Paed Child Healt Can
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Paed Child Healt Can · Sep 2006
Day of discharge and hospital readmission rates within 30 days in children: A population-based study.
Adults discharged from hospital on a Friday are more likely to be readmitted within 30 days than are adults discharged midweek. No study has examined readmission rates for children by day of discharge. ⋯ Risk of readmission within 30 days is not significantly increased for children discharged on a Friday compared with children discharged midweek. Significant risk factors for hospital readmission are patient complexity and disease severity.
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Paed Child Healt Can · Apr 2006
High rate of missing vital signs data at triage in a paediatric emergency department.
Vital signs measurement is considered standard practice in paediatric emergency department triage assessment, but studies have shown variable incidence of missing data. ⋯ There was a high rate of missing data for vital signs. Factors related to patients' clinical characteristics, such as acuity of triage level, were associated with a higher rate of vital signs documentation at triage. An environmental factor, shift of presentation, was also independently associated with a higher rate.
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Paed Child Healt Can · Jan 2005
Continuous subcutaneous insulin infusion in children and adolescents with type 1 diabetes: Do the benefits outweigh the risks?
Intensive management of diabetes is the gold standard in the treatment of children with type 1 diabetes. Novel insulin delivery techniques have been developed to improve the ability to administer multiple daily doses of insulin. ⋯ At this time, there is limited quality published evidence to make a definitive claim about the potential risks and benefits of CSII in children. The risk of diabetic ketoacidosis and individual family factors must be considered before initiation of treatment.
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Paed Child Healt Can · Sep 2004
Comparison of temporal artery, rectal and esophageal core temperatures in children: Results of a pilot study.
Rectal thermometry correlates with core temperature and represents the criterion standard of measuring temperatures in young children. However, it has numerous disadvantages, and thus, an alternative method of measuring temperature with similar agreement with the core temperature as rectal thermometry is desired. A new, noninvasive temporal artery (TA) thermometer synthesizes the skin surface and ambient temperatures to produce an arterial temperature. ⋯ The TA and esophageal thermometers agree well, and the esophageal-TA and esophageal-rectal temperature agreements are not significantly different.
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Childrens' complaints of headache and dizziness merit careful evaluation to differentially diagnose a vestibular disorder. Children can manifest with a syndrome mimicking certain classic signs and symptoms of adult vestibular disorders, such as benign paroxysmal positional vertigo, usually associated with aging. Benign paroxysmal vertigo of childhood in which migraine is a key manifestation along with sudden onset of dizziness, is a rare peripheral vestibular disorder in children that is commonly overlooked or misdiagnosed. This review covers the historical development of the diagnosis, evaluation and treatment approaches of benign paroxysmal vertigo of childhood.