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Vaccine Completion and Timeliness Among Children in the Military Health System: 2010-2019. Pediatrics (IF 6.2) Pub Date : 2024-09-19 Celeste J Romano,Monica Burrell,Anna T Bukowinski,Clinton Hall,Gia R Gumbs,Ava Marie S Conlin,Nanda Ramchandar
OBJECTIVE Few studies have evaluated pediatric vaccination coverage in the Military Health System, although some evidence suggests lower than ideal coverage. This study assessed vaccine completion and timeliness among military dependents through age 24 months. METHODS Children born at military hospitals from 2010 through 2019 were identified using Department of Defense Birth and Infant Health Research
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Providing Context for a Unique Population: The Lived Experience of Military-Connected Children. Pediatrics (IF 6.2) Pub Date : 2024-09-19 Courtney A Judd,Meaghan S Wido
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A 4-Month-Old With Jaundice, Lethargy, and Emesis. Pediatrics (IF 6.2) Pub Date : 2024-09-18 Kelly McCullagh,Laura Yeoh,Brittany M Holmes,Stephanie Sacharow,Andrew Wehrman,Amy Kritzer,Amy E O'Connell
Acute liver failure is rare in the neonatal and infant population; however, when encountered, it requires timely diagnosis, management, and identification of the underlying etiology to provide the best clinical outcomes. Here, we present a case of new-onset liver failure in a 4-month-old infant. She had previously been diagnosed with neonatal mucocutaneous herpes simplex virus disease, but had been
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Reducing Iatrogenic Blood Losses in Premature Infants. Pediatrics (IF 6.2) Pub Date : 2024-09-18 Megha Sharma,Emily Bowman,Feng Zheng,Horace J Spencer,Shaymaa-Al Shukri,Kim Gates,Misty Williams,Sara Peeples,Richard W Hall,Mario Schootman,Sara J Landes,Geoffrey M Curran
OBJECTIVE Iatrogenic blood losses from repetitive laboratory testing are a leading cause of anemia of prematurity and blood transfusions. We used an implementation science approach to decrease iatrogenic blood losses during the first 3 postnatal weeks among very low birth weight infants. METHODS We performed qualitative interviews of key stakeholders to assess implementation determinants (ie, barriers
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Pediatricians' Role in Overdose Prevention: A Call for Universal Naloxone Dispensing. Pediatrics (IF 6.2) Pub Date : 2024-09-12 Erin McKnight,Cynthia Holland-Hall
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Cognitive and Social-Emotional Development in Girls With Fragile X Syndrome. Pediatrics (IF 6.2) Pub Date : 2024-09-12 Kristi L Bartholomay,Amy A Lightbody,Qianheng Ma,Booil Jo,Tracy L Jordan,Allan L Reiss
OBJECTIVES To evaluate the developmental trajectory of key cognitive, social, and emotional features in girls with fragile X syndrome (FXS). METHODS This longitudinal, parallel cohort study collected data between January 2018 and December 2022. Participants were evaluated 3 times with ∼12-18 months between visits. Participants included 65 girls with FXS, 6 to 16 years, and 52 age- and developmentally-matched
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Naloxone Dispensing to Youth Ages 10-19: 2017-2022. Pediatrics (IF 6.2) Pub Date : 2024-09-12 Andrew Terranella,Gery Guy,Christina Mikosz
BACKGROUND AND OBJECTIVES Naloxone is lifesaving in the event of an opioid overdose but is underutilized in adolescents. Youth-serving clinicians can play a role in expanding naloxone access by offering it to all youth at risk for opioid-involved overdose, including by prescription. Understanding naloxone dispensing trends to youth can inform efforts to expand its use. METHODS We used IQVIA National
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Safety and Pharmacokinetics of Nirsevimab in Immunocompromised Children. Pediatrics (IF 6.2) Pub Date : 2024-09-11 Joseph Domachowske,Ulrika Wählby Hamrén,Irfana Banu,Roberta Baronio,Bhanu Basavaraju,Anthonet Koen,Amanda Leach,Vaishali S Mankad,Pia S Pannaraj,Pere Soler-Palacin,Therese Takas,Masaaki Mori,Tonya Villafana,
