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Injury-Related Pediatric Emergency Department Visits in the First Year of COVID-19. Pediatrics (IF 9.703) Pub Date : 2022-07-15 Jordee M Wells,Jonathan Rodean,Lawrence Cook,Marion R Sills,Mark I Neuman,Aaron E Kornblith,Shobhit Jain,Alexander W Hirsch,Monika K Goyal,Eric W Fleegler,Amy M DeLaroche,Paul L Aronson,Julie C Leonard
OBJECTIVE To describe the epidemiology of pediatric injury-related visits to children's hospital emergency departments (EDs) in the United States (US) during early and later periods of the SARS-CoV-2 pandemic. STUDY DESIGN We conducted a cross-sectional study using the Pediatric Health Information System, an administrative database to identify injury-related ED visits at 41 US children's hospitals
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Trends in Parents' Confidence in Childhood Vaccines During the COVID-19 Pandemic. Pediatrics (IF 9.703) Pub Date : 2022-07-14 Megha D Shah,Peter G Szilagyi,Rashmi Shetgiri,Jeanne R Delgado,Sitaram Vangala,Kyla Thomas,Rebecca N Dudovitz,Nathalie Vizueta,Jill Darling,Arie Kapteyn
The coronavirus disease 2019 (COVID-19) pandemic substantially disrupted well-child visits and vaccinations in the United States.1,2 Parent hesitancy for pediatric COVID-19 vaccines3 and widespread vaccine misinformation during the pandemic may have affected parent confidence in routine childhood vaccines. Little is known beyond two studies: one involved a convenience sample from a single medical center;4
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Vaccines Are Profoundly Effective-And We Can't Stop There. Pediatrics (IF 9.703) Pub Date : 2022-07-13 Michael D Warren,Monique Fountain Hanna
In 1999, the Centers for Disease Control and Prevention (CDC) hailed vaccines as one of the ten great public health achievements of the 20th century. Over the last few decades, scientific advances have resulted in the availability of vaccines for once-fatal illnesses, and public health investments in vaccine provision have resulted in high coverage for most routine childhood vaccines.1.
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Value of the Immunization Program for Children in the 2017 US Birth Cohort. Pediatrics (IF 9.703) Pub Date : 2022-07-13 Justin Carrico,Elizabeth M La,Sandra E Talbird,Ya-Ting Chen,Mawuli K Nyaku,Cristina Carias,Claire E Mellott,Gary S Marshall,Craig Roberts
BACKGROUND AND OBJECTIVES We evaluated the economic impact of routine childhood immunization in the United States (US), reflecting updated vaccine recommendations and recent data on epidemiology and coverage rates. METHODS An economic model followed the 2017 US birth cohort from birth through death; impact was modeled via a decision tree for each of the vaccines recommended for children by the Advisory
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Impact of Routine Childhood Immunization in Reducing Vaccine-Preventable Diseases in the US. Pediatrics (IF 9.703) Pub Date : 2022-07-13 Sandra E Talbird,Justin Carrico,Elizabeth M La,Cristina Carias,Gary S Marshall,Craig S Roberts,Ya-Ting Chen,Mawuli K Nyaku
BACKGROUND AND OBJECTIVES Current routine immunizations for children aged ≤10 years in the United States (US) in 2019 cover 14 vaccine-preventable diseases. We characterize the public-health impact of vaccination by providing updated estimates of disease incidence with and without universally recommended pediatric vaccines. METHODS Pre-vaccine disease incidence was obtained from published data or calculated
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Coaching and Communication Training for HPV Vaccination: A Cluster Randomized Trial. Pediatrics (IF 9.703) Pub Date : 2022-07-12 Melissa B Gilkey,Brigid K Grabert,Jennifer Heisler-MacKinnon,Adam Bjork,Marcella H Boynton,KyungSu Kim,Susan Alton Dailey,Amy Liu,Karen G Todd,Stephanie L Schauer,Danielle Sill,Scott Coley,Noel T Brewer
BACKGROUND AND OBJECTIVES US health departments routinely conduct in-person quality improvement (QI) coaching to strengthen primary care clinics' vaccine delivery systems, but this intervention achieves only small, inconsistent improvements in human papillomavirus (HPV) vaccination. Thus, we sought to evaluate the effectiveness of combining QI coaching with remote provider communication training to
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Guidance for Cardiopulmonary Resuscitation of Children With Suspected or Confirmed COVID-19. Pediatrics (IF 9.703) Pub Date : 2022-07-12 Ryan W Morgan,Dianne L Atkins,Antony Hsu,Beena D Kamath-Rayne,Khalid Aziz,Robert A Berg,Farhan Bhanji,Melissa Chan,Adam Cheng,Kathleen Chiotos,Allan de Caen,Jonathan P Duff,Susan Fuchs,Benny L Joyner,Monica Kleinman,Javier J Lasa,Henry C Lee,Rebecca E Lehotzky,Arielle Levy,Mary E McBride,Garth Meckler,Vinay Nadkarni,Tia Raymond,Kathryn Roberts,Stephen M Schexnayder,Robert M Sutton,Mark Terry,Brian
