Pediatrics最新文献_第10页

Geospatial Clustering of 9-1-1 Responses for Pediatric Firearm Injuries Over Time. 儿童火器伤害911响应的地理空间聚类分析

IF 6.2 2区医学

Pediatrics Pub Date : 2025-04-01 DOI: 10.1542/peds.2024-068179

Craig D Newgard, Susan Malveau, Amber Lin, Patrick Carter, Jason Goldstick, Jennifer N B Cook, N Clay Mann, Xubo Song, Sean R Babcock, Nathan Kuppermann, Apoorva Salvi, Mary E Fallat, Peter C Jenkins, Ran Wei

{"title":"Geospatial Clustering of 9-1-1 Responses for Pediatric Firearm Injuries Over Time.","authors":"Craig D Newgard, Susan Malveau, Amber Lin, Patrick Carter, Jason Goldstick, Jennifer N B Cook, N Clay Mann, Xubo Song, Sean R Babcock, Nathan Kuppermann, Apoorva Salvi, Mary E Fallat, Peter C Jenkins, Ran Wei","doi":"10.1542/peds.2024-068179","DOIUrl":"10.1542/peds.2024-068179","url":null,"abstract":"Objectives: We evaluated spatial clustering of pediatric firearm injuries using national 9-1-1 emergency medical services (EMS) responses, locations where these events occurred, and geographic changes over time.Methods: This was a cross-sectional study from January 1, 2012 through December 31, 2022 using 9-1-1 EMS responses for children in 50 states from the National EMS Information Systems (NEMSIS). For 37 states with continuous data over the study period, we evaluated spatial changes over time. We included children aged 0 to 17 years with a 9-1-1 EMS response including transports, nontransports, and deaths at the scene. We stratified by child (0-10 years) and adolescent (11-17 years) age groups. The outcome was firearm injury, regardless of intent or severity.Results: There were 10 521 575 9-1-1 EMS responses from 30 393 incident zip codes, including 26 101 (0.25%) for firearm injuries (3679 [14.1%] in children and 22 422 [85.9%] in adolescents). Among 3679 children with firearm injuries, 2975 (80.9%) occurred in their home zip code and 1490 (40.5%) occurred in a cluster. Among 22 422 adolescents with firearm injuries, 15 635 (69.7%) occurred in their home zip code and 11 551 (51.5%) occurred in a cluster. Among 37 states (n = 6 103 297 events, n = 11 433 zip codes), 213 of 446 (47.8%) clustered zip codes for children were new in 2022 and 148 of 461 (32.1%) clustered zip codes for adolescents were new. Results were similar when using home zip codes.Conclusions: There was spatial clustering of pediatric firearm injuries, commonly in their home zip code. The number of zip codes included in pediatric firearm hotspots is increasing.","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Remote Assessment of Pediatric Anthropometrics. 远程评估小儿人体测量学。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-04-01 DOI: 10.1542/peds.2024-067663

Emily H Ho, Berivan Ece, Zutima Tuladhar, Anne Zola, Magdalena Ewa Kupczyk, Linda Adair, Richard Gershon

