The Journal of pediatrics
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The Journal of pediatrics · Nov 1998
Emergency brain computed tomography in children with seizures: who is most likely to benefit?
To determine whether the recently published guidelines on neuroimaging in patients with new-onset seizures are applicable to children. ⋯ In a child, a seizure in the setting of a fever rarely indicates the presence of an unexpected CT scan lesion requiring intervention.
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The Journal of pediatrics · Sep 1998
Major hemorrhage in children with idiopathic thrombocytopenic purpura: immediate response to therapy and long-term outcome.
We retrospectively characterized children with idiopathic thrombocytopenic purpura (ITP) who had major hemorrhage to determine response to therapy and long-term outcome. ⋯ We observed that 17% of children with ITP had major hemorrhage. Only a minority of these patients had an immediate rise in platelet count after receiving intravenous immunoglobulin, corticosteroid treatment, or both. Prospective studies of childhood ITP focusing on short-term outcome variables in addition to platelet count should be performed to better define optimal treatment for each affected child.
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The Journal of pediatrics · Aug 1998
Effect of preterm birth on pulmonary function at school age: a prospective controlled study.
To assess long-term pulmonary outcome of a regional cohort of children born at < 32 weeks' gestation compared with a matched term control group. ⋯ Preterm children without BPD demonstrate pulmonary function at school age similar to that of children in a healthy term control group, whereas preterm children with previous BPD demonstrate abnormal pulmonary function.
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The Journal of pediatrics · Jul 1998
Clinical TrialPrediction of arterial partial pressure of oxygen with pulse oxygen saturation measurements.
We studied 22 neonates with gestational ages from 26 to 40 weeks to determine how accurately pulse oxygen saturation (SpO2) could predict arterial partial pressure of oxygen (PaO2) and how much time and effort would be required to achieve and maintain a desired SpO2 value. ⋯ PaO2 varied broadly with SpO2 in a clinically acceptable range of SpO2 (90% to 98%), and the variability increased at higher SpO2 values. Considerable time and effort were required to achieve and maintain desired SpO2 values.
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The Journal of pediatrics · Jul 1998
Length of stay and efficiency in pediatric intensive care units.
Assessment of pediatric intensive care unit (PICU) efficiency with a length of stay prediction model and validation of this assessment by an efficiency measure based on daily use of intensive care unit-specific therapies. ⋯ PICU efficiency comparisons with either method are nearly equivalent. Predictor-based efficiency has the advantage that it can be computed from admission day data only.