Clinical Pediatrics最新文献_第8页

Return Visits in Infants Younger Than 90 Days Presenting to the Pediatric Emergency Department for Fever. 因发烧到儿科急诊室就诊的 90 天以内婴儿的复诊情况。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-28 DOI: 10.1177/00099228241234963

Sonia Rogachev, Saar Hashavya, David Rekhtman, Gali Schiesel, Talia Benenson-Weinberg, Giora Weiser, Oren Gordon, Itai Gross

{"title":"Return Visits in Infants Younger Than 90 Days Presenting to the Pediatric Emergency Department for Fever.","authors":"Sonia Rogachev, Saar Hashavya, David Rekhtman, Gali Schiesel, Talia Benenson-Weinberg, Giora Weiser, Oren Gordon, Itai Gross","doi":"10.1177/00099228241234963","DOIUrl":"10.1177/00099228241234963","url":null,"abstract":"Fever in infants presenting to pediatric emergency departments (PEDs) often results in significant return visits (RVs). This retrospective study aimed to identify factors associated with RVs in febrile infants aged 0 to 90 days. Data from infants presenting to PED between 2018 and 2021 and returning within 7 days (RV group) were compared to age-matched febrile infants without RVs (control group). Each group had 95 infants with similar demographics and medical history. RVs were primarily due to positive cultures and persistent fever. The control group had higher initial hospitalization rates, longer PED stays, and increased antibiotic treatment. Prevalence of serious bacterial infections (SBIs) did not significantly differ. Higher hospitalization, prolonged PED stays, and initial antibiotic treatment were associated with reduced RV incidence despite similar SBI rates. Return visits in infants <90 days were primarily driven by persistent fever and positive cultures. Addressing these factors through targeted parental education and improved care protocols may reduce RVs.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1559-1567"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139982568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric Stercoral Colitis and Acute Kidney Injury From Chronic Constipation. 慢性便秘引起的小儿斯特克尔结肠炎和急性肾损伤。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-01-23 DOI: 10.1177/00099228241226501

Daniel Kade Derrick, Leen Azeez, Myriam Barragan

引用次数: 0

Long-Term Neurodevelopmental Outcome After Selective Fetoscopic Laser Therapy for Stage I Twin-Twin Transfusion Syndrome. 选择性胎盘镜激光疗法治疗I期双胎输血综合征后的长期神经发育结果

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-01-25 DOI: 10.1177/00099228241227087

Angel Chimenea, Lutgardo García-Díaz, Guillermo Antiñolo

{"title":"Long-Term Neurodevelopmental Outcome After Selective Fetoscopic Laser Therapy for Stage I Twin-Twin Transfusion Syndrome.","authors":"Angel Chimenea, Lutgardo García-Díaz, Guillermo Antiñolo","doi":"10.1177/00099228241227087","DOIUrl":"10.1177/00099228241227087","url":null,"abstract":"Twin-twin transfusion syndrome (TTTS) is a serious complication in monochorionic (MC) pregnancies. Fetoscopic laser surgery (FLS) is the primary treatment for advanced TTTS, but managing Quintero stage I TTTS is still controversial. We conducted an observational study evaluating the 2-year neurodevelopment of fetuses, which underwent FLS for stage I TTTS, compared with advanced TTTS and uncomplicated monochorionic diamniotic twins (MCDTs). The study included 156 children: 14 in stage I TTTS group, 28 in advanced TTTS group, and 114 in uncomplicated twin group. In stage I TTTS, 92.9% showed normal neurodevelopment, with no severe neurological impairments observed. These results were comparable with uncomplicated twins (92.1% normal neurodevelopment, P = .921, adjusted odds ratio [aOR] = 1.56, 95% confidence interval [CI] = 0.42-5.79; 1.8% severe impairment, P = .617). Advanced TTTS had a non-significant lower rate of normal neurodevelopment (89.3%, P = .710, aOR = 1.31, 95% CI = 0.12-14.87). In conclusion, FLS for stage I TTTS shows favorable long-term neurodevelopmental outcomes, similar to uncomplicated MC pregnancies.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"1528-1536"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vibrio cholerae in Florida: An Unexpected Presentation. 佛罗里达州的霍乱弧菌：意外发现