BACKGROUND AND OBJECTIVES Immunocompromised children may have increased risk for severe respiratory syncytial virus (RSV) lower respiratory tract infection (LRTI), potentially leading to prolonged hospitalization, intensive care, and death. The open-label phase II MUSIC trial evaluated the safety and pharmacokinetics of nirsevimab, an extended half-life monoclonal antibody against RSV, in immunocompromised
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Nirsevimab and Acute Bronchiolitis Episodes in Pediatric Emergency Departments. Pediatrics (IF 6.2) Pub Date : 2024-09-11 David Andina Martínez,Gemma Claret Teruel,Manuel Gijón Mediavilla,Amaia Cámara Otegui,Laura Baños López,Begoña de Miguel Lavisier,Clara Ferrero García-Loygorri,Victoria Sánchez Tatay,Svetlana Pavlovic Nesic,Nuria Clerigué Arrieta,Verónica Gimeno-Hernández Garza,Jose Lorenzo Guerra Diez,Adrián Ranera Málaga,Silvia Escalada Pellitero,Clara Barrueco Ramos,Jose Antonio Alonso-Cadenas,
BACKGROUND AND OBJECTIVES In the 2023-2024 respiratory syncytial virus (RSV) season, Spain became one of the first countries to introduce universal RSV prophylaxis, during which all infants born at this time were eligible to receive nirsevimab. Locally, most Spanish regions also immunized infants younger than age 6 months at the start of the season (extended catch-up). The aim of this study was to
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Implications of Restrictive Legislation: Bullying and the Health of Sexually and Gender Diverse Youth. Pediatrics (IF 6.2) Pub Date : 2024-09-10 Andrew Shin,Alex S Keuroghlian
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Rotavirus Vaccine Effectiveness Against Severe Acute Gastroenteritis: 2009-2022. Pediatrics (IF 6.2) Pub Date : 2024-09-10 Alpha Oumar Diallo,Mary E Wikswo,Iddrisu Sulemana,Leila C Sahni,Julie A Boom,Sasirekha Ramani,Rangaraj Selvarangan,Mary E Moffatt,Christopher J Harrison,Natasha Halasa,James Chappell,Laura Stewart,Mary Allen Staat,Elizabeth Schlaudecker,Christina Quigley,Eileen J Klein,Janet A Englund,Danielle M Zerr,Geoffrey A Weinberg,Peter G Szilagyi,Christina Albertin,Samantha H Johnston,John V Williams,Marian
BACKGROUND Rotavirus was the leading cause of acute gastroenteritis among US children until vaccine introduction in 2006, after which, substantial declines in severe rotavirus disease occurred. We evaluated rotavirus vaccine effectiveness (VE) over 13 years (2009-2022). METHODS We analyzed data from the New Vaccine Surveillance Network using a test-negative case-control design to estimate rotavirus
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The Need for RSV Prophylaxis in LMICs. Pediatrics (IF 6.2) Pub Date : 2024-09-10 Carmen Pérez Casas,Alfredo Tagarro,Quique Bassat,Pablo Rojo
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Childhood Opportunity Index and Low-Value Care in Children's Hospitals. Pediatrics (IF 6.2) Pub Date : 2024-09-09 Irma T Ugalde,Alan R Schroeder,Jennifer R Marin,Matt Hall,Elisha McCoy,Monika K Goyal,Matthew J Molloy,John R Stephens,Michael J Steiner,Michael J Tchou,Jessica L Markham,Jillian M Cotter,Clemens Noelke,Rustin Morse,Samantha A House
BACKGROUND AND OBJECTIVE Few studies have explored the relationship between social drivers of health and pediatric low-value care (LVC). We assessed the relationship between Childhood Opportunity Index (COI) 2.0 and LVC in children's hospitals. METHODS We applied the Pediatric Health Information System LVC Calculator to emergency and inpatient encounters from July 2021 through June 2022. Proportions
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Building Up While We Tear Down: An Equity-Centered Approach to Deimplementation in Hospital Care. Pediatrics (IF 6.2) Pub Date : 2024-09-09 Michelle A Lopez,Ricardo Quiñonez
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Improving Timely Administration of Essential Outpatient Medications in a Pediatric ED. Pediatrics (IF 6.2) Pub Date : 2024-09-06 Jessica K Creedon,Michelle Marini,Kim Erdner,Megan Trexler,Megan Gerling,John J Porter,Caitlin Kent,Andrew Capraro,Diana Volpe,Dhara Shah,Niloufar Paydar-Darian,Catherine Perron,Anne Stack,Joel D Hudgins
BACKGROUND AND OBJECTIVES The complexity of pediatric patients' outpatient medication regimens is increasing, and risk for medication errors is compounded in a busy emergency department (ED). As ED length of stay (LOS) increases, timely and accurate administration of essential outpatient medications has become increasingly challenging. Our objective was to increase the frequency of ordering of essential
