Arch Pediat Adol Med
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Arch Pediat Adol Med · Feb 1995
Randomized Controlled Trial Comparative Study Clinical TrialMetered-dose inhalers with spacers vs nebulizers for pediatric asthma.
To determine whether the administration of beta-agonists by metered-dose inhaler (MDI) with a spacer device is as effective as the administration of beta-agonists by nebulizer for the treatment of acute asthma exacerbations in children. ⋯ These data suggest that MDIs with spacers may be an effective alternative to nebulizers for the treatment of children with acute asthma exacerbations in the ED.
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Arch Pediat Adol Med · Feb 1995
Multicenter StudyVariations in pediatric pneumonia and bronchitis/asthma admission rates. Is appropriateness a factor?
To explore through a pilot study the relationship between appropriateness (medical necessity) and variations in pediatric hospital admission rates across several communities in the Boston (Mass) area for two common pediatric conditions with extremely variable admission rates: pneumonia and bronchitis/asthma. ⋯ Our results suggest that higher pediatric admission rates may not be associated with higher rates of inappropriateness. Further research is needed, with a larger number of communities, to differentiate practice patterns more precisely and explore patient and family preferences.
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Arch Pediat Adol Med · Feb 1995
Comparative Study Clinical TrialOutcome and cost at a children's hospital following resuscitation for out-of-hospital cardiopulmonary arrest.
To determine the outcome and cost for children resuscitated following out-of-hospital cardiopulmonary arrest. ⋯ Aggressive treatment does not lead to intact survival for victims of out-of-hospital cardiopulmonary arrest who present to the pediatric emergency department with a preterminal rhythm and absence of spontaneous circulation. Resuscitation efforts in the emergency department are commonly successful but lead to death or severe neurological sequelae at discharge with extremely high cost of care.