018 and July 2021. Indices of cardiorespiratory stability were collected pre-closure, immediately post-closure, and subsequently averaged every 4 hours for the first 24 hours post-procedure...
April 12, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38614257/what-s-the-catch-a-participatory-learning-model-for-case-review-rounds-to-support-a-culture-of-safety-and-quality-improvement-in-pediatric-hospital-medicine
#6
JOURNAL ARTICLE
Suzette Cooke, Sarah Hall, Julie Fisher, Michelle Bailey
OBJECTIVE: To evaluate the effectiveness of a new model, Case Analysis and Translation to Care in Hospital (CATCH), for the review of pediatric inpatient cases when an adverse event or "close call" had occurred. STUDY DESIGN: The curricular intervention consisted of an introductory podcast/workshop, mentorship of presenters, and monthly CATCH rounds over sixteen months. The study was conducted with 22 pediatricians at a single tertiary care center. Intervention assessment occurred using participant surveys at multiple intervals: pre/post the intervention, presenter experience (post), physicians-involved and mentors experience (post), and after each CATCH session...
April 11, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38614256/isolated-hydronephrosis-and-urinary-tract-infection-by-two-years-of-age-a-population-based-study
#7
JOURNAL ARTICLE
Gilad Hamdani, Noga Yaniv Mhi, Shoval Marton, Yael Borovitz, Shelly Levi, Daniel Landau, Amit Dagan
OBJECTIVE: To evaluate the risk for urinary tract infection (UTI) in infants with isolated hydronephrosis (IH). STUDY DESIGN: A retrospective, population-based study including all infants insured by Clalit Health Services (CHS) and followed from birth to age 2 years in 3 regions of central Israel. Infants were divided into 3 groups based on electronic medical record (EMR) diagnoses by age 6 months: 1) control - no urological diagnosis; 2) IH; and 3) "complicated urological diagnosis" (CUD): any additional nephrological/urological diagnosis with/without HN...
April 11, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38608862/the-growing-issue-of-missing-children-the-need-for-a-comprehensive-strategy
#8
JOURNAL ARTICLE
Pietro Ferrara, Ignazio Cammisa, Margherita Zona, Clara Pettoello-Mantovani, Donjeta Bali, Maria Pastore, Mehmet Vural, Ida Giardino, Georgios Kostantinidis, Massimo Pettoello-Mantovani
No abstract text is available yet for this article.
April 10, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38582149/healthcare-utilization-and-direct-costs-prior-to-subspecialty-care-in-children-with-chronic-pain-compared-with-other-chronic-childhood-diseases-a-cohort-study
#9
JOURNAL ARTICLE
Kerstin Gerhold, Saeed Al-Azazi, Wael El-Matary, Laurence Y Katz, Lily Sh Lim, Seth D Marks, Lisa M Lix
OBJECTIVES: To understand the burden associated with pediatric chronic pain (CP) on the healthcare system compared with other costly chronic diseases prior to subspecialty care. STUDY DESIGN: In this retrospective cohort study, we assessed all-cause healthcare utilization and direct healthcare costs associated with pediatric CP (n=91) compared with juvenile-onset arthritis (JA, n=135), inflammatory bowel disease (IBD, n=90), type 1 or type 2 diabetes (T1D, n=475, T2D, n=289), anxiety (n=7,193) and controls (n=273) two and five years prior to patients entering subspecialty care in Manitoba, Canada...
April 4, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38580191/cerebral-palsy-and-motor-impairment-after-extreme-prematurity-prediction-of-diagnoses-at-ages-2-and-10-years
#10
JOURNAL ARTICLE
Timothy Marinelli, Joe X Yi, T Michael O'Shea, Robert M Joseph, Stephen R Hooper, Karl C K Kuban, Christina Sakai, Michael E Msall, Rebecca Fry, Rachana Singh
OBJECTIVE: To identify perinatal factors in children born extremely preterm (EP) that were associated with motor impairment (MI) at 2 and 10 years of age and develop a predictive algorithm to estimate the risk of MI during childhood. METHODS: Participants of the ELGAN Study were classified as: no MI, MI only at 2 years, MI only at 10 years, and MI at both 2 and 10 years, based on a standardized neurological examination at 2 and the Gross Motor Function Classification System at 10 years of age...