This document aims to provide guidance to healthcare workers for the provision of basic and advanced life support to children and neonates with suspected or confirmed COVID-19. It aligns with the 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care while providing strategies for reducing risk of transmission of SARS-CoV-2 to healthcare providers
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Evaluation of a Point-of-Care Test for Bilirubin in Malawi. Pediatrics (IF 9.703) Pub Date : 2022-07-08 Alyssa Shapiro,Jessica Anderson,Prince Mtenthaonga,Watson Kumwenda,Meaghan Bond,Richard Schwarz,Jennifer Carns,Ryan Johnston,Queen Dube,Msandeni Chiume,Rebecca Richards-Kortum
OBJECTIVES BiliSpec is a low-cost spectrophotometric reader and disposable paper-based strip to quantify total serum bilirubin from several blood drops. This study was a prospective evaluation of BiliSpec in 2 neonatal wards in Malawi compared with a reference standard bilirubinometer over a large range of bilirubin and hematocrit levels. METHODS The accuracy of BiliSpec and a transcutaneous bilirubinometer
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Peer Learning and Mentorship for Neonatal Management Skills: A Cluster-Randomized Trial. Pediatrics (IF 9.703) Pub Date : 2022-07-07 Santorino Data,Dube Mirette,Moses Cherop,Francis Bajunirwe,Catherine Kyakwera,Traci Robinson,Najjuma N Josephine,Lenard Abesiga,Tamara Namata,Jennifer L Brenner,Nalini Singhal,Margaret Twine,Ian Wishart,Heather McIntosh,Adam Cheng
BACKGROUND Clinical knowledge and skills acquired during training programs like Helping Babies Breathe (HBB) and Essential Care for Every Baby (ECEB) decay within weeks or months. We assessed the effect of a peer learning intervention paired with mentorship on retention of HBB and ECEB skills, knowledge, and teamwork in 5 districts of Uganda. METHODS We randomized participants from 36 Ugandan health
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Family Safety Reporting in Hospitalized Children With Medical Complexity. Pediatrics (IF 9.703) Pub Date : 2022-07-06 Alexandra N Mercer,Sangeeta Mauskar,Jennifer Baird,Jay Berry,Deanna Chieco,Katherine Copp,Elizabeth D Cox,Helen Haskell,Karen Hennessy,Michelle M Kelly,Nandini Mallick,Amanda McGeachey,Patrice Melvin,Tiffany Ngo,Amy Pinkham,Jayne Rogers,Walter Wickremasinghe,David Williams,Christopher P Landrigan,Alisa Khan
BACKGROUND AND OBJECTIVES Hospitalized children with medical complexity (CMC) are at high risk of medical errors. Their families are an underutilized source of hospital safety data. We evaluated safety concerns from families of hospitalized CMC and patient/parent characteristics associated with family safety concerns. METHODS We conducted a 12-month prospective cohort study of English- and Spanish-speaking
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Factors Associated With Antibiotic Use for Children Hospitalized With Pneumonia. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Jillian M Cotter,Todd A Florin,Angela Moss,Krithika Suresh,Sriram Ramgopal,Nidhya Navanandan,Samir S Shah,Richard M Ruddy,Lilliam Ambroggio
BACKGROUND Antibiotics are frequently used for community-acquired pneumonia (CAP), although viral etiologies predominate. We sought to determine factors associated with antibiotic use among children hospitalized with suspected CAP. METHODS We conducted a prospective cohort study of children who presented to the emergency department (ED) and were hospitalized for suspected CAP. We estimated risk factors
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Decreasing Misdiagnoses of Urinary Tract Infections in a Pediatric Emergency Department. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Olivia Ostrow,Michael Prodanuk,Yen Foong,Valene Singh,Laura Morrissey,Greg Harvey,Aaron Campigotto,Michelle Science
BACKGROUND AND OBJECTIVES Urinary tract infection (UTI) is a common diagnosis in the emergency department (ED), often resulting in empirical antibiotic treatment before culture results. Diagnosis of a UTI, particularly in children, can be challenging and misdiagnosis is common. The aim of this initiative was to decrease the misdiagnosis of uncomplicated pediatric UTIs by 50% while improving antimicrobial
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Pediatric Postural Orthostatic Tachycardia Syndrome: Where We Stand. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Jeffrey R Boris,Jeffrey P Moak
