The Journal of pediatrics
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To prospectively validate the Pediatric Appendicitis Score (PAS), developed on a cohort of children with abdominal pain suggestive of appendicitis, in unselected children with abdominal pain who present to the emergency department. ⋯ The PAS is useful, because a value
or=7 (found in 61% of children with appendicitis) has a high validity for predicting the presence of appendicitis. Children with PAS of 3 to 6 (37% with appendicitis and 23% without appendicitis in this study) should undergo further investigation such as observation, ultrasonography, or computed tomography. -
The Journal of pediatrics · Jun 2008
Quantitative end-tidal carbon dioxide in acute exacerbations of asthma.
To examine quantitative end-tidal carbon dioxide (ETCO(2)) in children with acute exacerbations of asthma. We hypothesize that quantitative ETCO(2) will be lower in children during an acute exacerbation of asthma and will correlate with the severity of the exacerbation. We also hypothesize that ETCO(2) can be successfully performed in all groups in the setting of a pediatric emergency department. ⋯ ETCO(2) can be successfully measured in all children and is significantly lower in children with acute exacerbations of asthma compared with healthy control subjects. Quantitative ETCO(2) may be an objective, noninvasive, and effort-independent way to assess the severity of asthma.
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The Journal of pediatrics · Jun 2008
Multicenter StudyFirst day of life pulse oximetry screening to detect congenital heart defects.
To evaluate the efficacy of first day of life pulse oximetry screening to detect congenital heart defects (CHDs). ⋯ Early pulse oximetry screening promotes early detection of critical CHDs and other potentially severe diseases. The sensitivity rate for detecting critical CHDs is high, and the false-positive rate is low.
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The Journal of pediatrics · Jun 2008
Comparative StudyAccuracy of pulse oximetry measurement of heart rate of newborn infants in the delivery room.
To determine the accuracy of heart rate obtained by pulse oximetry (HR(PO)) relative to HR obtained by 3-lead electrocardiography (HR(ECG)) in newborn infants in the delivery room. ⋯ PO provided an accurate display of newborn infants' HR in the delivery room, including those infants receiving advanced resuscitation.
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To determine whether aerobic capacity is normal in boys with different types of hemophilia compared with healthy peers and whether the level of aerobic capacity correlates with the amount of physical activity, joint health status, muscle strength, and anthropometrics. ⋯ The aerobic capacity of children with hemophilia is still lower than the normal population, whereas their overall muscle strength is comparable with healthy peers. The functional ability does not differ from healthy peers, and joint health status showed very minor impairments. A substantial proportion of Dutch children with hemophilia was overweight, without showing a reduction in the amount of self-reported physical activities.