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Perceived Effects of COVID-19 on Vaccine Hesitancy and Clinician Discussion: A Qualitative Study. Pediatrics (IF 6.2) Pub Date : 2024-09-06 Dennis Gurfinkel,Caroline Tietbohl,Emma Clark,Alison Saville,Christina Albertin,Sean T O'Leary,Peter G Szilagyi,Allison Kempe
BACKGROUND AND OBJECTIVES Studies note a high prevalence of pediatric coronavirus disease 2019 (COVID-19)-specific vaccine hesitancy in the United States. Our objective was to assess whether clinicians perceive a spillover effect of COVID-19 vaccine hesitancy onto other vaccines, and the impact of this spillover on their general recommendation behavior. METHODS We conducted semistructured interviews
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Evolution of Treatment Modalities for Disseminated HAdV Infection in Neonates. Pediatrics (IF 6.2) Pub Date : 2024-09-06 Wenjing Zhang,Fang Liu,Enlin Liang,Li Zhang
Human adenovirus (HAdV) infection in newborns is a rare condition that typically affects multiple organ systems and has a high mortality rate. We report a case of neonatal HAdV-D37 infection that presented with fever and respiratory distress that was confirmed by metagenomic next-generation sequencing using blood and bronchoalveolar lavage fluid. We treated the patient with intravenous immunoglobulin
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Characteristics of Pediatric Scurvy Hospitalizations: 2006-2021. Pediatrics (IF 6.2) Pub Date : 2024-09-05 Kathleen Murphy,Quinn Weisman,Spandana Makeneni,Jennifer Faerber,Christopher P Bonafide,Chén C Kenyon
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Who Consents? Medical Decision Making for Children in Foster Care. Pediatrics (IF 6.2) Pub Date : 2024-09-05 Mary V Greiner,Grace Muntz
Children in foster care have complexity around medical decision making because of their unique custody status. When medical decision making is necessary for a child in foster care, what perspectives are important? What if opinions are not aligned? Who makes the final decision for consent? This Ethics Rounds focuses on a young child in foster care who has had repeated ear infections. Foster caregivers
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Health Equity and Rising Autism Prevalence: Future Research Priorities. Pediatrics (IF 6.2) Pub Date : 2024-09-05 Diondra Straiton,Anamiguel Pomales-Ramos,Sarabeth Broder-Fingert
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Parent Council for a Pediatric Stroke Rehabilitation Clinical Trial. Pediatrics (IF 6.2) Pub Date : 2024-09-04 Mara M Yale,Torrey Boland Birch,Jennifer Murray,Nicole Dodds,Kimberly Hindery,Amy Darragh,Sharon Landesman Ramey,Warren D Lo,
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Hospital Diversity, Equity, and Inclusion Efforts: Perspectives of Patient and Family Advisors. Pediatrics (IF 6.2) Pub Date : 2024-09-04 Carlos A Casillas,Andrew F Beck,Laura Rangel Rodriguez,Ushma Patel,LaToshia Rouse,Valerie L Ward,Darcel Jackson,Pam Dardess,Ndidi Unaka
BACKGROUND AND OBJECTIVES Patient and family advisory councils are common within children's hospitals. However, lack of diversity among patient and family advisors (PFAs) may result in exclusion of crucial perspectives and perpetuate inequities. We sought to understand PFA perspectives on how children's hospitals should approach: (1) recruitment and support of PFAs from groups at greater risk of health
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The RACE Act and Pediatric Trials of Adult Cancer Drugs. Pediatrics (IF 6.2) Pub Date : 2024-09-04 Ian T T Liu,Aaron S Kesselheim
BACKGROUND AND OBJECTIVES Adult cancer drugs have historically been exempted from pediatric testing requirements. In 2017, Congress passed the Research to Accelerate Cures and Equity (RACE) for Children Act to expand mandatory pediatric testing to cancer drugs; the law took effect in 2020. With this study, we sought to evaluate how the pediatric testing of molecularly targeted adult cancer drugs changed