Postural orthostatic tachycardia syndrome (POTS), first described in 1992, remains an enigmatic, yet severely and variably debilitating, disorder. The pathophysiology of this syndrome is still not understood, and there remains no biomarker indicating the presence of POTS. Although research interest has increased in recent years, there are relatively fewer clinical and research studies addressing POTS
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Safety of Live-Attenuated Vaccines in Children Exposed to Biologic Response Modifiers in Utero. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Ousseny Zerbo,Sharareh Modaressi,Kristin Goddard,Edwin Lewis,Darios Getahun,Kristin K Palmsten,Candace C Fuller,Bradley Crane,James G Donahue,Matthew F Daley,Lisa A Jackson,A Patricia Wodi,Michael M McNeil,Nicola P Klein
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A 12-Day-Old Female with Hypothermia, Hypoglycemia and Hyperbilirubinemia. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Jennifer Apsan,Alexis J Feuer,Vikash K Modi,Christopher Cunniff,Oksana Lekarev
A 12-day-old, full-term female, born small for gestational age, presented to the emergency department with a 1-week history of worsening hyperbilirubinemia, intermittent hypoglycemia, and episodic hypothermia. The baby's emergency department evaluation revealed transaminitis, pneumatosis intestinalis, indirect hyperbilirubinemia, and hypoglycemia. She was admitted to the ICU and received intravenous
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Confronting Child Maltreatment in Youth Sports. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Katherine W Canty,Angelo P Giardino
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Advocating for Physician Paid Parental Leave. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Kelsey A Miller,Lois K Lee
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Validation of Prediction Models for Pneumonia Among Children in the Emergency Department. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Sriram Ramgopal,Douglas Lorenz,Nidhya Navanandan,Jillian M Cotter,Samir S Shah,Richard M Ruddy,Lilliam Ambroggio,Todd A Florin
BACKGROUND Several prediction models have been reported to identify patients with radiographic pneumonia, but none have been validated or broadly implemented into practice. We evaluated 5 prediction models for radiographic pneumonia in children. METHODS We evaluated 5 previously published prediction models for radiographic pneumonia (Neuman, Oostenbrink, Lynch, Mahabee-Gittens, and Lipsett) using data
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Validating a Sclera-Based Smartphone Application for Screening Jaundiced Newborns in Ghana. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Christabel Enweronu-Laryea,Terence Leung,Felix Outlaw,Nana Okai Brako,Genevieve Insaidoo,Nana Ayegua Hagan-Seneadza,Mary Ani-Amponsah,Miranda Nixon-Hill,Judith Meek
OBJECTIVES Reducing the burden of bilirubin-induced neurologic complications in low-resource countries requires reliable and accessible screening tools. We sought to optimize and validate a sclera-based smartphone application, Neonatal Scleral-Conjunctival Bilirubin (neoSCB), for screening neonatal jaundice. METHODS Using a cross-sectional design, consecutive eligible infants (aged 0-28 days, in the
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Equine-Assisted Therapies for Children With Cerebral Palsy: A Meta-analysis. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Nicole Heussen,Martin Häusler
CONTEXT Equine-assisted therapy in different facets aims to improve the clinical condition of children with cerebral palsy. A more comprehensive overview on the overall effects and on the differences between different treatment modalities seems desirable. OBJECTIVE We compared the effectiveness of various equine-assisted treatments on motor capabilities and quality of life of children with cerebral
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Changes in BMI During the COVID-19 Pandemic. Pediatrics (IF 9.703) Pub Date : 2022-06-30 Emily A Knapp,Yanan Dong,Anne L Dunlop,Judy L Aschner,Joseph B Stanford,Tina Hartert,Susan L Teitelbaum,Mark L Hudak,Kecia Carroll,Thomas G O'Connor,Cindy T McEvoy,T Michael O'Shea,Susan Carnell,Margaret R Karagas,Julie B Herbstman,Dana Dabelea,Jody M Ganiban,Assiamira Ferrara,Monique Hedderson,Traci A Bekelman,Andrew G Rundle,Akram Alshawabkeh,Diane Gilbert-Diamond,Rebecca C Fry,Zhanghua Chen,Frank
BACKGROUND AND OBJECTIVES Experts hypothesized increased weight gain in children associated with the COVID-19 pandemic, potentially due to closures of schools and recreational facilities with consequent reduction of physical activity and dietary changes. Our objective was to evaluate whether the rate of change of child BMI increased during the COVID-19 pandemic compared to pre-pandemic years. METHODS