April 3, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38575056/evolving-concepts-in-care-for-congenital-cytomegalovirus-ccmv-infection-better-outcomes-for-more-babies
#11
EDITORIAL
Mark R Schleiss
No abstract text is available yet for this article.
April 2, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38570031/apnea-intermittent-hypoxemia-and-bradycardia-events-predict-late-onset-sepsis-in-extremely-preterm-infants
#12
JOURNAL ARTICLE
Sherry L Kausch, Douglas E Lake, Juliann M Di Fiore, Debra E Weese-Mayer, Nelson Claure, Namasivayam Ambalavanan, Zachary A Vesoulis, Karen D Fairchild, Phyllis A Dennery, Anna Maria Hibbs, Richard J Martin, Indic Premananda, Colm P Travers, Eduardo Bancalari, Aaron Hamvas, James S Kemp, John L Carroll, J Randall Moorman, Brynne A Sullivan
OBJECTIVE: To examine the association of cardiorespiratory events, including apnea, periodic breathing, intermittent hypoxemia (IH), and bradycardia, with late-onset sepsis for extremely preterm infants (<29 weeks' gestational age [GA]) on versus off invasive mechanical ventilation. STUDY DESIGN: This is a retrospective analysis of data from infants enrolled in Pre-Vent (ClinicalTrials.gov identifier NCT03174301), an observational study in five level IV neonatal intensive care units...
April 1, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38561049/predicting-extubation-readiness-in-preterm-infants-utilizing-machine-learning-a-diagnostic-utility-study
#13
JOURNAL ARTICLE
Mandy Brasher, Alexandr Virodov, Thomas M Raffay, Henrietta S Bada, M Douglas Cunningham, Cody Bumgardner, Elie G Abu Jawdeh
OBJECTIVE: To predict extubation readiness in preterm infants using machine learning analysis of bedside pulse oximeter and ventilator data. STUDY DESIGN: This is an observational study with prospective recordings of oxygen saturation (SpO2 ) and ventilator data from infants < 30 weeks' gestation age (GA). Research pulse oximeters collected SpO2 (1 Hz sampling rate) to quantify intermittent hypoxemia (IH). Continuous ventilator metrics were collected (4-5 min sampling) from bedside ventilators...
March 30, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38561048/medical-costs-of-rsv-associated-hospitalizations-and-emergency-department-visits-in-children-aged-5-years-observational-findings-from-the-new-vaccine-surveillance-network-nvsn-2016-2019
#14
JOURNAL ARTICLE
Benjamin R Clopper, Yingtao Zhou, Ayzsa Tannis, Mary Allen Staat, Marilyn Rice, Julie A Boom, Leila C Sahni, Rangaraj Selvarangan, Christopher J Harrison, Natasha B Halasa, Laura S Stewart, Geoffrey A Weinberg, Peter G Szilagyi, Eileen J Klein, Janet A Englund, Brian Rha, Joana Y Lively, Ismael R Ortega-Sanchez, Meredith L McMorrow, Heidi L Moline
OBJECTIVE: To assess medical costs of hospitalizations and emergency department (ED) care associated with respiratory syncytial virus (RSV) disease in children enrolled in the New Vaccine Surveillance Network. STUDY DESIGN: We used accounting and prospective surveillance data from six pediatric health systems to assess direct medical costs from laboratory-confirmed RSV-associated hospitalizations (n=2,007) and ED visits (n=1,267) from 2016 through 2019 among children aged <5 years...
