Arch Pediat Adol Med
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Acute kidney failure in children is a catastrophic, life-threatening event. ⋯ Acute kidney failure following repair of cardiac lesions remains unchanged as a leading risk factor of mortality in both decades. Three organ system failures were associated with more than a 50% mortality rate. Predialysis low serum albumin concentrations emerged as a significant copredictor of mortality.
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Arch Pediat Adol Med · Sep 2002
Comparative StudyUtility of the serum C-reactive protein for detection of occult bacterial infection in children.
To assess the utility of serum C-reactive protein (CRP) as a screen for occult bacterial infection in children. ⋯ An ANC cut-off point of 10.6 x10(3)/L [corrected] offers the best predictive model for detection of occult bacterial infection using a single test. The addition of CRP to ANC adds little diagnostic utility. Furthermore, the lowered incidence of occult bacteremia in our population supports a decrease in the use of diagnostic screening in this population.
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Arch Pediat Adol Med · Sep 2002
Multicenter StudyA prospective multicenter study of patient factors associated with hospital admission from the emergency department among children with acute asthma.
Recent studies show that objective measures such as peak flow rates are strongly associated with asthma admission among adults. ⋯ Hospitalization for asthma exacerbation in children is primarily associated with clinical indicators in the ED and with historical factors such as previous asthma admission or intubation, recent use of corticosteroids, and comorbidity.
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Arch Pediat Adol Med · Sep 2002
Multicenter StudyEstimates of the incidence and costs associated with handlebar-related injuries in children.
The US Consumer Product Safety Commission is considering handlebar regulation regarding impact performance to address the risk of abdominal and pelvic organ injuries in bicyclists. ⋯ Handlebar-related abdominal and pelvic organ injuries pose a serious health risk to children and result in substantial health care costs. Requirements for safer handlebar designs may provide one avenue to achieve a health and economic benefit.