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Contact Tracing Policy for Masked Students May be an Important Confounding Variable. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Tracy Beth Høeg,Vinay Prasad,Todd Porter
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Wrong Study Window to Assess the Full Impacts of Legalization on Pediatric Cannabis Exposures. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Daniel Myran,Yaron Finkelstein
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Author Response to Myran and Finkelstein. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Matthew E M Yeung,Eddy Lang
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Author Response: Other Factors Potentially Contributing to the Number of Secondary Infections. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Angelique E Boutzoukas,Daniel K Benjamin
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Reply to: Edible Cannabis Exposures Among Children: 2017-2019. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Kei U Wong,Christine Ramdin,Diane P Calello
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Health Impairments in Children and Adolescents After Hospitalization for Acute COVID-19 or MIS-C. Pediatrics (IF 9.703) Pub Date : 2022-06-29 Aline B Maddux,Laura Berbert,Cameron C Young,Leora R Feldstein,Laura D Zambrano,Suden Kucukak,Margaret M Newhams,Kristen Miller,Madyson M FitzGerald,Jie He,Natasha B Halasa,Natalie Z Cvijanovich,Laura L Loftis,Tracie C Walker,Stephanie P Schwartz,Shira J Gertz,Keiko M Tarquinio,Julie C Fitzgerald,Michele Kong,Jennifer E Schuster,Elizabeth H Mack,Charlotte V Hobbs,Courtney M Rowan,Mary A Staat,Matt
OBJECTIVE To evaluate risk factors for post-discharge sequelae in children and adolescents after hospitalization for acute COVID-19 or multisystem inflammatory syndrome in children (MIS-C). METHODS Multicenter prospective observational cohort study conducted in 25 US pediatric hospitals. Patients <21-years-old, hospitalized May 2020 to May 2021 for acute COVID-19 or MIS-C with follow-up 2-4 months
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Trends in Telehealth Antibiotic Prescribing for Children Through the COVID-19 Pandemic. Pediatrics (IF 9.703) Pub Date : 2022-06-29 Lily Payvandi,Emily Trudell Correa,Jonathan Hatoun,Heather O'Donnell,Louis Vernacchio
BACKGROUND AND OBJECTIVES Telehealth visits increased significantly during the coronavirus disease 2019 (COVID-19) pandemic without consensus on the appropriate scope of telehealth antibiotic prescribing within pediatric primary care. We describe telehealth antibiotic prescribing patterns within our statewide pediatric primary care network during the COVID-19 pandemic. METHODS In a retrospective observational
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Parental Depression Screening in Pediatric Health Care Settings: A Scoping Review. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Ava Marie Hunt,Nila Uthirasamy,Sallie Porter,Manuel E Jimenez
BACKGROUND AND OBJECTIVES Parental depression affects as many as 1 in 5 US families. Pediatric professionals can play an important role in detecting parental depression, yet most studies on parental depression screening focus only on the postpartum period. The authors performed this scoping review to understand the existing literature on parental depression screening outside the postpartum period (child
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Acute SARS-CoV-2-Induced Psychosis in an Adolescents. Pediatrics (IF 9.703) Pub Date : 2022-06-28 Zainab Bashir,Isabel M Butt,Murali K Vemuri,Tarekegn Geberhiwot
Severe SARS-CoV-2COVID-19 illness in pediatrics is less common in children than in adults. Here we report an unvaccinated 16-year-old male, normally fit and well with no previous personal or family history of mental illness who developed moderate respiratory illness related to SARS-CoV-2 infection that was followed by acute psychosis. Neuropsychiatric manifestations are well documented in adults with
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Family Educational Attainment and Racial Disparities in Low Birth Weight. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Emily Echevarria,Scott A Lorch
OBJECTIVES To evaluate the effect of grandmother and mother educational attainment on low birth weight (LBW) in children and grandchildren. METHODS The National Longitudinal Study of Adolescent to Adult Health is a multigenerational study that collected survey data from 1994 to 2018. Using this database, we constructed a cohort of 2867 non-Hispanic Black (NHB) and non-Hispanic White (NHW) grandmot
