Pediatrics
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Randomized Controlled Trial Comparative Study
Estimating blood loss: comparative study of the accuracy of parents and health care professionals.
Hematemesis and hematochezia are not uncommon presenting complaints in children. The amount of blood loss reported by the parent is likely to influence the pediatrician's decision regarding investigations and management. Currently, there are only very limited data regarding the ability of laypersons to estimate blood losses visually. This study investigated the accuracy of parents, in comparison to pediatric health care professionals, in estimating blood loss volumes. ⋯ Visual estimation of blood losses is highly inaccurate, both by laypersons and by health care professionals. Physicians should, therefore, base management decisions primarily on clinical findings and not overly rely on the history provided, or their own estimates.
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Randomized Controlled Trial Multicenter Study
Dimenhydrinate in children with infectious gastroenteritis: a prospective, RCT.
Vomiting is a common symptom in children with infectious gastroenteritis. It contributes to fluid loss and is a limiting factor for oral rehydration therapy. Dimenhydrinate has traditionally been used for children with gastroenteritis in countries such as Canada and Germany. We investigated the efficacy and safety of dimenhydrinate in children with acute gastroenteritis. ⋯ Dimenhydrinate reduces the frequency of vomiting in children with mild dehydration; however, the overall benefit is low, because it does not improve oral rehydration and clinical outcome.
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Randomized Controlled Trial Comparative Study
Beliefs and barriers to follow-up after an emergency department asthma visit: a randomized trial.
Studies in urban emergency departments (EDs) have found poor quality of chronic asthma care and identified beliefs and barriers associated with low rates of follow-up with a primary care provider (PCP). ⋯ An ED-based intervention influenced beliefs but did not increase PCP follow-up or asthma-related outcomes.
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Randomized Controlled Trial
Improvement of short- and long-term outcomes for very low birth weight infants: Edmonton NIDCAP trial.
Our objective was to determine the impact of Newborn Individualized Developmental Care and Assessment Program (NIDCAP)-based care on length of stay of very low birth weight (VLBW) infants. Secondary outcome measures were days of ventilation, incidence of chronic lung disease, and 18-month neurodevelopmental outcomes. ⋯ NIDCAP-based care for VLBW infants improved short- and long-term outcomes significantly.