Pediatrics
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Randomized Controlled Trial
Sleep-disordered breathing and behaviors of inner-city children with asthma.
To explore the relationship between sleep-disordered breathing (SDB) and behavioral problems among inner-city children with asthma. ⋯ We found that poor sleep was independently associated with behavior problems in a large proportion of urban children with asthma. Systematic screening for SDB in this high-risk population might help to identify children who would benefit from additional intervention.
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Multicenter Study
Impact of electronic health record-based alerts on influenza vaccination for children with asthma.
The goal was to assess the impact of influenza vaccine clinical alerts on missed opportunities for vaccination and on overall influenza immunization rates for children and adolescents with asthma. ⋯ Clinical alerts were associated with only modest improvements in influenza vaccination rates.
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This population-based, prospective, cohort study was designed to determine the population incidence and outcomes of pediatric acute lung injury. ⋯ We present the first population-based estimate of pediatric acute lung injury incidence in the United States. Population incidence and mortality rates are lower than those for adult acute lung injury. Low mortality rates in pediatric acute lung injury may necessitate clinical trial outcome measures other than death.
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The goal was to test the hypothesis that interfacility transport performed by a pediatric critical care specialized team, compared with nonspecialized teams, would be associated with improved survival rates and fewer unplanned events during the transport process. ⋯ Transport of critically ill children to a pediatric tertiary care center can be conducted more safely with a pediatric critical care specialized team than with teams lacking specific training and expertise in pediatric critical care and pediatric transport medicine.