March 30, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38554748/etiologies-and-outcomes-of-normocytic-anemia-in-children
#15
JOURNAL ARTICLE
Emily Equitz, Jacquelyn M Powers, Susan Kirk
OBJECTIVE: To characterize the evaluation and outcomes of children referred to pediatric hematology for normocytic anemia. STUDY DESIGN: Retrospective cohort study of children aged 0 to 21 years referred to a tertiary pediatric hematology clinic for normocytic anemia from 2019 through 2021. Normocytic anemia was defined as a low hemoglobin and normal mean corpuscular volume, per the referring laboratory reference range. RESULTS: Two-hundred seventy-one patients (48% female, median age 5...
March 28, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38554747/sleep-problems-among-black-youth-exposed-to-police-violence-on-digital-media
#16
JOURNAL ARTICLE
Dylan B Jackson, Rebecca L Fix, Alexander Testa
Findings from a recent survey of a community-based sample of Black youth ages 12 trough 21 in Baltimore, Maryland (N=345) reveal that viewing fatal police violence videos significantly increases the odds of youth sleep disturbances, and about 30% of this association is attributable to emotional distress after viewing the videos.
March 28, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38554746/successful-and-rapid-reduction-in-neurosedative-and-analgesic-medications-in-complex-infants-with-severe-bronchopulmonary-dysplasia-after-tracheostomy-placement-experience-with-24-hour-propofol-infusions
#17
JOURNAL ARTICLE
Kathleen E Hannan, Stephanie L Bourque, Emma Ross, Erica M Wymore, John P Kinsella, Erica W Mandell, Satya S Houin
Infants with severe bronchopulmonary dysplasia may require high doses of neurosedative medications to ensure pain control and stability following tracheostomy placement. Subsequent weaning of these medications safely and rapidly is a challenge. We describe a 24-hour propofol infusion to reduce neurosedative medications in 3 high-risk infants following tracheostomy placement.
March 28, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38554745/defining-the-denominator-for-measuring-quality-of-end-of-life-care-in-children-with-cancer-results-of-a-nominal-group-technique
#18
JOURNAL ARTICLE
Emily E Johnston, Raba Tefera, Prasanna Ananth, Isaac Martinez, Amy Porter, Jennifer M Snaman, Rachel Thienprayoon, Steve Asch, Smita Bhatia, Ronan O'Beirne
OBJECTIVE: To determine which groups of children with cancer for whom to apply the newly developed quality measures for end-of-life (EOL) care. STUDY DESIGN: In a series of nominal groups, panelists answered the question: "Which children, diagnoses, conditions, or prognoses should be included when examining the quality of EOL care for children with cancer?" In each group, individual panelists proposed answers to the question. After collating individual responses, each panelist ranked their 5 top answers and points were assigned (5 pts for the best answer, 4 pts the second best, etc...
March 28, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38552952/recurrent-bronchiolitis-a-bridge-to-diagnosis
#19
Andrew Zikic, Fiona Kritzinger, Osami Honjo, Dvir Gatt
No abstract text is available yet for this article.
March 27, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38552951/the-landscape-of-resource-utilization-after-resuscitation-of-22-23-and-24-weeks-gestation-infants
#20
JOURNAL ARTICLE
Cassandra C Daisy, Camille Fonseca, Allison Schuh, Samantha Millikan, Cameron Boyd, Leah Thomas, Kathleen G Brennan, Danielle LoRe, Mobolaji Famuyide, Patrick Myers, Lorena A Ostilla, Dalia M Feltman, Bree Andrews
OBJECTIVE: To compare estimated healthcare resources needed to care for 22 through 24 weeks' gestation infants. STUDY DESIGN: This multicenter, retrospective cohort study included 1,505 live in-born and out-born infants 22 through 24 weeks' gestational age at delivery from six pediatric tertiary care hospitals from 2011 through 2020. Median neonatal intensive care unit (NICU) length of stay (LOS) for each gestational age was used as a proxy for hospital resource utilization, and the number of comorbidities and medical technology use for each infant were used as estimates of future medical care needs...
March 27, 2024: Journal of Pediatrics
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