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Individual Medical Emergencies Occurring at School. Pediatrics (IF 9.703) Pub Date : 2022-06-27 Rani S Gereige,Toni Gross,Ebaa Jastaniah,
Children and adults may face emergency medical situations because of injuries, complications of chronic health conditions, or unexpected major illnesses that occur in schools. The American Academy of Pediatrics published a policy statement in 2001 titled "Guidelines for Emergency Medical Care in Schools," and in 2008, published its revision, "Medical Emergencies Occurring at School." Those statements
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Improving Substance Use Prevention, Assessment, and Treatment Financing to Enhance Equity and Improve Outcomes Among Children, Adolescents, and Young Adults. Pediatrics (IF 9.703) Pub Date : 2022-06-27 Deepa R Camenga,Lawrence D Hammer,
Access to timely prevention and treatment services remains challenging for many children, adolescents, young adults, and families affected by substance use. The American Academy of Pediatrics recognizes the scope and urgency of this problem and has developed this policy statement for consideration by Congress, federal and state policy makers, and public and private payers. This policy statement updates
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Academic Careers in Advocacy: Aligning Institutional Values Through Use of an Advocacy Portfolio. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Sara M Bode,Benjamin D Hoffman,Steven H Chapman,Jeffrey M Kaczorowski,Debra L Best,Anita N Shah,Abby L Nerlinger,John A Barnard,Keith J Loud,Patrick Brophy,Ann M Reed,Dana Braner
Academic children's hospitals must embrace advocacy as a central component of their missions to discover new knowledge and improve the health of the communities and patients they serve. To do so, they must ensure faculty have both the tools and the opportunities to develop and articulate the work of advocacy as an academic endeavor. This can be accomplished by integrating the work of advocacy at the
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Treatment and Epidemiology of Third-Generation Cephalosporin-Resistant Urinary Tract Infections. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Shom Dasgupta-Tsinikas,Kenneth M Zangwill,Katherine Nielsen,Rebecca Lee,Scott Friedlander,Suzanne M Donovan,Tam T Van,Susan M Butler-Wu,Jagmohan S Batra,Sylvia H Yeh,
BACKGROUND AND OBJECTIVES Limited data are available on the contemporary epidemiology, clinical management, and health care utilization for pediatric urinary tract infection (UTI) due to third-generation cephalosporin-resistant Enterobacterales (G3CR) in the United States. The objective is to describe the epidemiology, antimicrobial treatment and response, and health care utilization associated with
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Urinary Tract Infections Treated by Third-Generation Cephalosporins. Pediatrics (IF 9.703) Pub Date : 2022-07-01 John S Bradley
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Increasing Pediatric Morning Report Educational Value Through Quality Improvement. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Anna Zuckerman,Keith J Robinson,Sarah A Twichell,Nicholas Bonenfant,Shelly Naud,K Elisabeth Runte,Sarah Couser,Lewis R First,Jonathan N Flyer
BACKGROUND Morning report (MR) is a common case-based conference in graduate medical education. Recent studies highlight participant dissatisfaction with the educational value of MR, but data are lacking on means for improvement. We aimed to increase MR quality and participant satisfaction at our academic pediatric residency program. METHODS Improvement science was used to develop and implement a new
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Human Papillomavirus Vaccination Trends Among Adolescents: 2015 to 2020. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Peng-Jun Lu,David Yankey,Benjamin Fredua,Mei-Chun Hung,Natalie Sterrett,Lauri E Markowitz,Laurie D Elam-Evans
OBJECTIVE To assess trends in recent human papillomavirus (HPV) vaccination initiation and factors associated with vaccination among adolescents. METHODS The 2015 to 2020 National Immunization Survey-Teen data were used to assess vaccination trends. Multivariable logistic regression analysis were conducted to assess factors associated with vaccination. RESULTS Overall, HPV vaccination coverage (≥1
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Palivizumab Use in the NICU: 1999-2020. Pediatrics (IF 9.703) Pub Date : 2022-07-01 R Hunter Clark,Veeral N Tolia,Kaashif A Ahmad
