The Journal of pediatrics
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The Journal of pediatrics · Oct 2014
Randomized Controlled TrialImpact of study oximeter masking algorithm on titration of oxygen therapy in the Canadian oxygen trial.
To compare oxygen saturations as displayed to caregivers on offset pulse oximeters in the 2 groups of the Canadian Oxygen Trial. ⋯ The design of the oximeter masking algorithm may have contributed to the smaller-than-expected separation between true saturations in the 2 study groups of recent saturation targeting trials in extremely preterm infants.
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The Journal of pediatrics · Oct 2014
Multicenter StudyVariation in the management of infants hospitalized for bronchiolitis persists after the 2006 American Academy of Pediatrics bronchiolitis guidelines.
To describe variation across US pediatric hospitals in the utilization of resources not recommended for routine use by the American Academy of Pediatrics guideline for infants hospitalized with bronchiolitis and to examine the association between resource utilization and disposition outcomes. ⋯ Substantial use and variation in 5 resources not recommended for routine use by the American Academy of Pediatrics bronchiolitis guideline persists with increased utilization associated with increased LOS without the benefit of decreased readmission. Future work should focus on developing processes that can be widely disseminated and easily implemented to minimize unwarranted practice variation when evidence and guidelines exist.
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The Journal of pediatrics · Oct 2014
Sleep duration and obesity among adolescents transitioning to adulthood: do results differ by sex?
To examine the association between short sleep duration and obesity among adolescents (mean age 16 years) transitioning into young adulthood (mean age 21 years) in the National Longitudinal Study of Adolescent Health (N = 10,076). ⋯ Analyzing the association of sleep duration and obesity longitudinally resolved sex discrepancies observed in earlier cross-sectional analyses. Optimizing sleep duration during adolescence may be an effective intervention to prevent excess weight gain in young adults.
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The Journal of pediatrics · Oct 2014
Multicenter StudyResource utilization and outcomes of infective endocarditis in children.
To evaluate resource use and outcomes of infective endocarditis in children with and without preexisting heart disease via a national cohort. ⋯ Infective endocarditis remains a significant cause of morbidity, mortality, and resource use particularly in children with heart disease.