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A Coproduced Family Reporting Intervention to Improve Safety Surveillance and Reduce Disparities. Pediatrics (IF 6.2) Pub Date : 2024-09-03 Alisa Khan,Jennifer Baird,Sangeeta Mauskar,Helen W Haskell,Alexandra N Habibi,Tiffany Ngo,Alexandra Aldarondo,Jay G Berry,Katherine L Copp,Jessica P Liu,Brynn Elder,Kathryn P Gray,Karen Hennessy,Kate E Humphrey,Donna Luff,Nandini Mallick,Susan Matherson,Amanda G McGeachey,Patrice Melvin,Amy L Pinkham,Bianca Quiñones-Pérez,Jayne Rogers,Sara J Singer,Patricia A Stoeck,Sara L Toomey,K Viswanath,Jayme
OBJECTIVES Examine family safety-reporting after implementing a parent-nurse-physician-leader coproduced, health literacy-informed, family safety-reporting intervention for hospitalized families of children with medical complexity. METHODS We implemented an English and Spanish mobile family-safety-reporting tool, staff and family education, and process for sharing comments with unit leaders on a dedicated
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Cooling for Hypoxic Ischemic Encephalopathy: From Evidence to Practice. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Roger F Soll,Erika M Edwards
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Trends in HIE and Use of Hypothermia in California: Opportunities for Improvement. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Sonia Lomeli Bonifacio,Jessica Liu,Henry C Lee,Susan R Hintz,Jochen Profit
BACKGROUND AND OBJECTIVES Hypoxic-ischemic encephalopathy (HIE) is a leading cause of neonatal morbidity and mortality. Therapeutic hypothermia (TH), a proven treatment of moderate-severe HIE, was first used clinically after 2006. We describe trends in HIE diagnosis and use of TH over a 10-year period in California. METHODS We identified 62 888 infants, ≥36 weeks gestation, who were cared for in California
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Caregiver and Care Team Perceptions of Online Collaborative Care Planning for CMC. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Clara Moore,Sherri Adams,Madison Beatty,Blossom Dharmaraj,Arti D Desai,Leah Bartlett,Erin Culbert,Eyal Cohen,Jennifer N Stinson,Julia Orkin
BACKGROUND AND OBJECTIVES Care plans summarize a child with medical complexity's (CMC) medical history and ongoing care needs. Often, the health care team controls the care plan content, limiting caregivers' ability to edit the document in real time and potentially compromising accuracy and utility. With this study, we aimed to provide caregivers of CMC with online access and shared editing control
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Climate Change, Extreme Weather Events, and Child Health: A Call to Action. Pediatrics (IF 6.2) Pub Date : 2024-08-29 Shalini H Shah,Maya I Ragavan
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Rate of Asthma Prescriptions for Children and Adolescents During the 2018 Floods in Japan. Pediatrics (IF 6.2) Pub Date : 2024-08-29 Shu Utsumi,Shuhei Yoshida,Shinichiro Ohshimo,Nobuaki Shime,Masatoshi Matsumoto
BACKGROUND AND OBJECTIVES Victims of natural disasters are exposed to air pollution, changes in living conditions, and physical/emotional stress, which leads to exacerbation of asthma. The study aimed to examine the association between being victims of a natural disaster and asthma medication prescriptions among children and adolescents by comparing those affected and unaffected by the 2018 Japan floods
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Predicting Recovery After Concussion in Pediatric Patients: A Meta-Analysis. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Jordan M Wyrwa,Adam S Hoffberg,Kelly A Stearns-Yoder,Ann C Lantagne,Adam R Kinney,Daniel J Reis,Lisa A Brenner
CONTEXT Prognostic prediction models (PPMs) can help clinicians predict outcomes. OBJECTIVE To critically examine peer-reviewed PPMs predicting delayed recovery among pediatric patients with concussion. DATA SOURCES Ovid Medline, Embase, Ovid PsycInfo, Web of Science Core Collection, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Google Scholar. STUDY SELECTION The study
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Phototherapy to Prevent Severe Neonatal Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation: Technical Report. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Vinod K Bhutani,Ronald J Wong,David Turkewitz,Daniel A Rauch,Meredith E Mowitz,Wanda D Barfield,
