Arch Pediat Adol Med
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Arch Pediat Adol Med · Jan 2002
Effect of rapid diagnosis of influenza virus type a on the emergency department management of febrile infants and toddlers.
Evidence shows that the rapid detection of influenza using an enzyme-linked immunosorbent assay decreases antibiotic use in the treatment of pediatric patients. To our knowledge, the effect on other diagnostic testing in an emergency department (ED) has not been examined. ⋯ Rapid confirmation of influenza virus type A infection seems to decrease ancillary tests and antibiotic use in febrile infants and toddlers in the ED. A prospective study with a larger group is needed to confirm these findings.
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Arch Pediat Adol Med · Jan 2002
Inpatient childhood asthma treatment: relationship of hospital characteristics to length of stay and cost: analyses of New York State discharge data, 1995.
There is increasing pressure to optimize asthma treatment efficiency. It is possible that hospital characteristics influence such efficiency. ⋯ Hospitals providing medical education to pediatricians and safety net care do so without increasing LOS or cost of care for pediatric asthma.
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Arch Pediat Adol Med · Dec 2001
Multicenter Study Comparative Study Clinical TrialInpatient care for uncomplicated bronchiolitis: comparison with Milliman and Robertson guidelines.
Bronchiolitis is the most common lower respiratory tract infection in infancy. A recent Centers for Disease Control and Prevention report confirmed that hospitalization rates for bronchiolitis have increased 2.4-fold from 1980 to 1996. Controversies exist about optimal treatment plans. Milliman and Robertson recommend ambulatory care management; in case of hospitalization, the recommended length of stay is 1 day. ⋯ Milliman and Robertson's recommendations do not correspond to practice patterns observed at the hospitals participating in this study; no hospital met the Milliman and Robertson recommended 1-day goal length of stay. Administration of monitored intervention persisted past the second day of hospitalization.
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Arch Pediat Adol Med · Dec 2001
Randomized Controlled Trial Clinical TrialRandomized trial of the addition of ipratropium bromide to albuterol and corticosteroid therapy in children hospitalized because of an acute asthma exacerbation.
To determine whether the addition of inhaled ipratropium bromide to inhaled albuterol and systemic corticosteroid therapy was more efficacious than inhaled albuterol and systemic corticosteroids alone in the inpatient treatment of acute asthma exacerbations in children. ⋯ The addition of nebulized ipratropium bromide to nebulized beta(2)-agonist and corticosteroid therapy in the treatment of children hospitalized because of asthma (following intensive emergency department treatment) confers no extra benefit.
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Arch Pediat Adol Med · Dec 2001
Randomized Controlled Trial Clinical TrialEffectiveness of oral or nebulized dexamethasone for children with mild croup.
To assess the efficacy of oral dexamethasone or nebulized dexamethasone sodium phosphate in children with mild croup. ⋯ Children with mild croup who receive oral dexamethasone treatment are less likely to seek subsequent medical care and demonstrate more rapid symptom resolution compared with children who receive nebulized dexamethasone or placebo treatment.