Pediatric Emergency Medicine Journal最新文献_第9页

Laundry detergent pod: a rising cause of household poisoning 洗衣粉荚:家庭中毒的上升原因

Pediatric Emergency Medicine Journal Pub Date : 2020-12-30 DOI: 10.22470/pemj.2020.00199

D. Roh

引用次数: 1

A child with Kawasaki disease and genetic warfarin sensitivity from CYP2C9 and VKORC1 gene variants 川崎病患儿因CYP2C9和VKORC1基因变异而对华法林敏感

Pediatric Emergency Medicine Journal Pub Date : 2020-12-30 DOI: 10.22470/pemj.2020.00143

Myeong Soo Lee, L. Eun

引用次数: 0

Cardiogenic shock 心原性休克

Pediatric Emergency Medicine Journal Pub Date : 2020-12-30 DOI: 10.22470/pemj.2020.00192

Sungkyu Cho, Sang-Yun Lee

{"title":"Cardiogenic shock","authors":"Sungkyu Cho, Sang-Yun Lee","doi":"10.22470/pemj.2020.00192","DOIUrl":"https://doi.org/10.22470/pemj.2020.00192","url":null,"abstract":"쇼크는 전신 조직 관류가 현저히 감소하여 조직 산소공 급이 감소하는 병리적 상태이다. 조직 내 산소공급이 부족 하면, 정상적 산소대사를 유지할 수 없어 비효율적 무산소 대사가 진행된다. 쇼크의 진행에 따라, 조직 내 산소 추출 을 이용한 보상 기전의 한계를 초과하여 임상적 악화 및 젖산산증이 발생한다. 쇼크가 지속하면 혈관 반응, 염증, 대사 변화, 세포 반응, 내분비 및 전신 반응과 같은 생리학 적 변화 및 불안정성이 나타난다. 부족한 산소공급에 대한 보상의 하나로 특정 기관의 혈류를 감소시켜 뇌, 심장, 신 장, 간과 같은 주요 기관의 산소공급을 유지하려고 한다. 쇼크의 원인과 관계없이 쇼크에 대한 환자의 반응 패턴, 병태생리, 임상 증상 및 치료에 대한 반응은 환자의 임상 상황 및 생물학적 반응에 따라 다를 수 있다. 일반적으로, 쇼크는 저혈량성, 심장성, 분포(distributive), 폐쇄(obstructive), 패혈 쇼크의 5가지 유형으로 분류할 수 있다. 소아에서는 주로, 선천심장병 또는 급성 심근염을 포함한 심근병증 환자에서 심장성 쇼크가 발생 한다. Coronavirus disease 2019 (COVID-19) 대유행(범 유행) 시대에 중증급성호흡기증후군 코로나바이러스2 (severe acute respiratory syndrome-coronavirus 2, SARS-CoV-2)에 의한 소아 다기관염증증후군(multisystem inflammatory syndrome in children, 심장성 쇼크","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121045523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical characteristics of children who visited the emergency department with extended-spectrum beta-lactamase-producing Escherichia coli urinary tract infection and its risk factors 广谱产β -内酰胺酶大肠杆菌尿路感染患儿急诊临床特点及危险因素分析

Pediatric Emergency Medicine Journal Pub Date : 2020-10-29 DOI: 10.22470/pemj.2020.00045

Sang Hong, Hyo-Bin Kim, H. Chueh

{"title":"Clinical characteristics of children who visited the emergency department with extended-spectrum beta-lactamase-producing Escherichia coli urinary tract infection and its risk factors","authors":"Sang Hong, Hyo-Bin Kim, H. Chueh","doi":"10.22470/pemj.2020.00045","DOIUrl":"https://doi.org/10.22470/pemj.2020.00045","url":null,"abstract":"Purpose: To identify the differences in features between children with urinary tract infection (UTI) caused by extended-spectrum beta-lactamases (ESBL)-positive and -negative Escherichia coli, and analyze risk factors for the former infection. Methods: We reviewed medical records of children younger than 36 months with E. coli UTI who visited the emergency department from January 2012 through January 2019. Differences in variables regarding clinical, laboratory, and microbiologic (i.e., ESBL-positive E. coli on urine culture) features, and outcomes between the ESBL-positive and -negative groups were identified. Factors associated with ESBL-positive E. coli infection were analyzed by logistic regression. Results: The children were classified into the ESBL-positive (n = 151) and -negative (n = 40) groups. The former group showed higher frequency of prior UTI (P = 0.038) without other differences between the groups. The median counts of white blood cells, absolute neutrophils, and absolute lymphocytes were higher in the ESBL-positive group than in the other group (P = 0.009, 0.022, and 0.027, respectively). The former group showed longer median hospital length of stay (11.0 days [interquartile range, 8.9-12.0] vs. 6.0 [5.0-7.0]; P < 0.001), and more frequent recurrence per child (3.0 [2.5-3.0] vs. 1.0 [1.01.8]; P = 0.047) and presence of vesicoureteral reflux (27.5% vs. 13.2%; P = 0.001). Logistic regression showed leukocytosis (odds ratio, 12.85; 95% confidence interval, 1.04-157.69) and vesicoureteral reflux (4.00; 1.19-13.43) as the factors for ESBL-positive E. coli infection. Conclusion: The ESBL-positive group showed significantly higher leukocyte count and rate of vesicoureteral reflux than the ESBL-negative group. For children with these features, empirical antibiotics should be chosen in consideration of the resistant bacteria.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121089369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Clinical features of adolescents who visited the emergency department with chest discomfort: the importance of recognizing underlying medical conditions 因胸部不适到急诊科就诊的青少年的临床特征:认识潜在医疗条件的重要性