OBJECTIVE To summarize the principles and application of phototherapy consistent with the current 2022 American Academy of Pediatrics "Clinical Practice Guideline Revision for the Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation." METHODS Relevant literature was reviewed regarding phototherapy devices in the United States, specifically those that incorporate blue
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Recommendations for Prevention and Control of Influenza in Children, 2024-2025: Technical Report. Pediatrics (IF 6.2) Pub Date : 2024-08-26
This technical report accompanies the recommendations of the American Academy of Pediatrics for the routine use of influenza vaccine and antiviral medications in the prevention and treatment of influenza in children during the 2024 to 2025 season. The rationale for the American Academy of Pediatrics recommendation for annual influenza vaccination of all children without medical contraindications starting
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Recommendations for Prevention and Control of Influenza in Children, 2024-2025: Policy Statement. Pediatrics (IF 6.2) Pub Date : 2024-08-26
This statement updates the recommendations of the American Academy of Pediatrics for the routine use of influenza vaccines and antiviral medications in the prevention and treatment of influenza in children during the 2024-2025 influenza season. A detailed review of the evidence supporting these recommendations is published in the accompanying technical report (https://www.pediatrics.org/cgi/doi/10
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Gains Needed to Achieve Healthy People 2030 Breastfeeding Targets. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Adi Noiman,Christie Kim,Jian Chen,Laurie D Elam-Evans,Heather C Hamner,Ruowei Li
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Prevention of NICU Admission Hypothermia in Moderate- and Late-Preterm Infants. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Amanda E Winkler,Joseph H Chou,Elizabeth West,Carolyn Bleiler,Janet Bell,Jeanne Gilbert,Christina M Duzyj,Sergei Roumiantsev,Paul H Lerou,Megan Aurora
BACKGROUND Neonatal hypothermia is a common and preventable cause of neonatal morbidity and mortality. Although hypothermia prevention has been extensively studied in infants <32 weeks' gestation, the authors of few studies have targeted moderate- and late-preterm infants (MLPIs) in the delivery room. METHODS This quality improvement initiative was conducted from June 2019 to June 2023 at the Massachusetts
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Pediatric and Adolescent Hypertension: A Multidisciplinary Call to Action. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Melissa Goulding,Corinna J Rea,Joseph T Flynn
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Social Needs Screening Via Electronic Tablet in Pediatric Primary Care. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Michelle C Gorecki,Melissa D Klein,Chidiogo U Anyigbo,Andrew F Beck,Adrienne W Henize,Shelley R Ehrlich,Melinda C MacDougall,Mary Carol Burkhardt
OBJECTIVES (1) Assess whether health-related social needs (HRSN)/caregiver mental health concerns (CMHC) disclosure rates differ when screening questions are administered on paper versus electronic tablet. (2) Evaluate whether changes in need identification alters referral rates to social work and our medical-legal partnership (MLP). METHODS We conducted a retrospective review of HRSN/CMHC screening
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Oral and Dental Aspects of Child Abuse and Neglect: Clinical Report. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Anupama Rao Tate,Susan A Fisher-Owens,Lora Spiller,Jillian Muhlbauer,James L Lukefahr,,
In all 50 states, the District of Columbia, and the Commonwealth of Puerto Rico, pediatricians, dental professionals, and other physicians are mandated to report suspected cases of abuse and neglect to social service or law enforcement agencies. The purpose of this clinical report is to review the oral aspects of abuse and dental neglect in children and the role of pediatricians, dental professionals