OBJECTIVE To examine the relationship between changes in American Academy of Pediatrics (AAP) guidance and palivizumab use for infants admitted to the NICU. We hypothesized that each change in guidance would be associated with a change in palivizumab usage. METHODS This is a retrospective repeated cross-sectional study of palivizumab usage in defined subgroups of infants discharged between 1999 and
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Watchful Waiting for Acute Otitis Media. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Nicole E Smolinski,Patrick J Antonelli,Almut G Winterstein
BACKGROUND AND OBJECTIVES Updated guidelines continue to support watchful waiting as an option for uncomplicated acute otitis media (AOM) and provide explicit diagnostic criteria. To determine treatment prevalence and associated determinants of watchful waiting for AOM in commercially insured pediatric patients. METHODS This was a retrospective cohort study using IBM Marketscan Commercial Claims Databases
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Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment. Pediatrics (IF 9.703) Pub Date : 2022-06-21 Rachel Y Moon,Rebecca F Carlin,Ivan Hand,,,Elie G Abu Jawdeh,Jeffrey Colvin,Michael H Goodstein,Fern R Hauck,Sunah S Hwang,,James Cummings,Susan Aucott,Charleta Guillory,Mark Hudak,David Kaufman,Camilia Martin,Arun Pramanik,Karen Puopolo,,Elizabeth Bundock,,Lorena Kaplan,,Sharyn Parks Brown,,Marion Koso-Thomas,,Carrie K Shapiro-Mendoza,,,Wanda Barfield,,Russell Miller,,Michael Narvey,,Tim Jancelewicz
Each year in the United States, ∼3500 infants die of sleep-related infant deaths, including sudden infant death syndrome (SIDS) (International Classification of Diseases, 10th Revision [ICD-10] R95), ill-defined deaths (ICD-10 R99), and accidental suffocation and strangulation in bed (ICD-10 W75). After a substantial decline in sleep-related deaths in the 1990s, the overall death rate attributable
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COVID-19 Vaccines in Infants, Children, and Adolescents. Pediatrics (IF 9.703) Pub Date : 2022-06-18 Committee On Infectious Diseases
Vaccines are safe and effective in protecting individuals and populations against infectious diseases. New vaccines are evaluated by a long-standing, rigorous, and transparent process by the US Food and Drug Administration and the Centers for Disease Control and Prevention (CDC). All available safety and efficacy data are reviewed before authorization or approval of policy recommendations.
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Guided Self-Help for Pediatric Obesity in Primary Care: A Randomized Clinical Trial. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Kyung E Rhee,Lourdes Herrera,David Strong,Eastern Kang-Sim,Yuyan Shi,Kerri N Boutelle
OBJECTIVES Our aim was to compare the effect of 2 treatment models on attendance and child weight status: a less intense guided self-help (GSH) program delivered in the primary care setting versus traditional family-based behavioral treatment (FBT) delivered in an academic center. METHODS We conducted a randomized clinical trial among 164 children between 5 and 13 years old with a BMI ≥85th percentile
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The Feasibility of Performing Vestibular Newborn Screening. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Kristen L Janky,Christine Yoshinaga-Itano
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Emergency Department Child Abuse Evaluations During COVID-19: A Multicenter Study. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Barbara H Chaiyachati,Joanne N Wood,Camille Carter,Daniel M Lindberg,Thomas H Chun,Lawrence J Cook,Elizabeth R Alpern,
BACKGROUND AND OBJECTIVE The reported impacts of the COVID-19 pandemic on child maltreatment in the United States have been mixed. Encounter trends for child physical abuse within pediatric emergency departments may provide insights. Thus, this study sought to determine the change in the rate of emergency department encounters related to child physical abuse. METHODS A retrospective study within the
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Vaccine Effectiveness of BNT162b2 Against Delta and Omicron Variants in Adolescents. Pediatrics (IF 9.703) Pub Date : 2022-06-16 Sarah A Buchan,Lena Nguyen,Sarah E Wilson,Sophie A Kitchen,Jeffrey C Kwong
There are limited data on vaccine effectiveness (VE) against the Omicron variant in adolescents. In Ontario, Canada, most vaccinated adolescents completed their primary series of BNT162b2 during summer 2021; third dose eligibility (6 months following a second dose) expanded to those aged 12-17 years in February 2022. We estimated 2-dose and 3-dose VE against Omicron (BA.1/BA.1.1) and Delta for this
