The Journal of pediatrics
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The Journal of pediatrics · Jan 2014
Randomized Controlled Trial Multicenter Study Comparative StudyMood disorders after traumatic brain injury in adolescents and young adults: a nationwide population-based cohort study.
To delineate the relationship between traumatic brain injury (TBI) and mood disorders from population-based data in Taiwan. ⋯ Our findings show a higher likelihood of manifesting mood disorders in adolescents and young adults who sustained a prior TBI. Health professionals should carefully monitor both the physical and psychological impacts of head trauma.
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The Journal of pediatrics · Jan 2014
Comparative StudyUnintentional pediatric exposures to central alpha-2 agonists reported to the National Poison Data System.
To investigate national trends in unintentional pediatric exposures to 3 common alpha-2 agonists: clonidine, guanfacine, and tizanidine. Secondary objectives were to describe outcomes, symptoms, treatments, and death. ⋯ The number of unintentional pediatric exposures to alpha-2 agonists increased from 2000-2011. Clonidine exposures were the most commonly reported, more symptomatic, and associated with 3 deaths. Despite central nervous system depression, bradycardia, and hypotension being common, the need for intubation and vasopressors was rare.
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The Journal of pediatrics · Jan 2014
Concurrent bloodstream infections in infants with necrotizing enterocolitis.
To determine the incidence, microbiology, risk factors, and outcomes related to bloodstream infections (BSIs) concurrent with the onset of necrotizing enterocolitis (NEC). ⋯ BSI is a common, underappreciated complication of NEC occurring concurrent with the onset of disease and afterwards. The microbiologic etiology of NEC-associated BSI is different from post-NEC and late-onset BSI in infants without NEC with a predominance of gram-negative bacilli. Infants with NEC-associated BSI are significantly more likely to die than those with post-NEC BSI and NEC without BSI.
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The Journal of pediatrics · Jan 2014
Comparative StudyMyocardial dysfunction in pediatric septic shock.
To evaluate the prevalence and significance of myocardial dysfunction in children with septic shock. ⋯ Myocardial dysfunction occurs frequently in children with septic shock but might not affect hospital length of stay.
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The Journal of pediatrics · Jan 2014
Comparative StudyPulmonary outcome in former preterm, very low birth weight children with bronchopulmonary dysplasia: a case-control follow-up at school age.
To assess and compare long-term pulmonary outcomes in former preterm-born, very low birth weight (VLBW) children with and without bronchopulmonary dysplasia (BPD) born in the surfactant era. ⋯ Preterm-born children with a history of BPD are significantly more likely to have lung function abnormalities, such as airway obstruction and respiratory symptoms, at school age compared with preterm-born children without BPD.