keyword
https://read.qxmd.com/read/38942725/identification-of-severely-injured-children-at-very-low-risk-of-emergent-surgery-a-national-trauma-registry-study
#21
JOURNAL ARTICLE
Yulia Gimelraikh, Danny Epstein, Irina Radomislensky, Ari M Lipsky, Adi Givon, Ron Berant, Baruch Berzon, Aeyal Raz, Danny Ben-Eli, Moran Bodas, Nir Samuel
OBJECTIVE: The number of pediatric trauma patients requiring surgical interventions has been steadily decreasing allowing for a judicious approach to immediately available resources. This study aimed to derive and validate a prediction rule that reliably identifies injured children who are at very low risk for requiring emergency surgery upon emergency department (ED) arrival. METHODS: A retrospective cohort study of data included in the Israeli National Trauma Registry from January 1, 2011, through December 31, 2020, was conducted...
June 15, 2024: Injury
https://read.qxmd.com/read/38940827/cardiopulmonary-exercise-testing-in-children-and-adolescents-with-repaired-tetralogy-of-fallot-mechanisms-of-exercise-intolerance-and-clinical-implications
#22
JOURNAL ARTICLE
Danton Mhd, Hadjisoteriou A, Noonan P, Young D, Burns P
By comparison with adults, cardiopulmonary exercise testing in children with Tetralogy of Fallot is limited, and its clinical application less clarified. This study provides a comprehensive CPET profile in a child-adolescent population with repaired TOF, explores mechanisms underpinning exercise intolerance and associations with clinical outcome. Seventy-four CPETs were completed in 58 child-adolescents with rTOF (age 13.8 SD 2.4 years). CPET parameters were corrected for age, sex and body size. At follow-up (4...
June 28, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38917840/the-forgotten-flap-the-pedicled-trapezius-flap-s-utility-in-pediatric-head-and-neck-reconstruction-a-systematic-review
#23
JOURNAL ARTICLE
Tayla Moshal, Sasha Lasky, Idean Roohani, Marah I Jolibois, Artur Manasyan, Naikhoba C O Munabi, Artur Fahradyan, Jessica A Lee, Jeffrey A Hammoudeh
BACKGROUND:  When free tissue transfer is precluded or undesired, the pedicled trapezius flap is a viable alternative for adults requiring complex head and neck (H&N) defect reconstruction. However, the application of this flap in pediatric reconstruction is underexplored. This systematic review aimed to describe the use of the pedicled trapezius flap and investigate its efficacy in pediatric H&N reconstruction. METHODS:  A systematic review was performed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
June 25, 2024: Journal of Reconstructive Microsurgery
https://read.qxmd.com/read/38901882/paediatric-oral-electrical-burn
#24
JOURNAL ARTICLE
Hsuan-An Chen, Yen-Chen Yu, Chih-Jung Chang
No abstract text is available yet for this article.
June 20, 2024: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/38892785/management-of-pediatric-superficial-partial-thickness-burns-with-polyhexamethylene-biguanide-outcomes-and-influencing-factors
#25
JOURNAL ARTICLE
Aba Lőrincz, Hermann Nudelman, Anna Gabriella Lamberti, András Garami, Krisztina Adrienne Tiborcz, Tamás Zoltán Kovács, Gergő Józsa
Background: In burn care, achieving swift healing with minimal complications remains paramount. This investigation assesses the role of polyhexamethylene biguanide (PHMB) in managing pediatric superficial partial-thickness burns, focusing on the effects of various patient-specific factors on recovery. Methods: Through a retrospective analysis of 27 pediatric cases treated with PHMB, we evaluated the impact of age, burn size, dressing frequency, treatment delay, cold therapy application, and analgesic usage on the time until reepithelialization (TTRE)...
