Articles: pediatrics.
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Meta Analysis
Lung ultrasound vs chest radiography in the diagnosis of children pneumonia: Systematic evidence.
The aim of this meta-analysis was to evaluate the diagnostic value of lung ultrasound (LUS) in comparison to chest radiography (CXR) in children with pneumonia. ⋯ The available evidence suggests that LUS is a reliable, valuable, and alternative method to CXR for the diagnosis of pediatric pneumonia.
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Meta Analysis
Role of extracorporeal membrane oxygenation in children with sepsis: a systematic review and meta-analysis.
The benefits of extracorporeal membrane oxygenation (ECMO) in children with sepsis remain controversial. Current guidelines on management of septic shock in children recommend consideration of ECMO as salvage therapy. We sought to review peer-reviewed publications on effectiveness of ECMO in children with sepsis. ⋯ Survival rates of children with sepsis needing ECMO was 59%. Neonates had higher survival rates (73%); gram positive organisms accounted for most common infections in children needing ECMO. Despite limitations, pooled survival data from this review indicates consideration of ECMO in refractory septic shock for all pediatric age groups.
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Meta Analysis
Effect of hyperglycemia on all-cause mortality from pediatric brain injury: A systematic review and meta-analysis.
This study aimed to assess the effect of hyperglycemia on all-cause mortality in pediatric patients with brain injury, based on currently available evidence. ⋯ Hyperglycemia is significantly associated with high all-cause mortality in pediatric patients with brain injury. However, the relationship should be confirmed by larger-scale observational studies and randomized controlled trials.
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Pediatr Crit Care Me · Oct 2020
Meta AnalysisPediatric Extracorporeal Cardiopulmonary Resuscitation: A Systematic Review.
This systematic review aims to summarize the body of available literature on pediatric extracorporeal cardiopulmonary resuscitation in order to delineate current utilization, practices, and outcomes, while highlighting gaps in current knowledge. ⋯ This review highlights gaps in our understanding of best practices for pediatric extracorporeal cardiopulmonary resuscitation. We summarize current studies available and provide a framework for the development of future studies.
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Meta Analysis
The Prevalence of Abnormalities in the Pediatric Spine on MRI: A Systematic Review and Meta-Analysis.
Systematic review and meta-analysis. ⋯ 2.