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Physical Activity Counseling: New Options and a Lighter Burden. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Michele LaBotz,Sarah Hoffman
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A Multisite Collaborative to Decrease Inappropriate Antibiotics in Urgent Care Centers. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Amanda Nedved,Melody Fung,Destani Bizune,Cindy M Liu,Jill Obremskey,Katherine E Fleming-Dutra,Rana F Hamdy,Amanda Montalbano
BACKGROUND Urgent care (UC; a convenient site to receive care for ambulatory-sensitive) centers conditions; however, UC clinicians showed the highest rate of inappropriate antibiotic prescriptions among outpatient settings according to national billing data. Antibiotic prescribing practices in pediatric-specific UC centers were not known but assumed to require improvement. The aim of this multisite
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Effect of the INSIGHT Firstborn Parenting Intervention on Secondborn Sleep. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Emily E Hohman,Jennifer S Savage,Michele E Marini,Stephanie Anzman-Frasca,Orfeu M Buxton,Eric Loken,Ian M Paul
BACKGROUND AND OBJECTIVES The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) responsive parenting (RP) intervention for first-time mothers improved firstborn infant sleep compared with controls. The goals of this analysis were to test intervention spillover effects on secondborn siblings and examine birth order differences in infant sleep. METHODS Secondborns (n = 117)
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Medications and Adherence to Treatment Guidelines Among Children Hospitalized With Acute COVID-19. Pediatrics (IF 9.703) Pub Date : 2022-06-15 Julianne E Burns,Cary Thurm,James W Antoon,Carlos G Grijalva,Matt Hall,Adam L Hersh,Gabrielle Z Hester,Emilie Korn,Mario A Reyes,Samir S Shah,Balagangadhar R Totapally,Ronald J Teufel Ii
OBJECTIVE COVID-19 treatment guidelines rapidly evolved during the pandemic. The December 2020 Infectious Diseases Society of America (IDSA) guideline, endorsed by the Pediatric Infectious Diseases Society, recommended steroids for critical disease, and suggested steroids and remdesivir for severe disease. We evaluated how medications for children hospitalized with COVID-19 changed after guideline
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Three Years of Vestibular Infant Screening in Infants With Sensorineural Hearing Loss. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Sarie Martens,Ingeborg Dhooge,Cleo Dhondt,Saartje Vanaudenaerde,Marieke Sucaet,Helen Van Hoecke,Els De Leenheer,Lotte Rombaut,An Boudewyns,Christian Desloovere,Anne-Sophie Vinck,Sebastien Janssens de Varebeke,Dominique Verschueren,Margriet Verstreken,Ina Foulon,Charlotte Staelens,Claudia De Valck,Robbe Calcoen,Nele Lemkens,Okan Öz,Mieke De Bock,Lisa Haverbeke,Christoph Verhoye,Frank Declau,Benoit Devroede
OBJECTIVES Although vestibular deficits are more prevalent in hearing-impaired children and can affect their development on many levels, a pediatric vestibular assessment is still uncommon in clinical practice. Since early detection may allow for timely intervention, this pioneer project has implemented a basic vestibular screening test for each six-month-old hearing-impaired infant in Flanders, Belgium
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Intensity and Duration of Physical Activity and Cardiorespiratory Fitness. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Samuel Joseph Burden,Benjamin David Weedon,Annabelle Turner,Luke Whaymand,Andy Meaney,Helen Dawes,Alexander Jones
OBJECTIVES There is no clear guidance on the intensity and duration of physical activity (PA) that adolescents require to maximise cardiorespiratory fitness (CRF). We aimed to determine the strength of associations between each PA intensity and CRF, independently of other intensities, and the PA duration at each intensity associated with maximal CRF. METHODS PA and CRF were assessed in 339 adolescents
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Food Insecurity and Childhood Obesity: A Systematic Review. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Christine St Pierre,Michele Ver Ploeg,William H Dietz,Sydney Pryor,Chioniso S Jakazi,Elizabeth Layman,Deborah Noymer,Tessa Coughtrey-Davenport,Jennifer M Sacheck
