Pediatric emergency care
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Pediatric emergency care · Jan 2019
Multicenter StudyAssociation of Delay in Appendectomy With Perforation in Children With Appendicitis.
The aim of this study was to assess whether increased time from emergency department (ED) triage to appendectomy is associated with a greater risk of children developing appendiceal perforation. ⋯ Delays in appendectomy were associated with an increase in the odds of perforation. These results suggest that prolonged delays to appendectomy might be harmful for children with appendicitis and should be minimized to prevent associated morbidity.
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Pediatric emergency care · Jan 2019
Multicenter StudyApplication of the Rochester Criteria to Identify Febrile Infants With Bacteremia and Meningitis.
The Rochester criteria were developed to identify febrile infants aged 60 days or younger at low-risk of bacterial infection and do not include cerebrospinal fluid (CSF) testing. Prior studies have not specifically assessed criteria performance for bacteremia and bacterial meningitis (invasive bacterial infection). Our objective was to determine the sensitivity of the Rochester criteria for detection of invasive bacterial infection. ⋯ The Rochester criteria identified 92% of infants aged 60 days or younger with invasive bacterial infection. However, 1 neonate 28 days or younger with meningitis was classified as low-risk.
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Pediatric emergency care · Jan 2019
Multicenter StudyInternational Epidemiological Differences in Acute Poisonings in Pediatric Emergency Departments.
Identifying international differences in the epidemiology of acute poisonings in children may help in improving prevention. We sought to evaluate the international epidemiological differences in acute poisonings in children presenting to emergency departments (EDs) from 8 different global regions. ⋯ There are substantial epidemiological differences in acute poisonings among children in different countries and regions of the globe. International best practices need to be identified for prevention of acute poisonings in childhood.
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Pediatric emergency care · Jan 2019
Multicenter StudyProfile of Interfacility Emergency Department Transfers: Transferring Medical Providers and Reasons for Transfer.
The aim of this study was to determine the reasons for pediatric emergency department (ED) transfers and the professional characteristics of transferring providers. ⋯ Most pediatric interfacility ED transfers are referred by general emergency medicine physicians who often transfer for inpatient admission or subspecialty consultation. Understanding the needs of the community-based ED providers is an important step to forming more collaborative efforts for regionalized pediatric emergency care.