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Disparities in Guideline Adherence for Febrile Infants in a National Quality Improvement Project. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Corrie E McDaniel,Larissa L Truschel,Ellen Kerns,Yenimar Ventura Polanco,Danni Liang,Colleen K Gutman,Shani Cunningham,Sahar N Rooholamini,Jennifer Thull-Freedman,Brittany Jennings,Sloane Magee,Paul L Aronson,
BACKGROUND Interventions aimed to standardize care may impact racial and ethnic disparities. We evaluated the association of race and ethnicity with adherence to recommendations from the American Academy of Pediatrics' clinical practice guideline for febrile infants after a quality improvement (QI) intervention. METHODS We conducted a cross-sectional study of infants aged 8 to 60 days enrolled in a
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Clues for Early Diagnosis of MEN2B Syndrome Before Medullary Thyroid Carcinoma. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Tashunka Taylor-Miller,Katherine Tucker,Ella Sugo,Antoinette Anazodo,David Mowat
Early onset medullary thyroid carcinoma, later pheochromocytomas, and nonspecific extra-endocrine features (hypermobility and persistent constipation) are part of the clinical phenotype of Multiple Endocrine Neoplasia type 2B (MEN2B). A de novo pathogenic M918T variant in the rearranged during transfection proto-oncogene is usually identified. Affected children are often seen by multiple clinicians
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Comparing Social Disadvantage Indices in Pediatric Populations. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Anna Zolotor,Ro W Huang,Nrupen A Bhavsar,Rushina Cholera
BACKGROUND AND OBJECTIVES Place-based social disadvantage indices are increasingly used to promote health equity, but vary in design. We compared associations between 3 commonly used indices (Social Vulnerability Index [SVI], Area Deprivation Index [ADI], and Child Opportunity Index [COI]) and infant well-child check (WCC) attendance and adolescent obesity. We hypothesized that the COI would have the
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The Case for Specialty Summer Camp: A Palliative Care Perspective. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Matthew T McEvoy,Brittany A Cowfer,Lyndsay Knutson,Michael D Amylon
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Preventing Adverse Childhood Experiences in a Sample of Largely Indigenous Children. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Katie M Edwards,Emily A Waterman,Lorey A Wheeler,Ramona Herrington,Natira Mullet,Weiman Xu,Skyler Hopfauf,Leon Leader Charge,Preciouse Trujillo
OBJECTIVES The purpose of this study was to develop, pilot, and evaluate a culturally grounded, family-based program to prevent adverse childhood experiences (ACEs) among low-income and Indigenous children aged 10 to 14. The Tiwahe Wicagwicayapi program (TWP) is a 7-session program that teaches skills to prevent ACEs and is rooted in Lakota culture, language, and history. METHODS A total of 124 families
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Four Important Questions About Between-Hospital Differences in Care at <25 Weeks' Gestation. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Matthew A Rysavy,Ashley N Battarbee,Kelly S Gibson
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Variability of Care Practices for Extremely Early Deliveries. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Danielle LoRe,Catherine M Groden,Allison R Schuh,Chondraah Holmes,Lorena Ostilla,Maggie M Vogel,Peter D Murray,Kelly Yamasato,Tiffany Tonismae,Uchenna E Anani,Natalia Henner,Mobolaji Famuyide,Steven R Leuthner,Naomi Laventhal,Bree Landis Andrews,Brownsyne M Tucker Edmonds,Kathleen G Brennan,Dalia M Feltman,
OBJECTIVES Assess temporal changes, intercenter variability, and birthing person (BP) factors relating to interventions for extremely early deliveries. METHODS Retrospective study of BPs and newborns delivered from 22-24 completed weeks at 13 US centers from 2011-2020. Rates of neonatology consultation, antenatal corticosteroids, cesarean delivery, live birth, attempted resuscitation (AR), and survival
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Reducing Failed Extubations in Preterm Infants Via Standardization and Real-Time Decision Support. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Igor Khodak,Michael Kahovec,Vince Romano,Alyssa Nielsen,Colby L Day,Andrew M Dylag