{"title":"Remote Assessment of Pediatric Anthropometrics.","authors":"Emily H Ho, Berivan Ece, Zutima Tuladhar, Anne Zola, Magdalena Ewa Kupczyk, Linda Adair, Richard Gershon","doi":"10.1542/peds.2024-067663","DOIUrl":"10.1542/peds.2024-067663","url":null,"abstract":"Objective: To assess the reliability and fidelity of caregiver- and examiner-administered anthropometric measurements in English- and Spanish-speaking children aged 0-17 years.Methods: Participants (N = 199; median age, 4.69 years; interquartile range, 1.58-10.37; 46.7% male) were recruited in 6 sites across the United States in May-August 2023. Examiners were trained by a pediatric nurse; caregivers received well-developed administration materials. The key anthropometric outcomes assessed were infant length/child height, weight, percent body fat (PBF), head size, and waist circumference. Concordance between caregiver/examiner measurements was assessed using interrater reliability estimates, technical error of measurement (TEM), and mean absolute difference (MAD). Secondary outcomes included reported ease of use and language used.Results: High concordance was observed between caregivers and examiners, with reliability coefficients ranging from 0.91 to >0.99 and intraclass correlation coefficient values from 0.92 to >0.99 across all assessments and age groups. The TEM was low (height = 2.10 cm, weight = 0.39 kg, PBF = 2.33%; head circumference = 0.73 cm, waist circumference = 3.65 cm) as were MAD estimates (height = 2.12 cm, 95% confidence interval [CI], 1.82-2.42; weight = 0.35 kg, 95% CI, 0.29-0.41; PBF = 2.39%, 95% CI, 1.89-2.88; head size = 0.71 cm, 95% CI, 0.54-0.89; waist circumference = 3.15 cm, 95% CI, 2.41-3.88).Conclusions: Across multiple metrics, there was high concordance between caregiver- and examiner-administered measurements, providing evidence of interchangeability between remote and in-person assessments of anthropometric outcomes. Remote anthropometric assessment appears feasible and low burden and has comparably high validity and reliability to in-person methods.","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Trends in Mental and Behavioral Health Risks in Adolescents: 1999-2021. 青少年心理和行为健康风险趋势：1999-2021年。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-04-01 DOI: 10.1542/peds.2024-068774

Rebekah Levine Coley, Jane Leer, Lindsay Lanteri

{"title":"Trends in Mental and Behavioral Health Risks in Adolescents: 1999-2021.","authors":"Rebekah Levine Coley, Jane Leer, Lindsay Lanteri","doi":"10.1542/peds.2024-068774","DOIUrl":"10.1542/peds.2024-068774","url":null,"abstract":"Objectives: To identify distinct profiles of adolescent mental and behavioral health risks and variation over cohorts and demographic strata from 1999 through 2021. We expected increased mental health risks and decreased behavioral health risks.Methods: We analyzed repeated, cross-sectional, nationally representative samples of high school students from the 1991-2021 national Youth Risk Behavior Survey (N = 178 658) using latent class analysis. Adolescents self-reported mental and behavioral health risk behaviors, including internalizing (depressive symptoms, suicidality), substance use (alcohol, marijuana use), sexual risk behaviors (number of sexual partners, effective birth control), and violence (weapons carriage, fighting).Results: We identified 5 distinct profiles. The largest group, Low Everything (48% of adolescents), grew notably in prevalence from 1999 to 2021. The smallest, High Internalizing (9% of adolescents), also grew. High Sex (20%), High Everything (13%), and High Substance Use (10%) all decreased, with all trajectories strengthening between 2019 and 2021 during the COVID-19 pandemic. Younger adolescents predominated in the Low Everything and High Internalizing profiles, and older adolescents predominated in the High Sex and High Everything profiles. Females were more prevalent in the High Internalizing and High Sex profiles, and males were more prevalent in the High Everything and High Substance Use profiles. White adolescents were overrepresented in the High Substance Use profile, and youth of color were overrepresented in the other profiles.Conclusions: Results showing decreasing proportions of adolescents reporting comorbid mental and behavioral health risks or behavioral health risks only, but increases in mental health problems only, help to identify and target key populations for prevention and treatment efforts.","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

The Urgent Need for More Federal Funding for Pediatric Firearm Injury Prevention Research. 儿童枪支伤害预防研究迫切需要更多的联邦资金。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-04-01 DOI: 10.1542/peds.2024-068652

Lois K Lee, Alex Butler, Nancy C Andrews

引用次数: 0

Pediatric Vital Signs: An Initiative to Protect the Health of Every Child and Improve the Future. 儿童生命体征：一项保护每个儿童健康和改善未来的倡议。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-04-01 DOI: 10.1542/peds.2024-069159H

Jennifer W Kaminski, Debra Houry

引用次数: 0

Adapting a Risk Prediction Tool for Neonatal Opioid Withdrawal Syndrome. 适应新生儿阿片类戒断综合征的风险预测工具。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-04-01 DOI: 10.1542/peds.2024-068673

Thomas J Reese, Andrew D Wiese, Ashley A Leech, Henry J Domenico, Elizabeth A McNeer, Sharon E Davis, Michael E Matheny, Adam Wright, Stephen W Patrick