Pediatric Emergency Medicine Journal Pub Date : 2020-10-27 DOI: 10.22470/pemj.2020.00101

Jiwon Kim, Esther Park, Mi-Ran Park, Joongbum Cho, M. Son

{"title":"Clinical features of adolescents who visited the emergency department with chest discomfort: the importance of recognizing underlying medical conditions","authors":"Jiwon Kim, Esther Park, Mi-Ran Park, Joongbum Cho, M. Son","doi":"10.22470/pemj.2020.00101","DOIUrl":"https://doi.org/10.22470/pemj.2020.00101","url":null,"abstract":"Purpose: We aimed to evaluate the clinical features of adolescents who visit emergency departments (EDs) with chest discomfort, and analyze the implications of underlying medical conditions for the development of cardiogenic chest discomfort. Methods: We reviewed the medical records of adolescents (13-18 years) with chest discomfort who visited a tertiary hospital ED in Seoul, Korea from 2014 through 2018. Sex, age, duration and character of the discomfort, symptoms and signs, ED length of stay, abnormal findings of vital signs, chest radiograph, electrocardiogram, and elevated concentrations of cardiac enzymes were reviewed. Final diagnosis was based on cardiac evaluations within 1 year after the index visit. Underlying medical conditions were defined as visits to the cardiology, pulmonology or hematology-oncology clinics at least twice in the preceding year. Initial suspicious clinical findings were defined as palpitation, syncope or high blood pressure. Logistic regression was used to identify predictors for cardiac etiology. Results: Of the 231 patients, 43 (18.6%) and 69 (29.9%) had underlying medical conditions and initial suspicious clinical findings, respectively. The predictors for cardiac etiology were underlying medical conditions (odds ratio, 4.28; 95% confidence interval, 1.09-16.73), initial suspicious clinical findings (4.77; 1.36-16.77), abnormal electrocardiogram (11.54; 3.2241.32), and elevated concentration of troponin I (66.52; 5.37-823.55). The patients with cardiogenic chest discomfort had a longer median ED length of stay (281.0 minutes [interquartile range, 215.5-369.0] vs. 199.5 [132.8-298.0]; P = 0.004) and a higher hospitalization rate (48.3% vs. 13.4%; P < 0.001) than those with non-cardiogenic chest discomfort. Conclusion: It may be necessary to recognize underlying medical conditions and initial suspicious clinical findings in EDs prior to cardiac evaluation in adolescents with chest discomfort.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114117886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics of children with trauma compared to those with disease in the emergency department: a Korean single regional emergency medical center study 急诊科创伤儿童与疾病儿童的特征比较:韩国单一地区急诊医疗中心的研究

Pediatric Emergency Medicine Journal Pub Date : 2020-10-26 DOI: 10.22470/pemj.2020.00108

