The Journal of pediatrics
-
The Journal of pediatrics · Dec 2006
Correlates of violent behavior among adolescents presenting to an urban emergency department.
To examine rates and correlates of self-reported perpetrated violence among teens presenting to an urban emergency department. ⋯ Youth presenting to urban emergency departments report high rates of perpetrating violence in the past year that, on the basis of other studies, is likely to continue. These results suggest that future emergency department-based violence prevention efforts should consider universal screening of adolescents.
-
The Journal of pediatrics · Dec 2006
Multicenter Study Comparative StudyComparison of chronic illness among children receiving mechanical ventilation in a cohort of children's hospitals in 1991 and 2001.
To compare the prevalence of chronic illness and characteristics of children who underwent mechanical ventilation in a cohort of patients at large children's hospitals between 1991 and 2001. ⋯ The increase in mechanical ventilation in hospitalized children is due to both an increased incidence of chronic illness and higher use within diagnostic categories. Unlike utilization of some services, the use of mechanical ventilation in hospitalized children may be a marker of increased severity of illness and need, because it is plausible that mechanical ventilation use is not primarily supply-sensitive.
-
The Journal of pediatrics · Dec 2006
Persistence of obstructive sleep apnea syndrome in children after adenotonsillectomy.
To investigate the relative contribution of various risk factors to the surgical outcome of adenotonsillectomy for obstructive sleep apnea syndrome in children. ⋯ Adenotonsillectomy yields improvements in respiratory abnormalities in children with obstructive sleep apnea syndrome. Complete normalization occurs in only 25% of the patients. Obesity and AHI at diagnosis are the major determinant for surgical outcome. When normalization of respiratory measures occurs after surgery, normalization of sleep architecture will also ensue.