May 24, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38889344/the-diversity-of-research-participants-in-randomized-controlled-trials-and-observational-studies-conducted-by-the-canadian-critical-care-trials-group
#26
JOURNAL ARTICLE
Sangeeta Mehta, Arjan Ahluwalia, Amrit Ahluwalia, Karen E A Burns, Katie O'Hearn, Christina Maratta, Kusum Menon, Bram Rochwerg, Srinivas Murthy, Rob Fowler, Kirsten M Fiest
RATIONALE: Women, older individuals, and racial and ethnic minority groups are often underrepresented in research studies. OBJECTIVES: We evaluated the demographics and diversity of participants enrolled in randomized trials (RCTs) and observational studies published by investigators in association with the Canadian Critical Care Trials Group (CCCTG). METHODS: Quantitative content analysis of peer reviewed RCTs and observational studies from December 1994 to December 2022...
June 18, 2024: Annals of the American Thoracic Society
https://read.qxmd.com/read/38888408/development-of-a-complex-care-transition-team-to-improve-the-transition-of-patients-with-complex-care-needs-to-the-community
#27
JOURNAL ARTICLE
Brittane T Valles, Sydney P Etzler, Jillian R Meyer, Laura D Kittle, Michelle R Burns, Skye A Buckner Petty, Belinda L Curtis, Cathleen M Zehring, Ariana L Peters, Benjamin S Dangerfield
PURPOSE: Health care systems have historically struggled to provide adequate care for patients with complex care needs that often result in overuse of hospital and emergency department resources. Patients with complex care needs generally have increased expenses, longer length of hospital stays, an increased need for care management resources during hospitalization, and high readmission rates. Mayo Clinic in Arizona aimed to ensure successful transitions for hospitalized patients with complex care needs to the community by developing a complex care transition team (CCTT) program...
June 17, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38874329/phototherapy-for-the-treatment-of-atopic-dermatitis-in-singaporean-children-and-adolescents
#28
JOURNAL ARTICLE
Shi Yun Chia, Elton Ern Cher Chee, Lynette Wei Yi Wee, Mark Jean Aan Koh
BACKGROUND/PURPOSE: Phototherapy has emerged as a safe yet effective form of treatment of atopic dermatitis (AD). Few studies have been done to evaluate the efficacy of phototherapy in Asian children. The aim of this study was to review the phototherapy experience in a cohort of Asian pediatric patients with AD at a tertiary dermatologic center in Singapore. METHODS: A retrospective study of patients 18 years and below with AD who had undergone phototherapy at KK Women's and Children's Hospital, Singapore, over a 4-year period was performed...
July 2024: Photodermatology, Photoimmunology & Photomedicine
https://read.qxmd.com/read/38864491/assessing-the-health-consequences-of-indoor-air-pollution-from-biomass-fuel-combustion-on-pediatric-populations-in-rural-communities-of-pakistan
#29
JOURNAL ARTICLE
Syeda Hamayal Zahra Naqvi, Laila Shahzad, Syeda Laiba Haider Naqvi, Fizzah Ayub, Rameesha Tanveer
Indoor air pollution arising from burning of biomass fuels poses a significant threat to child health in rural areas of Pakistan. This cross-sectional study aimed to assess health implications associated with indoor air pollution resulting from biomass burning among children under 12 years of age in rural Punjab. A questionnaire-based survey was conducted in six randomly selected rural districts of Punjab, characterized by their primary reliance on biomass fuels. The findings revealed that several characteristics, such as monthly household income, number of living rooms, secondary use of solid fuels, kitchen type, type of cooking stove, and presence of child in the kitchen with their mother, exhibited significant associations ( p  < 0...
June 12, 2024: International Journal of Environmental Health Research
https://read.qxmd.com/read/38863658/fluid-resuscitation-of-severely-burned-children
#30
JOURNAL ARTICLE
Stephen M Milner
No abstract text is available yet for this article.
