The Journal of pediatrics
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The Journal of pediatrics · Dec 2015
Multicenter StudyIdentifying Pediatric Severe Sepsis and Septic Shock: Accuracy of Diagnosis Codes.
To evaluate accuracy of 2 established administrative methods of identifying children with sepsis using a medical record review reference standard. ⋯ Sepsis specific International Classification of Diseases, Ninth Revision, Clinical Modification codes identify pediatric patients with severe sepsis in administrative data more accurately than a combination of codes for infection plus organ dysfunction.
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The Journal of pediatrics · Dec 2015
Multicenter StudyAssociation between Hospital Volume and Within-Hospital Intensive Care Unit Transfer for Sickle Cell Disease in Children's Hospitals.
To assess the relationship between hospital volume and intensive care unit (ICU) transfer among hospitalized children with sickle cell disease (SCD). ⋯ Children's hospitals vary substantially in their transfer of children with SCD to the ICU according to hospital volumes. Understanding the practices used by different institutions may help explain the variability in ICU transfer among hospitals caring for children with SCD.
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The Journal of pediatrics · Nov 2015
Multicenter StudyPatient Safety Perceptions in Pediatric Out-of-Hospital Emergency Care: Children's Safety Initiative.
To characterize emergency medical service (EMS) providers' perceptions of the factors that contribute to safety events and errors in the out-of-hospital emergency care of children. ⋯ These findings raise considerations for quality improvement and suggest important roles for pediatricians and pediatric emergency physicians in training, medical oversight, and policy development.
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The Journal of pediatrics · Oct 2015
Multicenter Study Observational StudyVariation in Computed Tomography Imaging for Pediatric Injury-Related Emergency Visits.
To assess variation in the use of computed tomography (CT) for pediatric injury-related emergency department (ED) visits. ⋯ There is wide variation in CT imaging for pediatric injury-related visits not attributable solely to case mix. Future work to optimize CT utilization should focus on additional factors contributing to imaging practices and interventions.
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The Journal of pediatrics · Sep 2015
Randomized Controlled Trial Multicenter StudyAutomated versus Manual Oxygen Control with Different Saturation Targets and Modes of Respiratory Support in Preterm Infants.
To determine the efficacy and safety of automated adjustment of the fraction of inspired oxygen (FiO2) in maintaining arterial oxygen saturation (SpO2) within a higher (91%-95%) and a lower (89%-93%) target range in preterm infants. ⋯ A-FiO2 control improved SpO2 targeting across different SpO2 ranges and reduced hypoxemia in preterm infants on noninvasive and invasive respiratory support.