BACKGROUND AND OBJECTIVES Failed extubations are associated with pulmonary morbidity in hospitalized premature newborns. The objective of this study was to use quality improvement methodology to reduce failed extubations through practice standardization and integrating a real-time extubation success calculator into the electronic medical record (EMR). METHODS A specific, measurable, achievable, relevant
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Legislative Advocacy in Illinois for Firearm Injury Prevention. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Deanna Behrens,Jennie Pinkwater,Jill Fraggos,Karen Sheehan
The leading cause of death in children in the United States is injury caused by firearm violence. States that enact stricter laws related to firearm injury prevention have lower rates of mortality in children. In Illinois, we formed a coalition with medical professionals, medical organizations, community partners, and legislators to craft legislation to reduce the burden of firearm violence on children
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Low-Resource Hospital Days for Children Following New Tracheostomy. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Cara A Cecil,Adam C Dziorny,Matt Hall,Jason M Kane,Joseph Kohne,Aleksandra E Olszewski,Colin M Rogerson,Katherine N Slain,Vanessa Toomey,Denise M Goodman,Julia A Heneghan
BACKGROUND AND OBJECTIVES Children with new tracheostomy and invasive mechanical ventilation (IMV) require transitional care involving caregiver education and nursing support. To better understand hospital resource use during this transition, our study aimed to: (1) define and characterize low-resource days (LRDs) for this population and (2) identify factors associated with LRD occurrence. METHODS
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Large Language Models in Pediatric Education: Current Uses and Future Potential. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Srinivasan Suresh,Sanghamitra M Misra
Generative artificial intelligence, especially large language models (LLMs), has the potential to affect every level of pediatric education and training. Demonstrating speed and adaptability, LLMs can aid educators, trainees, and practicing pediatricians with tasks such as enhancing curriculum design through the creation of cases, videos, and assessments; creating individualized study plans and providing
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The Value of Parental Judgment in the Ethical Gray Zone of Periviability: Words Matter. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Matthew J Drago,Mark R Mercurio
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Binge Drinking Disparities by Grade, Race and Ethnicity, Sexual Orientation, and Gender Identity. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Meg D Bishop,Samantha A Moran,Rodman E Turpin,Elizabeth M Aparicio,Ethan H Mereish,Stephen T Russell,Jessica N Fish
BACKGROUND AND OBJECTIVES Binge drinking disparities between sexual and gender minority (SGM) students and their heterosexual, cisgender peers are well-established. Data limitations have precluded understandings of whether the onset and progression of these disparities differ by grade. Additionally, little is known about whether and how SGM-related binge drinking varies across groups of students coincidingly
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Complexity Plus: The Importance of Co-Occurring Conditions in Children With Medical Complexity. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Nicolas M Oreskovic,Eyal Cohen
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Neurodevelopmental and Mental Health Conditions in Children With Medical Complexity. Pediatrics (IF 6.2) Pub Date : 2024-09-01 JoAnna K Leyenaar,Mary Arakelyan,Andrew P Schaefer,Seneca D Freyleue,Andrea M Austin,Tamara D Simon,Jeanne Van Cleave,Namrata Ahuja,Alyna T Chien,Erika L Moen,A James O'Malley,David C Goodman
BACKGROUND AND OBJECTIVES Children with medical complexity (CMC) may be at a high risk of neurodevelopmental and mental health conditions given disease comorbidities and lived experiences. Little is known about the prevalence of these conditions at a population level. In this study, we estimated the prevalence of neurodevelopmental and mental health diagnoses in CMC relative to children without medical
