The Journal of pediatrics
-
The Journal of pediatrics · Jul 2019
Risk of Repeat Concussion Among Patients Diagnosed at a Pediatric Care Network.
To quantify the risk of repeat concussions for children and identify demographic and clinical aspects of the index concussion associated with repeat injury. ⋯ We estimate that 1 in 6 youth diagnosed with a concussion are diagnosed with a subsequent concussion within 2 years and that several clinical characteristics of the index concussion increase this risk. Identifying factors associated with a repeat injury is essential to inform the clinical management of concussion and direct injury prevention efforts.
-
The Journal of pediatrics · Jun 2019
Randomized Controlled Trial Multicenter StudyVirtual Reality for Pediatric Needle Procedural Pain: Two Randomized Clinical Trials.
To assess the efficacy and safety of a virtual reality distraction for needle pain in 2 common hospital settings: the emergency department (ED) and outpatient pathology (ie, outpatient laboratory). The control was standard of care (SOC) practice. ⋯ In children aged 4-11 years of age undergoing intravenous cannulation or venipuncture, virtual reality was efficacious in decreasing pain and was safe.
-
The Journal of pediatrics · Jun 2019
Observational StudyDay-Night Activity in Hospitalized Children after Major Surgery: An Analysis of 2271 Hospital Days.
To characterize the day-night activity patterns of children after major surgery and describe differences in children's activity patterns between the pediatric intensive care unit (PICU) and inpatient floor setting. ⋯ Children hospitalized after major surgery experience disruptions in day-night activity patterns during their hospital stay that may reflect disturbances in circadian rhythm.
-
The Journal of pediatrics · Apr 2019
Observational StudyLow Cerebral Oxygenation in Preterm Infants Is Associated with Adverse Neurodevelopmental Outcome.
To assess whether high and low levels of cerebral oxygenation (regional cerebral oxygenation [rScO2]) in infants born at <32 weeks of gestation were associated with adverse long-term outcome. ⋯ Low, but not high, rScO2 was associated with an unfavorable cognitive outcome. This suggests the use of a threshold of rScO2 <55% for future clinical studies when using adult near-infrared sensors (rScO2 <65% for neonatal sensors, approximately).
-
The Journal of pediatrics · Apr 2019
Comparative StudyA Comparison of Developmental Outcomes of Adolescent Neonatal Intensive Care Unit Survivors Born with a Congenital Heart Defect or Born Preterm.
To compare cognitive, motor, behavioral, and functional outcomes of adolescents born with a congenital heart defect (CHD) and adolescents born preterm. ⋯ Adolescents born with a CHD or born preterm have similar profiles of developmental deficits. These findings highlight the importance of providing long-term surveillance to both populations and guide the provision of appropriate educational and rehabilitation services to better ameliorate long-term developmental difficulties.