The Journal of pediatrics
-
The Journal of pediatrics · Dec 2014
Multicenter Study Observational StudyEmergency department practice variation in computed tomography use for children with minor blunt head trauma.
To describe factors associated with computed tomography (CT) use for children with minor blunt head trauma that are evaluated in emergency departments. ⋯ Substantial variation exists in the use of CT for children with minor blunt head trauma not explained by patient severity or rates of positive CT scans or clinically important traumatic brain injuries.
-
The Journal of pediatrics · Dec 2014
Multicenter StudyAccuracy of the abdominal examination for identifying children with blunt intra-abdominal injuries.
To determine the accuracy of complaints of abdominal pain and findings of abdominal tenderness for identifying children with intra-abdominal injury (IAI) stratified by Glasgow Coma Scale (GCS) score. ⋯ The sensitivity of abdominal findings for IAI decreases as GCS score decreases. Although abdominal computed tomography is not mandatory, the risk of IAI is sufficiently high that diagnostic evaluation is warranted in children with isolated abdominal pain or tenderness.
-
The Journal of pediatrics · Dec 2014
Brain temperature in neonates with hypoxic-ischemic encephalopathy during therapeutic hypothermia.
To noninvasively determine brain temperature of neonates with hypoxic-ischemic encephalopathy (HIE) during and after therapeutic hypothermia. ⋯ For this analysis of a small number of patients, brain temperature and brain-rectal temperature gradient were higher in neonates with S-HIE than in those with M-HIE during and after therapeutic hypothermia. Further studies are needed to determine whether further decreasing brain temperature in neonates with S-HIE is safe and effective in improving outcome.
-
The Journal of pediatrics · Dec 2014
Improvements in lung function and height among cohorts of 6-year-olds with cystic fibrosis from 1994 to 2012.
To characterize spirometry and height changes in cohorts of 6-year-old children with cystic fibrosis (CF). ⋯ Consistent, significant increases in HFA, FEV1, and FVC occurred between 1994 and 2012, but FEV1/FVC, a measure of airway obstruction, did not change appreciably during this period. FVC and FEV1z-score distributions suggest that normative equation reference populations underpredict lung volumes of children with CF, but the reasons for this remain unclear.