BACKGROUND AND OBJECTIVES Addressing food insecurity while promoting healthy body weights among children is a major public health challenge. Our objective is to examine longitudinal associations between food insecurity and obesity in US children aged 1 to 19 years. METHODS Sources for this research include PubMed, CINAHL, and Scopus databases (January 2000 to February 2022). We included English language
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Changes in Work Characteristics and Pediatrician Satisfaction: 2012-2020. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Mary Pat Frintner,Laurel K Leslie,Elizabeth A Gottschlich,Amy Jost Starmer,William L Cull
OBJECTIVES To examine the association of changes in pediatricians' work characteristics with their satisfaction using longitudinal data. METHODS Data from a cohort study, the American Academy of Pediatrics Pediatrician Life and Career Experience Study (PLACES), were used to examine self-reported work satisfaction from 2012 to 2020 among 2002-2004 and 2009-2011 residency graduates (N = 1794). Drawing
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Differences Between Viral Meningitis and Abusive Head Trauma. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Danielle Horton,Tanya Burrell,Mary E Moffatt,Henry T Puls,Rangaraj Selvarangan,Lyndsey Hultman,James D Anderst
OBJECTIVES To evaluate the hypothesis that viral meningitis may mimic abusive head trauma (AHT) by comparing the history of present illness (HPI) and clinical presentation of young children with proven viral meningitis to those with AHT and those with subdural hemorrhage (SDH) only. We hypothesized that significant differences would exist between viral meningitis and the comparison groups. METHODS
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Stability of Balance Performance From Childhood to Midlife. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Joanna M Blodgett,Rachel Cooper,Snehal M Pinto Pereira,Mark Hamer
BACKGROUND Balance ability underlies most physical movement across life, with particular importance for older adults. No study has investigated if balance ability is established in childhood nor if associations are independent of adult factors. We investigated associations between balance performance in early (age 10) and midlife (age 46), and whether associations were independent of contributors to
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Machine Learning Prediction Models for Neurodevelopmental Outcome After Preterm Birth: A Scoping Review and New Machine Learning Evaluation Framework. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Menne R van Boven,Celina E Henke,Aleid G Leemhuis,Mark Hoogendoorn,Anton H van Kaam,Marsh Königs,Jaap Oosterlaan
BACKGROUND AND OBJECTIVES Outcome prediction of preterm birth is important for neonatal care, yet prediction performance using conventional statistical models remains insufficient. Machine learning has a high potential for complex outcome prediction. In this scoping review, we provide an overview of the current applications of machine learning models in the prediction of neurodevelopmental outcomes
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Quality Indicators for Youth Transitioning to Adult Care: A Systematic Review. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Katherine Bailey,Stephanie Lee,Thomas de Los Reyes,Lisha Lo,Kristin Cleverley,Jacklynn Pidduck,Quenby Mahood,Jan Willem Gorter,Alene Toulany
BACKGROUND AND OBJECTIVE Transition from pediatric to adult care is associated with adverse health outcomes for many adolescents with chronic illness. We identified quality indicators for transition to adult care that are broadly applicable across chronic illnesses and health systems. METHODS Medline, Embase, and the Cumulative Index to Nursing and Allied Health Literature were searched, covering earliest
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Short-Term Effects of Tax Credits on Rates of Child Maltreatment Reports in the United States. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Nicole L Kovski,Heather D Hill,Stephen J Mooney,Frederick P Rivara,Ali Rowhani-Rahbar
OBJECTIVES Poverty and low income are associated with increased risk for child maltreatment. The Earned Income Tax Credit (EITC) and Child Tax Credit (CTC) are among the largest antipoverty programs in the United States. We estimated associations between income transfer payments via the EITC and CTC and child maltreatment reports in the period shortly after families receive payments from these programs
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Defining A High-Quality Transition for Youth With Intellectual and Developmental Disabilities. Pediatrics (IF 9.703) Pub Date : 2022-07-01 Laura C Hart,Michael E Msall