Y. Hwang, Habeck Jo, H. W. Yoo, Young Mi Kim, H. Kim

{"title":"Characteristics of children with trauma compared to those with disease in the emergency department: a Korean single regional emergency medical center study","authors":"Y. Hwang, Habeck Jo, H. W. Yoo, Young Mi Kim, H. Kim","doi":"10.22470/pemj.2020.00108","DOIUrl":"https://doi.org/10.22470/pemj.2020.00108","url":null,"abstract":"Purpose: Trauma is the leading cause of death and disability in children. We aimed to compare the clinical characteristics of children with trauma and disease. Methods: We reviewed the medical records of children (< 19 years) who visited the emergency department of Pusan National University Hospital from 2016 through 2018. Data on the age, age group, sex, details of trauma or disease, severe trauma or disease (Korean Triage Acuity Scale 1-2), hospitalization rate (overall and intensive care unit [ICU]), hospital length of stay, in-hospital mortality, and the Injury Severity Score were compared between the children with trauma and those with disease. Results: In a total of 10,205 children, 3,028 (29.7%) had trauma. The children with trauma were older than those with disease (median age, 78.5 months [interquartile range, 35.0-165.0] vs. 49.0 [16.0-120.0]; P < 0.001). Boys were more common in the former group than the latter (63.7% vs. 56.3%; P < 0.001). The most common injury mechanism was traffic accident (16.0%), followed by fall and foreign body. The overall hospitalization rate was higher in the children with disease (17.1% vs. 35.9%; P < 0.001). However, the children with trauma underwent more frequent ICU hospitalization, and showed higher in-hospital mortality rate and longer hospital length of stay than those with disease (all P < 0.001). The children with severe trauma showed higher median age, percentage of boys, in-hospital mortality, and ICU hospitalization rate, and longer hospital length of stay than those with severe disease (all P < 0.001). Conclusion: Children with trauma tend to be older, and their condition may be more critical in severity than those with disease. This difference is more prominent in those with severe trauma or disease.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127152626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A case of hemorrhagic gastritis caused by accidental ingestion of fluoride-containing toothpaste 误食含氟牙膏致出血性胃炎1例

Pediatric Emergency Medicine Journal Pub Date : 2020-10-20 DOI: 10.22470/pemj.2020.00129

J. Oh, Y. Kim, Ji Sook Lee

引用次数: 0

Background and necessity of implementing the subspecialty of pediatric emergency medicine in Korea 韩国实施儿科急诊亚专科的背景和必要性

Pediatric Emergency Medicine Journal Pub Date : 2020-10-19 DOI: 10.22470/pemj.2020.00178

Y. Kwak, June-Dong Park

引用次数: 1

Age group characteristics of children who visited a regional trauma center and analysis of factors affecting the severe trauma 某地区创伤中心儿童年龄特征及严重创伤影响因素分析

Pediatric Emergency Medicine Journal Pub Date : 2020-07-21 DOI: 10.22470/pemj.2020.00052

H. Lee, J. Choi, J. Jang, J. Cho, S. Hyun, W. Choi, J. Woo

{"title":"Age group characteristics of children who visited a regional trauma center and analysis of factors affecting the severe trauma","authors":"H. Lee, J. Choi, J. Jang, J. Cho, S. Hyun, W. Choi, J. Woo","doi":"10.22470/pemj.2020.00052","DOIUrl":"https://doi.org/10.22470/pemj.2020.00052","url":null,"abstract":"Purpose: The aim of this study was to analyze the age group characteristics and factors associated with the severe trauma in children who visited a regional trauma center. Methods: We reviewed children aged 18 years or younger who visited a regional trauma center, equivalent to level 1 trauma centers in the United States, in Incheon, Korea from July 2014 through December 2019. They were classified by the age groups: preschoolers (0-6 years), schoolers (7-12 years), and adolescents (13-18 years). Across the 3 age groups, event profiles, severity, and outcomes of injury were compared. Multivariable logistic regressions were used to identify factors associated with the severe trauma, defined as the Injury Severity Score of 16 or higher. Results: Among the total of 367 children, 74 (20.2%) were preschoolers, 73 (19.9%) were schoolers, and 220 (59.9%) were adolescents. The most common injury mechanisms in the preschoolers, schoolers, and adolescents were fall (40.5%), pedestrian collision (32.9%), and motorcycle accident (38.6%), respectively. The adolescents had the highest median Injury Severity Score (13 [interquartile range, 6-23]; P < 0.001). In the multivariable analyses, the Glasgow Coma Scale of 3-8 (odds ratio [OR], 14.60; 95% confidence interval, 5.40-39.42) had the highest OR for severe trauma, followed by injury in the abdomen or pelvic contents (OR, 11.61; 95% confidence interval, 4.66-28.89). Conclusion: In pediatric trauma, the mechanism and severity of injury may differ according to age groups, with the severe trauma associated with injuries to the head and torso. It is advisable to have age group-specific approaches and strategies for injury prevention.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125874904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Age group characteristics of clinical features and use of epinephrine in children with anaphylaxis who visited emergency department 急诊科过敏反应儿童的临床特征和肾上腺素使用的年龄组特征

Pediatric Emergency Medicine Journal Pub Date : 2019-12-19 DOI: 10.22470/pemj.2019.00122

Namsung Baek, Jong Seung Lee, J. Ryu

引用次数: 0