Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Sep 2008
Review Meta AnalysisUse of antiemetic agents in acute gastroenteritis: a systematic review and meta-analysis.
To perform a systematic review and meta-analysis to determine whether taking antiemetic drugs reduces vomiting and decreases the need for further intervention in children with gastroenteritis without causing significant adverse effects. ⋯ Ondansetron therapy decreases the risk of persistent vomiting, the use of intravenous fluid, and hospital admissions in children with vomiting due to gastroenteritis. Future treatment guidelines should incorporate ondansetron therapy for select children with gastroenteritis.
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Arch Pediatr Adolesc Med · Aug 2008
Comparative StudyProlonged sedation and/or analgesia and 5-year neurodevelopment outcome in very preterm infants: results from the EPIPAGE cohort.
To describe the long-term outcome of very preterm infants receiving prolonged sedation and/or analgesia and examine the relationship between prolonged sedation and/or analgesia and this long-term outcome. ⋯ Prolonged sedation and/or analgesia is not associated with a poor 5-year neurological outcome after adjustment for the propensity score.
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Arch Pediatr Adolesc Med · Aug 2008
Occult depressive symptoms in adolescent emergency department patients.
To estimate the frequency of occult depressive symptoms in adolescent emergency department (ED) patients (aged 13-17 years) and to determine patient characteristics associated with depressive symptoms. ⋯ Depressive symptoms occur frequently among adolescents and are often unrecognized. Efforts to increase awareness of depression among ED physicians, adolescents, and parents of adolescents may be beneficial.
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Arch Pediatr Adolesc Med · Aug 2008
Community supports after surviving extremely low-birth-weight, extremely preterm birth: special outpatient services in early childhood.
To determine special outpatient services (SOS) use, need, associated factors, and neurodevelopmental and functional outcomes among extremely preterm infants at 18 to 22 months' corrected age. ⋯ High SOS use is common, has identifiable neonatal risk factors, and is associated with neurodevelopmental impairment. Extremely preterm survivors have substantial need for community supports regardless of their impairment level. Efforts to improve comprehensive delivery of family-centered community-based services are urgently needed.