The Journal of pediatrics
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The Journal of pediatrics · Aug 2011
Multicenter Study Comparative StudyRacial and ethnic disparities in post-operative mortality following congenital heart surgery.
This study assessed racial/ethnic disparities in post-operative mortality after surgery for congenital heart disease (CHD) and explored whether disparities persist after adjusting for access to care. ⋯ There are notable racial/ethnic disparities in post-operative mortality after CHD surgery that do not appear to be explained by differences in access to care.
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The Journal of pediatrics · Aug 2011
Comparative StudyChanges in lung volume and ventilation during lung recruitment in high-frequency ventilated preterm infants with respiratory distress syndrome.
To assess global and regional changes in lung volume and ventilation during lung recruitment in preterm infants with respiratory distress syndrome. ⋯ Lung hysteresis is present in preterm infants with respiratory distress syndrome. Regional differences in lung volume changes and ventilation during high-frequency oscillatory ventilation with lung recruitment are relatively modest and do not follow a gravity-dependent distribution.
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The Journal of pediatrics · Aug 2011
Comparative StudyPrevalence of cardiometabolic risk factor clustering and body mass index in adolescents.
To establish prevalence of cardiometabolic risk factor clustering within US adolescent body mass index (BMI) groups. ⋯ The prevalence of risk factor clustering increases across adolescent BMI categories; however, associations with sex, race/ethnicity, income, smoking, and BMI vary across groups.
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The Journal of pediatrics · Aug 2011
Comparative StudyInfants with single ventricle physiology in the emergency department: are physicians prepared?
To assess emergency department (ED) utilization and physician preparedness for infants with single ventricle (SV) physiology between stage 1 and stage 2 surgical palliation. ⋯ Between stages I and II, infants with SV physiology utilized the ED frequently, often with high disease acuity. Most ED physicians surveyed appeared underprepared for these infants. These findings underscore the need for educational efforts aimed at increasing ED preparedness.
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The Journal of pediatrics · Aug 2011
Multicenter Study Comparative StudyWhom are we comforting? An analysis of comfort medications delivered to dying neonates.
To clarify the use of end-of-life comfort medications or neuromuscular blockers (NMBs) in culturally different neonatal intensive care units (NICUs). ⋯ Comfort medications were administered to almost all dying infants in each NICU. Some, but not all, centers were comfortable increasing these medications around or after extubation. In three centers, NMBs were at times present at the time of death. However, only in Holland were NMBs initiated after extubation.