The Journal of pediatrics
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The Journal of pediatrics · Jul 2016
Emergency Department Visits and Readmissions among Children after Gastrostomy Tube Placement.
To define the incidence of 30-day postdischarge emergency department (ED) visits and hospital readmissions following pediatric gastrostomy tube (GT) placement across all procedural services (Surgery, Interventional-Radiology, Gastroenterology) in 38 freestanding Children's Hospitals. ⋯ GT placement is associated with high rates of ED revisits and hospital readmissions in the first 30 days after hospital discharge. The association of nonmodifiable risk factors such as race/ethnicity and medical complexity is an initial step toward understanding this population so that interventions can be developed to decrease these potentially preventable occurrences given their importance among accountable care organizations.
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The Journal of pediatrics · Jul 2016
Psychological Factors Associated with Delayed Symptom Resolution in Children with Concussion.
To characterize the psychological factors associated with persistent symptoms after pediatric concussion. ⋯ Somatization is associated with delayed symptom resolution in this cohort of children with concussion. Postconcussive symptoms lasting at least 1 month may warrant referral to a neuropsychologist familiar with postconcussion care.
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The Journal of pediatrics · Jul 2016
Multicenter Study Comparative Study Observational StudyEmergency Department Utilization for Mental Health in American Indian Children.
To examine emergency department (ED) visits for mental health concerns by American Indian children in a multicenter cohort. To analyze demographic and clinical factors, the types of mental health concerns, and repeat mental health visits. ⋯ Differences were noted in mental health visits between American Indian and white children and were influenced by age. These findings warrant further investigation into care-seeking patterns and treatment for mental health in American Indian children.
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The Journal of pediatrics · Jul 2016
Specific Factors Influence Postconcussion Symptom Duration among Youth Referred to a Sports Concussion Clinic.
To identify the clinical factors that influence the duration of postconcussion symptoms among youth referred to a sports concussion clinic. ⋯ Several factors help to predict protracted postconcussion symptom durations among youth referred to a sports concussion clinic.
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The Journal of pediatrics · Jul 2016
Reported Wandering Behavior among Children with Autism Spectrum Disorder and/or Intellectual Disability.
To characterize wandering, or elopement, among children with autism spectrum disorder (ASD) and intellectual disability. ⋯ This study affirms that wandering among children with ASD, regardless of intellectual disability status, is relatively common. However, wandering or becoming lost in the past year was also reported for many children with intellectual disability, indicating the need to broaden our understanding of this safety issue to other developmental disabilities.