The Journal of pediatrics
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The Journal of pediatrics · Aug 2005
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialComparative efficacy and safety of low-dose fluticasone propionate and montelukast in children with persistent asthma.
To evaluate efficacy, safety, health outcomes, and cost-effectiveness of fluticasone propionate (FP) versus montelukast (MON) in 342 children (6 to 12 years of age) with persistent asthma. ⋯ FP was significantly more effective than MON in improving pulmonary function, asthma symptoms, and rescue albuterol use. Both therapies had similar safety profiles. Parent- and physician-reported satisfaction ratings were higher with FP treatment, and asthma-related costs were lower.
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The Journal of pediatrics · May 2005
Multicenter StudyUse of asthma guidelines by primary care providers to reduce hospitalizations and emergency department visits in poor, minority, urban children.
To determine whether an organized, citywide asthma management program delivered by primary care providers (PCPs) increases adherence to the National Asthma Education and Prevention Program (NAEPP) Asthma Guidelines and whether adherence to the guidelines by PCPs decreases medical services utilization in low-income, minority children. ⋯ An organized, disease management program increased adherence to the NAEPP guidelines for anti-inflammatory use by PCPs in urban clinics. Adherence to this element of the guidelines by PCPs reduced hospitalizations, ED visits, and outpatient visits for children with asthma.
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The Journal of pediatrics · Mar 2005
Randomized Controlled Trial Multicenter Study Clinical TrialEffectiveness of adenotonsillectomy in children with mild symptoms of throat infections or adenotonsillar hypertrophy: open, randomised controlled trial.
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The Journal of pediatrics · Jun 2004
Multicenter StudyGrowth of pediatric intensive care units in the United States from 1995 to 2001.
To describe the growth and distribution of pediatric intensive care unit (PICU) beds in the United States from 1995 to 2001 and the characteristics of PICUs in 2001. ⋯ The number of PICU beds is growing more rapidly than the rate of pediatric population growth. The impetus for this growth is unclear.
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The Journal of pediatrics · Apr 2002
Multicenter Study Comparative StudyA national point-prevalence survey of pediatric intensive care unit-acquired infections in the United States.
To determine the prevalence of intensive care unit-acquired infections, a major cause of morbidity in pediatric intensive care unit (PICU) patients. ⋯ This national multicenter study documented the high prevalence of PICU-acquired infections. Preventing these infections should be a national priority.