The Journal of pediatrics
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The Journal of pediatrics · Mar 2015
Randomized Controlled Trial Multicenter Study Observational StudySevere obesity and comorbid condition impact on the weight-related quality of life of the adolescent patient.
To assess links between comorbid health status, severe excess weight, and weight-related quality of life (WRQOL) in adolescents with severe obesity and undergoing weight-loss surgery (WLS) to inform clinical care. ⋯ WRQOL impairment is substantial for adolescents with severe obesity undergoing WLS, with predictors varying by sex. These patient-data highlight targets for education, support, and adjunctive care referrals before WLS. Furthermore, they provide a comprehensive empirical base for understanding heterogeneity in adolescent WRQOL outcomes after WLS, as weight and comorbidity profiles change over time.
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The Journal of pediatrics · Mar 2015
Multicenter StudyPediatric exposure to opioid and sedation medications during terminal hospitalizations in the United States, 2007-2011.
To describe the use of opioids and sedatives to pediatric patients dying in the hospital in the 2 weeks preceding death. ⋯ Although most pediatric patients terminally hospitalized are exposed to opioid and sedation medication, some patients do not receive such medications before death. Given that patient and hospital characteristics were associated with opioid/sedative exposure, these findings suggest areas of potential quality improvement and further research.
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The Journal of pediatrics · Mar 2015
Comparative StudySleep-disordered breathing, sleep duration, and childhood overweight: a longitudinal cohort study.
To examine independent associations between sleep-disordered breathing (SDB), sleep duration from birth through 6.75 years, and body mass index (BMI) through 15 years of age in a population-based cohort. ⋯ Both SDB and short sleep duration significantly and independently increase children's odds of becoming overweight. Findings underscore the potential importance of early identification and remediation of SDB, along with insufficient sleep, as strategies for reducing childhood obesity.
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The Journal of pediatrics · Mar 2015
A population-based study of acute care revisits following tonsillectomy.
To describe the clinical spectrum and frequency of acute care revisits after tonsillectomy in a population-based sample from a single state in the US. ⋯ Acute care revisits after tonsillectomy performed at predominantly hospital-owned facilities in California are common and strongly age-related. Most revisits are early treat-and-release outpatient encounters, and these are usually associated with potentially preventable problems such as pain, nausea and vomiting, and dehydration.