The Journal of pediatrics
-
The Journal of pediatrics · Jul 2005
The relationship between the location of pediatric intensive care unit facilities and child death from trauma: a county-level ecologic study.
To describe the relationship between the location of Pediatric Intensive Care Unit (PICU) facilities and county-level child death from trauma in the contiguous USA. ⋯ The presence of PICU facilities is related to lower mortality rates due to traumatic injuries at the county level. This finding may reflect the concentration of pediatric subspecialty care in counties with PICUs. This association merits further study with individual-level observations.
-
The Journal of pediatrics · Jun 2005
Congenital cytomegalovirus infection: association between virus burden in infancy and hearing loss.
To determine the relationship between the virus burden in infancy and hearing loss in congenital CMV infection. ⋯ In children with asymptomatic congenital CMV infection, hearing loss was associated with increased amounts of urine CMV and PB CMV DNA during early infancy.
-
To review the success of pediatric trainees for neonatal intubation over a 10-year interval at a single academic center. ⋯ Developing proficiency at intubation requires a significant amount of experience. Current pediatric residents at our institution have inadequate opportunity to achieve consistent success.
-
The Journal of pediatrics · May 2005
Multicenter StudyUse of asthma guidelines by primary care providers to reduce hospitalizations and emergency department visits in poor, minority, urban children.
To determine whether an organized, citywide asthma management program delivered by primary care providers (PCPs) increases adherence to the National Asthma Education and Prevention Program (NAEPP) Asthma Guidelines and whether adherence to the guidelines by PCPs decreases medical services utilization in low-income, minority children. ⋯ An organized, disease management program increased adherence to the NAEPP guidelines for anti-inflammatory use by PCPs in urban clinics. Adherence to this element of the guidelines by PCPs reduced hospitalizations, ED visits, and outpatient visits for children with asthma.