2024: Eplasty
https://read.qxmd.com/read/38863248/fas-apo-damp-and-akt-phosphoproteins-expression-predict-the-development-of-nosocomial-infection-after-pediatric-burn-injury
#31
JOURNAL ARTICLE
Julia Penatzer, Lisa Steele, Julie Breuer, Renata Fabia, Mark Hall, Rajan K Thakkar
Pediatric burn injuries are a leading cause of morbidity with infections being the most common acute complication. Thermal injuries elicit a heightened cytokine response while suppressing immune function; however, the mechanisms leading to this dysfunction are still unknown. Our aim was to identify extracellular proteins and circulating phosphoprotein expression in the plasma after burn injury to predict the development of nosocomial infection (NI). Plasma was collected within 72 hours after injury from sixty-four pediatric burn subjects; of these, eighteen went on to develop a NI...
June 12, 2024: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38859796/factors-influencing-surgical-care-and-outcome-of-pediatric-burn-injuries-and-the-use-of-synthetic-skin-substitutes
#32
JOURNAL ARTICLE
Victoria Wachenfeld-Teschner, Justus P Beier, Anja M Boos, Benedikt Schäfer
Burn trauma is one of the most common causes of inpatient treatment in children and is associated with severe physical and psychological consequences. Synthetic skin substitutes are designed to reduce the risk of infection, minimize wound pain, and reduce the frequency of dressing changes. However, data regarding premature detachment of these materials is scarce. The aim of this study was to identify factors associated with early detachment and subsequent consequences for surgical treatment. A retrospective analysis of 392 children with superficial and deep partial thickness burns undergoing inpatient treatment with application of a skin substitute (Suprathel®) was performed...
June 11, 2024: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38849118/triage-discordance-in-an-academic-pediatric-emergency-department-and-disparities-by-race-ethnicity-and-language-for-care
#33
JOURNAL ARTICLE
Kaileen Jafari, Brian Burns, Dwight Barry, Cassandra Koid, Tina Tan, Emily Hartford
BACKGROUND: Minoritized patients are disproportionately represented in low-acuity emergency department (ED) visits in the United States in part caused by lack of timely access to primary and urgent care. However, there is also the possibility that implicit bias during triage could contribute to disproportionate representation of minority groups in low-acuity ED visits. Triage discordance, defined as when ED resources used are different from initial triage score predictions, can be used as a proxy for triage accuracy...
June 7, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38843720/the-scalding-truth-geospatial-analysis-identifies-communities-at-risk-for-pediatric-scald-burns
#34
JOURNAL ARTICLE
Louis A Perkins, Jeanne G Lee, Jarrett E Santorelli, Eli Strait, Alan Smith, Todd W Costantini, Jay J Doucet, Laura N Haines
INTRODUCTION: Pediatric scald burns account for 12% of all U.S. burn center admissions and are the most common type of burn in children. We hypothesized that geospatial analysis of burn registry data could identify specific geographic areas and risk factors to focus injury prevention efforts. METHODS: The burn registry of a U.S. regional burn center was used to retrospectively identify pediatric scald burn patients ages 0-17, from January 2018 to June 2023. Geocoding of patient home addresses with census tract data was performed...
June 5, 2024: Journal of Surgical Research
https://read.qxmd.com/read/38835787/the-hospital-costs-of-high-emergency-department-pediatric-readiness
#35
JOURNAL ARTICLE
Katherine E Remick, Marianne Gausche-Hill, Amber Lin, Jeremy D Goldhaber-Fiebert, Benjamin Lang, Ashley Foster, Beech Burns, Peter C Jenkins, Hilary A Hewes, Nathan Kuppermann, K John McConnell, Jennifer Marin, Christopher Weyant, Rachel Ford, Sean R Babcock, Craig D Newgard
OBJECTIVE: We estimate annual hospital expenditures to achieve high emergency department (ED) pediatric readiness (HPR), that is, weighted Pediatric Readiness Score (wPRS) ≥ 88 (0-100 scale) across EDs with different pediatric volumes of children, overall and after accounting for current levels of readiness. METHODS: We calculated the annual hospital costs of HPR based on two components: (1) ED pediatric equipment and supplies and (2) labor costs required for a Pediatric Emergency Care Coordinator (PECC) to perform pediatric readiness tasks...