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Substance Use Screening Among Youth in Foster Care. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Mary V Greiner,Nichole Nidey,Jacqueline Unkrich,Katie Fox,Megan Radenhausen,Sarah J Beal
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A Reversible Etiology of Progressive Motor Decline in a Previously Healthy Child. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Tal Eliav,Deandra Kuruppu,Pedro A Sanchez-Lara,Katheryn Grand,Bahareh Schweiger,Michelle Allen-Sharpley
We describe the clinical presentation and evaluation of a 10-year-old boy who presented to our medical center with years of progressive proximal muscle weakness, muscle atrophy, and weight loss. In addition to a myopathic phenotype, he was found to have tachycardia, tremor, and learning difficulties. Electromyography revealed chronic myopathic changes and laboratory screening was notable for undetectable
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Disparities in Access to Timely Waitlisting Among Pediatric Kidney Transplant Candidates. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Lindsey M Maclay,Miko Yu,Sandra Amaral,Joel T Adler,P Rodrigo Sandoval,Lloyd E Ratner,Jesse D Schold,Sumit Mohan,Syed Ali Husain
BACKGROUND AND OBJECTIVES Kidney transplantation with minimal or no dialysis exposure provides optimal outcomes for children with end-stage kidney disease. We sought to understand disparities in timely access to transplant waitlisting. METHODS We conducted a retrospective, registry-based cohort study of candidates ages 3 to 17 added to the US kidney transplant waitlist 2015 to 2019. We defined "preemptive
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Failure to Thrive, Metabolic Acidosis, and Diarrhea in a 7-Week-Old Infant. Pediatrics (IF 6.2) Pub Date : 2024-09-01 Nikki R Lawson,Joseph Angelo,Eric Chiou,Kevin Glinton,Andrea Dean
A 7-week-old infant presented to the emergency department with fussiness, decreased oral intake, loose stool, and respiratory distress for 2 days. The patient was born full-term with an uncomplicated birth history but had a history of slow weight gain. He was alert, but toxic-appearing at presentation, hypothermic with signs of dehydration, and with respiratory failure. He was found to have severe
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Diagnostic Accuracy of Clinical Sign Algorithms to Identify Sepsis in Young Infants Aged 0 to 59 Days: A Systematic Review and Meta-analysis. Pediatrics (IF 6.2) Pub Date : 2024-08-01 Alastair Fung,Yasir Shafiq,Sophie Driker,Chris A Rees,Rishi P Mediratta,Rebecca Rosenberg,Anum S Hussaini,Jana Adnan,Carrie G Wade,Roger Chou,Karen M Edmond,Krysten North,Anne Cc Lee
CONTEXT Accurate identification of possible sepsis in young infants is needed to effectively manage and reduce sepsis-related morbidity and mortality. OBJECTIVE Synthesize evidence on the diagnostic accuracy of clinical sign algorithms to identify young infants (aged 0-59 days) with suspected sepsis. DATA SOURCES MEDLINE, Embase, CINAHL, Global Index Medicus, and Cochrane CENTRAL Registry of Trials
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Efficacy of Antibiotic Regimens for Sepsis or Possible Serious Bacterial Infection in Young Infants Aged 0 to 59 Days: A Systematic Review and Meta-analysis. Pediatrics (IF 6.2) Pub Date : 2024-08-01 Krysten North,Sitarah Mathias,Naomi Schmeck,Yumin Kim,Tessa Kehoe,Lian V Folger,Amber Hoey,Carrie Wade,Sophie Driker,Roger Chou,Karen M Edmond,Anne Cc Lee
CONTEXT Sepsis is a leading cause of young infant mortality. OBJECTIVE To evaluate the efficacy of different antibiotic regimens to treat young infant sepsis or possible serious bacterial infection (PSBI) on clinical outcomes. DATA SOURCES MEDLINE, Embase, CINAHL, World Health Organization Global Index Medicus, Cochrane Central Registry of Trials. STUDY SELECTION We included randomized controlled trials
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Introduction to Evidence for Global Management of Serious Bacterial Infections in Young Infants Aged 0-59 Days. Pediatrics (IF 6.2) Pub Date : 2024-08-01 Karen M Edmond