Pediatrics
-
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.
-
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.
-
Multicenter Study
Influenza virus infection and the risk of serious bacterial infections in young febrile infants.
We aimed to determine the risk of SBIs in febrile infants with influenza virus infections and compare this risk with that of febrile infants without influenza infections. ⋯ Febrile infants
-
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.
-
Multicenter Study
Conflicts about end-of-life decisions in NICUs in the Netherlands.
To determine the frequency and background of conflicts about neonatal end-of-life (EoL) decisions. ⋯ The parents were involved in all EoL decision-making processes, and consensus was ultimately reached in all cases. Conflicts within the team occurred in 4% of the cases and between the team and the parents in 12% of the cases. The conflicts were resolved by postponing the EoL decision until consensus was achieved.