{"title":"Adapting a Risk Prediction Tool for Neonatal Opioid Withdrawal Syndrome.","authors":"Thomas J Reese, Andrew D Wiese, Ashley A Leech, Henry J Domenico, Elizabeth A McNeer, Sharon E Davis, Michael E Matheny, Adam Wright, Stephen W Patrick","doi":"10.1542/peds.2024-068673","DOIUrl":"10.1542/peds.2024-068673","url":null,"abstract":"Background: The American Academy of Pediatrics recommends up to 7 days of observation for neonatal opioid withdrawal syndrome (NOWS) in infants with chronic opioid exposure. However, many of these infants will not develop NOWS, and infants with seemingly less exposure to opioids may develop severe NOWS that requires in-hospital pharmacotherapy. We adapted and validated a prediction model to help clinicians identify infants at birth who will develop severe NOWS.Methods: This prognostic study included 33 991 births. Severe NOWS was defined as administration of oral morphine. We applied logistic regression with a least absolute shrinkage selection operator approach to develop a severe NOWS prediction model using 37 predictors. To contrast the model with guideline screening criteria, we conducted a decision curve analysis with chronic opioid exposure defined as the mother receiving a diagnosis for opioid use disorder (OUD) or a prescription for long-acting opioids before delivery.Results: A total of 108 infants were treated with oral morphine for NOWS, and 1243 infants had chronic opioid exposure. The model was highly discriminative, with an area under the receiver operating curve of 0.959 (95% CI, 0.940-0.976). The strongest predictor was mothers' diagnoses of OUD (adjusted odds ratio, 47.0; 95% CI, 26.7-82.7). The decision curve analysis shows a higher benefit with the model across all levels of risk, compared with using the guideline criteria.Conclusion: Risk prediction for severe NOWS at birth may better support clinicians in tailoring nonpharmacologic measures and deciding whether to extend birth hospitalization than screening for chronic opioid exposure alone.","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Increasing Access to Antipoverty Tax Credits Through a Medical Financial Partnership. 通过医疗金融伙伴关系增加获得反贫困税收抵免的机会。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-04-01 DOI: 10.1542/peds.2024-069159G

Laura J Chavez, Edward Miner, Hannah Bonacci, Katie Thomas, Deena J Chisolm, Kelly J Kelleher

{"title":"Increasing Access to Antipoverty Tax Credits Through a Medical Financial Partnership.","authors":"Laura J Chavez, Edward Miner, Hannah Bonacci, Katie Thomas, Deena J Chisolm, Kelly J Kelleher","doi":"10.1542/peds.2024-069159G","DOIUrl":"10.1542/peds.2024-069159G","url":null,"abstract":"Child poverty is linked to poor health outcomes during childhood and throughout the life course, including those targeted by the Pediatric Vital Signs project. The Earned Income Tax Credit and Child Tax Credit are powerful antipoverty tools that provide financial resources to families and lift millions out of poverty each year. Unfortunately, navigating the process for filing taxes is confusing and can be costly, excluding many families from these resources. Developing programs to offer free tax filing services requires the infrastructure to deliver these services but also requires community trust and awareness. A 3-year program was launched by Nationwide Children's Hospital in 2020 to develop a comprehensive marketing campaign, work with community-based organizations to refer clients, and set up free tax filing clinics throughout neighborhoods experiencing high levels of poverty and infant mortality. As a result, the numbers of taxes filed increased from 469 at baseline to 532 in year 3, for a total of more than $3 496 700 in combined federal and state tax return credits across 3 years. The case study describes the experiences and strategies used to increase community awareness and lessons learned about the most effective marketing strategies. Additionally, the study illustrates an opportunity for other pediatric health care institutions to link volunteer tax coalitions present in many communities with initiatives to improve pediatric health outcomes (eg, decrease infant mortality, increase Kindergarten readiness, decrease obesity, and improve mental health) and use scalable digital and community marketing tools to build awareness of and engagement in services.","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":"155 Suppl 1","pages":""},"PeriodicalIF":6.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Thriving to Survive: A Case Study of Local Collaborative Efforts to Decrease Infant Mortality. 繁荣生存：地方合作努力降低婴儿死亡率的案例研究。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-04-01 DOI: 10.1542/peds.2024-069159B

