JAMA pediatrics
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Multicenter Study Comparative Study
Inpatient growth and resource use in 28 children's hospitals: a longitudinal, multi-institutional study.
To compare inpatient resource use trends for healthy children and children with chronic health conditions of varying degrees of medical complexity. ⋯ Patients with a chronic condition increasingly used more resources in a group of children's hospitals than patients without a chronic condition. The greatest growth was observed in hospitalized children with chronic conditions affecting 2 or more body systems. Children's hospitals must ensure that their inpatient care systems and payment structures are equipped to meet the protean needs of this important population of children.
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Clinical Trial
Feasibility of web-based self-triage by parents of children with influenza-like illness: a cautionary tale.
Self-triage using web-based decision support could be a useful way to encourage appropriate care-seeking behavior and reduce health system surge in epidemics. However, the feasibility and safety of this strategy have not previously been evaluated. ⋯ This pilot study suggests that web-based decision support to help parents and adult caregivers self-triage children with influenza-like illness is feasible. However, prospective refinement of the clinical algorithm is needed to improve its specificity without compromising patient safety.
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Randomized Controlled Trial
Twelve-month follow-up of cognitive behavioral therapy for children with functional abdominal pain.
To determine whether a brief intervention for children with functional abdominal pain and their parents' responses to their child's pain resulted in improved coping 12 months later. ⋯ Results suggest long-term efficacy of a brief intervention to reduce parental solicitousness and increase coping skills. This strategy may be a viable alternative for children with functional abdominal pain.
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To determine the acute predictors associated with the development of postconcussion syndrome (PCS) in children and adolescents after mild traumatic brain injury. ⋯ Adolescents who have headache on ED presentation and require hospital admission at the ED encounter are at elevated risk for PCS after mild traumatic brain injury. Interventions to identify this population and begin early treatment may improve outcomes and reduce the burden of disease.
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Clinical Trial
Prospective evaluation of point-of-care ultrasonography for the diagnosis of pneumonia in children and young adults.
To determine the accuracy of point-of-care ultrasonography for the diagnosis of pneumonia in children and young adults by a group of clinicians. ⋯ Clinicians are able to diagnose pneumonia in children and young adults using point-of-care ultrasonography, with high specificity.