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-01-30 DOI: 10.1177/00099228241228108

Adam Brzezinski, Amol Purandare, Samit Patel

引用次数: 0

Vague Abdominal Pain in Pubertal Females: Beyond the Usual Culprits. 青春期女性的隐约腹痛：超越常见的罪魁祸首。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-28 DOI: 10.1177/00099228241234964

Kriti Gupta, Hannah Beachwood, Thomas Rhodes, Nessy Dahan

引用次数: 0

TFP/LCHAD Deficiency Due to HADHA Gene Mutation. HADHA 基因突变导致的 TFP/LCHAD 缺乏症。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-20 DOI: 10.1177/00099228241233099

Qiao-Lin Chen, Chen-Mei Zhang

引用次数: 0

What the Neck? An Overview of Congenital Lateral Neck Masses. 颈部是什么？先天性颈侧肿块概述。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-01-25 DOI: 10.1177/00099228241226833

Margaret K Binder, Grace Kim

引用次数: 0

Recurrent Kawasaki Disease With Kawasaki Disease Shock Syndrome: A Case Report and Literature Review. 复发性川崎病伴川崎病休克综合征：病例报告与文献综述

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-11-01 Epub Date: 2024-02-24 DOI: 10.1177/00099228241233987

Chong Pak Ip, Cheng Lei, Yan Chan

引用次数: 0

Evaluation of Neutrophil Gelatinase-Associated Lipocalin Levels in Children With Febrile Seizures: A Case-Control Study. 评估热性惊厥患儿的中性粒细胞明胶酶相关脂质体水平：病例对照研究

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-29 DOI: 10.1177/00099228241292948

Mohamed A Kassem, Amany Abbass, Heba A Ahmed, Amr A Othman, Bishoy Fahim, Abdelrahim A Sadek, Elsayed Abdelkreem

引用次数: 0

Three Therapy Regimens and Their Cost-effectiveness for Girls With Central Precocious Puberty: A Real-World Clinical Study. 针对中枢性性早熟女孩的三种治疗方案及其成本效益：一项真实世界的临床研究。

IF 1 4区医学

Clinical Pediatrics Pub Date : 2024-10-19 DOI: 10.1177/00099228241288977

Hua-Hong Wu, Ya-Qin Zhang, Hui Li

{"title":"Three Therapy Regimens and Their Cost-effectiveness for Girls With Central Precocious Puberty: A Real-World Clinical Study.","authors":"Hua-Hong Wu, Ya-Qin Zhang, Hui Li","doi":"10.1177/00099228241288977","DOIUrl":"https://doi.org/10.1177/00099228241288977","url":null,"abstract":"The objective of this study was to evaluate the effectiveness and cost-effectiveness of different therapy regimens for girls with central precocious puberty (CPP). This study retrospectively analyzed CPP girls from 2013 to 2021 and grouped them into GnRHa, Mixed, and GnRHa+GH based on therapy regimen. While comparing the differences among these groups, initial age and bone age of GnRHa group girls were significantly lower than Mixed and GnRHa+GH groups, but their growth level was significantly higher (P < .05). In the Mixed group, starting with GnRHa alone, the predicted adult height improvement (ΔPAH) decreased to -1.0 cm in the second year, prompting addition of growth hormone (GH) therapy in the third year, resulting in a ΔPAH increase to 3.0 cm. At therapy completion, final predicted adult heights (PAHs) were similar among the groups at 155.6 to 156.7 cm, with ΔPAH between 5.8 and 6.5 cm and no significant intergroup differences (P > .05). Younger CPP girls with greater height can begin therapy with GnRHa alone. Consideration of combining GH therapy depends on growth velocity and PAH during treatment.","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"99228241288977"},"PeriodicalIF":1.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0