The Journal of pediatrics
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The Journal of pediatrics · Jul 2020
Multicenter StudyPerineal Groove: An Anorectal Malformation Network, Consortium Study.
To review the Anorectal Malformation Network experience with perineal groove (PG) focusing on its clinical characteristics and management. ⋯ PG seems to be an underestimated anomaly, frequently associated with anorectal malformations. Most cases heal spontaneously; therefore, expectant management is recommended. When associated with anorectal malformations requiring reconstruction, PG should be excised in conjunction with the anorectoplasty.
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The Journal of pediatrics · Jun 2020
Multicenter StudyOutcomes of Young Infants with Hypothermia Evaluated in the Emergency Department.
To assess the prevalence of serious infections and mortality among infants ≤90 days of age presenting to the emergency department with hypothermia. ⋯ Of infants with hypothermia ≤90 days of age, 8.3% had serious bacterial infections or HSV. Compared with literature from febrile infants, hypothermia is associated with a high mortality rate. Complex chronic conditions were particularly associated with poor outcomes. Additional research is required to risk stratify young infants with hypothermia.
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The Journal of pediatrics · May 2020
Multicenter StudyA Collaborative Learning Assessment of Developmental Care Practices for Infants in the Cardiac Intensive Care Unit.
Assess differences in approaches to and provision of developmental care for infants undergoing surgery for congenital heart disease. ⋯ A collaborative learning design fostered rapid dissemination, comparison, and sharing of strategies to approach a complex multidisciplinary care paradigm. Our assessment of experiences revealed marked variability across and within centers. The collaborative findings were a first step toward strategies to quantify and measure developmental care practices in the cardiac intensive care unit to assess the association of complex inpatient practices with long-term neurodevelopmental outcomes.
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The Journal of pediatrics · Dec 2019
Multicenter Study Observational StudyCaregiver Burden Due to Pulmonary Exacerbations in Patients with Cystic Fibrosis.
To describe the poorly understood burden of pulmonary exacerbations experienced by primary caregivers of children (aged 2-17 years) with cystic fibrosis (CF), who frequently require prolonged hospitalizations for treatment of pulmonary exacerbations with intravenous (IV) antibiotics. ⋯ Pulmonary exacerbations necessitating hospitalization impose a significant burden on primary caregivers of children with CF. Preventing pulmonary exacerbations may substantially reduce this burden.
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The Journal of pediatrics · Nov 2019
Multicenter Study Observational StudyChildren with Attention-Deficit/Hyperactivity Disorder Perform Differently on Pediatric Concussion Assessment.
To compare Child Sport Concussion Assessment Tool Fifth Edition (Child SCAT5) performance between uninjured children with attention-deficit/hyperactivity disorder (ADHD) and precisely matched controls without ADHD. ⋯ Children with ADHD endorsed more concussion-like symptoms and performed worse on balance testing during preseason Child SCAT5 assessment compared with matched controls without ADHD. These findings highlight the challenges of interpreting Child SCAT5 performance in children with ADHD following a concussion or suspected concussion and illustrate the value of administering the measure to children to document their pre-injury performance.