The Journal of pediatrics
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The Journal of pediatrics · Jul 2019
Risk of Repeat Concussion Among Patients Diagnosed at a Pediatric Care Network.
To quantify the risk of repeat concussions for children and identify demographic and clinical aspects of the index concussion associated with repeat injury. ⋯ We estimate that 1 in 6 youth diagnosed with a concussion are diagnosed with a subsequent concussion within 2 years and that several clinical characteristics of the index concussion increase this risk. Identifying factors associated with a repeat injury is essential to inform the clinical management of concussion and direct injury prevention efforts.
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The Journal of pediatrics · Jun 2019
Observational StudyDay-Night Activity in Hospitalized Children after Major Surgery: An Analysis of 2271 Hospital Days.
To characterize the day-night activity patterns of children after major surgery and describe differences in children's activity patterns between the pediatric intensive care unit (PICU) and inpatient floor setting. ⋯ Children hospitalized after major surgery experience disruptions in day-night activity patterns during their hospital stay that may reflect disturbances in circadian rhythm.
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The Journal of pediatrics · Jun 2019
Randomized Controlled Trial Multicenter StudyVirtual Reality for Pediatric Needle Procedural Pain: Two Randomized Clinical Trials.
To assess the efficacy and safety of a virtual reality distraction for needle pain in 2 common hospital settings: the emergency department (ED) and outpatient pathology (ie, outpatient laboratory). The control was standard of care (SOC) practice. ⋯ In children aged 4-11 years of age undergoing intravenous cannulation or venipuncture, virtual reality was efficacious in decreasing pain and was safe.
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The Journal of pediatrics · Apr 2019
Observational StudyLow Cerebral Oxygenation in Preterm Infants Is Associated with Adverse Neurodevelopmental Outcome.
To assess whether high and low levels of cerebral oxygenation (regional cerebral oxygenation [rScO2]) in infants born at <32 weeks of gestation were associated with adverse long-term outcome. ⋯ Low, but not high, rScO2 was associated with an unfavorable cognitive outcome. This suggests the use of a threshold of rScO2 <55% for future clinical studies when using adult near-infrared sensors (rScO2 <65% for neonatal sensors, approximately).
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The Journal of pediatrics · Apr 2019
Nonconvulsive Seizure Detection by Reduced-Lead Electroencephalography in Children with Altered Mental Status in the Emergency Department.
To evaluate the proportion of children presenting to the emergency department (ED) with altered mental status who demonstrate nonconvulsive seizures on reduced-lead electroencephalography (EEG), and to further investigate the characteristics, treatment, and outcomes in these patients compared with patients without nonconvulsive seizures. ⋯ A relatively high percentage of pediatric patients with altered mental status in the ED experience nonconvulsive seizures. The use of reduced-lead EEG monitoring in the ED might facilitate the recognition and treatment of nonconvulsive seizures, especially among patients with a history of seizures.