June 2024: Journal of the American College of Emergency Physicians open
https://read.qxmd.com/read/38833179/assessing-pediatric-burn-wound-infection-using-a-point-of-care-fluorescence-imaging-device
#36
JOURNAL ARTICLE
Evan Turner, Charis Kelly, Jennifer Zuccaro, Hawwa Chakera, Eduardo Gus, Joel S Fish
Wound infection is the most common complication among pediatric burn patients. When not treated promptly, burn wound infection may lead to delayed healing, failure of skin grafts, or death. Standard burn wound assessment includes inspection for visual signs and symptoms of infection (VSSI) and microbial sampling. To aid in the assessment of burn wound infection, the MolecuLight, a point-of-care autofluorescence imaging device, was introduced at our pediatric burn program in 2020. The MolecuLight uses violet light to illuminate the wound bed, causing clinically relevant quantities of 29 different species of bacteria (>104 CFU/g) to fluoresce in real time...
June 4, 2024: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38806418/managing-well-being-in-paediatric-critical-care-a-multiperspective-qualitative-study-of-nurses-and-allied-health-professionals-experiences
#37
JOURNAL ARTICLE
Esra Yeter, Harmeet Bhamra, Isabelle Butcher, Rachael Morrison, Peter Donnelly, Rachel Shaw
OBJECTIVES: It is well evidenced that healthcare professionals working in paediatric critical care experience high levels of burn-out, compassion fatigue and moral distress. This worsened during the COVID-19 pandemic. This work examines the nature of challenges to workplace well-being and explores what well-being means to staff. This evidence will inform the development of staff interventions to improve and maintain staff well-being. DESIGN: Qualitative study. SETTING: Paediatric critical care units in the UK...
May 28, 2024: BMJ Open
https://read.qxmd.com/read/38800231/reconstruction-of-a-pediatric-distal-phalanx-amputation-with-stacked-integra-dermal-substitute-a-case-report
#38
Naomi H Kelley, Tori L Shaver, Nathan T Morrell
Finger amputations in children present unique challenges and require special considerations compared to their adult counterparts. Maximizing length and preserving fingertip bulk and sensation is essential for maintaining a functional digit. Synthetic dermal substitutes have been recently used for soft tissue coverage for pediatric syndactyly as well as burn injuries; however, the literature discussing pediatric amputation cases with soft tissue damage proximal to the bony level is limited.In this case, we report a two-year-old patient who developed dry gangrene of her right index finger after multiple rabbit bites and underwent an amputation through the distal interphalangeal joint...
April 2024: Curēus
https://read.qxmd.com/read/38789147/pediatric-burns-from-acute-care-through-reconstruction-in-2024
#39
REVIEW
Mark D Fisher, William Norbury
Children are disproportionately affected by burn injuries. Differences between adult and pediatric burns range from epidemiologic characteristics to pathophysiological considerations, which vary between different age subgroups. All these factors must be considered in each phase of burn care. This article reviews the most important aspects of the management of a pediatric burned patient starting from the acute through reconstructive phases.
July 2024: Clinics in Plastic Surgery
https://read.qxmd.com/read/38782684/inspiratory-muscle-training-impact-on-respiratory-muscle-strength-pulmonary-function-and-quality-of-life-in-children-with-chest-burn-a-randomized-controlled-trial
#40
JOURNAL ARTICLE
Maged A Basha, Alshimaa R Azab, Ragab K Elnaggar, Nancy H Aboelnour, Noha M Kamel, Saleh M Aloraini, FatmaAlzahraa H Kamel
PURPOSE: Respiratory muscle function is compromised in children recovering from chest wall burns, which potentially leads to more impact on exercise capacity and quality of life. This study investigates the effects of an inspiratory muscle training intervention accompanied with a pulmonary rehabilitation program on respiratory muscle strength, lung function, functional capacity, and quality of life in chest burned children. METHODS: Forty children with burns, aged from 10 to 18 years old and total body surface area of 30% to 50%, were randomly allocated to the inspiratory muscle training group (IMT- G: n = 20) or control group (CG: n = 20)...
May 10, 2024: Burns
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