Pediatrics
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Comparative Study Clinical Trial
Overestimating neurodevelopment using the Bayley-III after early complex cardiac surgery.
The newest measure of neurodevelopmental outcomes, the Bayley Scales of Infant and Toddler Development, 3rd Edition (Bayley-III), gives higher-than-expected scores for preterm infants; results after cardiac surgery are unknown. ⋯ Researchers should be careful attributing higher Bayley-III scores to changes in acute care. At-risk children who previously qualified for early developmental intervention may no longer do so. School-age longitudinal studies are needed to determine the accuracy of early developmental estimates using the Bayley-III.
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Randomized Controlled Trial Comparative Study
Randomized clinical trial of rapid versus 24-hour rehydration for children with acute gastroenteritis.
To compare the efficacy of 2 nasogastric rehydration regimens for children with acute viral gastroenteritis. ⋯ Primary treatment failure and clinical outcomes were similar for RNR and SNR. Although RNR generally reduced the need for hospitalization, discharge home from the ED failed for approximately one-fourth of the patients.
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Randomized Controlled Trial
Effect on behavior problems of teen online problem-solving for adolescent traumatic brain injury.
To report the results of a randomized clinical trial of teen online problem-solving (TOPS) meant to improve behavioral outcomes of adolescents with traumatic brain injury (TBI). ⋯ Our findings suggest that TOPS contributes to improvements in parent-teen conflict generally and parent and self-reported teen behavior problems for certain subsets of participants.
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We assessed out-of-hospital cardiac arrests (OHCAs) for various pediatric age groups. ⋯ Survival and favorable neurologic outcome at 1 month were more common after pediatric OHCAs than adult OHCAs.
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Catheter-associated bloodstream infections (CA BSIs) are associated with increased hospital length of stay, total hospital costs, and mortality. Quality-improvement collaboratives (QICs) are frequently used to improve health care quality. Our PICU was previously involved in a successful national QIC to reduce the incidence of CA BSI in critically ill children. ⋯ Our hospital-wide QIC resulted in a significant reduction in the incidence of CA BSI at our children's hospital. A collaborative model based on improvement science methodology is both feasible and effective in reducing the incidence of CA BSI.