Pediatrics
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Multicenter Study
Influenza virus infection and the risk of serious bacterial infections in young febrile infants.
We aimed to determine the risk of SBIs in febrile infants with influenza virus infections and compare this risk with that of febrile infants without influenza infections. ⋯ Febrile infants
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The goal was to test the hypothesis that interfacility transport performed by a pediatric critical care specialized team, compared with nonspecialized teams, would be associated with improved survival rates and fewer unplanned events during the transport process. ⋯ Transport of critically ill children to a pediatric tertiary care center can be conducted more safely with a pediatric critical care specialized team than with teams lacking specific training and expertise in pediatric critical care and pediatric transport medicine.
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Randomized Controlled Trial
Sleep-disordered breathing and behaviors of inner-city children with asthma.
To explore the relationship between sleep-disordered breathing (SDB) and behavioral problems among inner-city children with asthma. ⋯ We found that poor sleep was independently associated with behavior problems in a large proportion of urban children with asthma. Systematic screening for SDB in this high-risk population might help to identify children who would benefit from additional intervention.
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Given radiation- and sedation-associated risks, there is uncertainty about which children with head trauma should receive cranial computed tomography (CT) scanning. A high-quality and high-performing clinical prediction rule may reduce this uncertainty. ⋯ Eight clinical prediction-rule derivation studies were identified. They varied considerably in population, methodologic quality, and performance. Future efforts should be directed toward validating rules with high quality and performance in other populations and deriving a high-quality, high-performance rule for young children.
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Multicenter Study
Impact of electronic health record-based alerts on influenza vaccination for children with asthma.
The goal was to assess the impact of influenza vaccine clinical alerts on missed opportunities for vaccination and on overall influenza immunization rates for children and adolescents with asthma. ⋯ Clinical alerts were associated with only modest improvements in influenza vaccination rates.