Arch Pediat Adol Med
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Arch Pediat Adol Med · Oct 2007
Review Meta AnalysisHypothermia to treat neonatal hypoxic ischemic encephalopathy: systematic review.
To systematically review the effectiveness, as determined by survival without moderate to severe neurodevelopmental disability in infancy and childhood, and the safety of hypothermia vs normothermia in neonates with postintrapartum hypoxic-ischemic encephalopathy and to perform subgroup analyses based on severity of encephalopathy (moderate or severe), type of hypothermia (systemic or selective head cooling), and degree of hypothermia (moderate [
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Arch Pediat Adol Med · Sep 2007
Factors associated with hospital length of stay and hospital charges of motor vehicle crash related hospitalizations among children in the United States.
To calculate national estimates of motor vehicle crash (MVC)-related hospitalization and associated use of health care resources among patients 20 years and younger and to explore the effects of certain sociodemographic and health care system-related factors and injury severity on use of hospital resources and lengths of stay (LOSs) in the United States. ⋯ Motor vehicle crash-related injuries among children burden health care resources, with nationwide charges exceeding $2 billion annually.
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Arch Pediat Adol Med · Sep 2007
Easing the strain on a pediatric tertiary care center: use of a redistribution system.
To evaluate the ability of a regionalized system to safely transfer patients requiring admission from a referral center to either regional or community hospitals. ⋯ Although we found the redistribution program to be safe, caregivers stated a preference not to be transferred again. The redistribution system did not substantially alter tertiary care center ED use.
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Arch Pediat Adol Med · Aug 2007
Chlamydial screening in urgent care visits: adolescent-reported acceptability associated with adolescent perception of clinician communication.
To examine the association between adolescents' perception of clinician communication and adolescents' reported acceptability of the steps involved in chlamydial screening during urgent care visits. ⋯ Sexual history taking and urine collection are 2 key components of chlamydial screening and were reported as acceptable by the great majority of adolescents in the urgent care setting. Aspects of clinician communication appear to be important target areas for pediatric clinician education in supporting expansion of chlamydial screening to adolescents in urgent care visits.