Kierra S Barnett, Christine Sander, Arthur R James, Deena J Chisolm

{"title":"Thriving to Survive: A Case Study of Local Collaborative Efforts to Decrease Infant Mortality.","authors":"Kierra S Barnett, Christine Sander, Arthur R James, Deena J Chisolm","doi":"10.1542/peds.2024-069159B","DOIUrl":"10.1542/peds.2024-069159B","url":null,"abstract":"High overall infant mortality rates (IMRs) and racial disparities in IMR have persisted over time in Franklin County, Ohio compared with the rest of the nation. For a decade, collaborative approaches have been used to meet the needs of the community, focusing on the groups with the highest IMR. This collaborative approach has served as a model within the county and demonstrates how community partners can come together to address issues that significantly impact the health and well-being of children. In 2020, Nationwide Children's Hospital implemented the Pediatric Vital Sign initiative, which identifies 8 metrics of child health and well-being for all children in Franklin County (Columbus, Ohio) to target for improvement over a 10-year period. One of the 8 metrics seeks to reduce overall IMR to 5.9 deaths per 1000 live births and decrease racial disparities by 50% by 2030. Here, we detail the collaborative efforts over the last 10 years in Franklin County, Ohio to reduce infant deaths and the disparity. Efforts primarily focused on 3 areas of intervention: (1) eliminating preventable sleep-related deaths, (2) reducing the number of premature births, and (3) connecting birthing people with the needed resources via care coordination programs and home visiting initiatives.","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":"155 Suppl 1","pages":""},"PeriodicalIF":6.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Family Navigation Programs for Children With Autism Spectrum Disorder: A Scoping Review. 自闭症谱系障碍儿童的家庭导航计划：范围审查。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-04-01 DOI: 10.1542/peds.2024-067947

Fei Li, Qinling Li, Qiao Shen, Xin Zhang, Hongyao Leng, Yue Liu, Xianlan Zheng

{"title":"Family Navigation Programs for Children With Autism Spectrum Disorder: A Scoping Review.","authors":"Fei Li, Qinling Li, Qiao Shen, Xin Zhang, Hongyao Leng, Yue Liu, Xianlan Zheng","doi":"10.1542/peds.2024-067947","DOIUrl":"10.1542/peds.2024-067947","url":null,"abstract":"Objectives: Family navigation (FN) programs are an integrated care delivery model for children with chronic conditions. However, there is a lack of synthesized evidence of FN programs for children with autism spectrum disorder (ASD). This scoping review aimed to map the current evidence to describe the characteristics and synthesize the effectiveness of FN programs for children with ASD.Methods: We searched the PubMed, Web of Science, Embase, CINAHL, PsycINFO, and ProQuest databases for studies published between 2011 and 2023. After duplicate records were removed, 2 researchers read the titles and abstracts and screened the full texts. Disagreements were resolved by a third researcher. Two researchers independently extracted the data and performed data synthesis in both tabular and narrative formats.Results: Twenty-seven studies were included. The navigation activities included family assessment, service coordination, psychosocial support, health education, service advocacy, and logistic assistance. Navigators could be professionals or nonprofessionals with bilingual and bicultural backgrounds. FN programs accelerated service access from positive screening to definite diagnosis and to intervention initiation for children with ASD. Positive effects were also detected for the health outcomes of caregivers.Conclusions: The results were narratively synthesized because of the heterogeneity of the included studies. This study provides guidance for the development and implementation of future FN programs. The findings indicate that the inclusion of solid theoretical frameworks, consistent reporting of intervention components, and conduction of effectiveness-implementation mixed studies may facilitate the generalizability of FN programs in wider contexts.","PeriodicalId":20028,"journal":{"name":"Pediatrics","volume":" ","pages":""},"PeriodicalIF":6.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Rating Recommendations in AAP Clinical Practice Guidelines: More Important Than You Might Think. 美国儿科学会临床实践指南中的评级建议：比你想象的更重要。

IF 6.2 2区医学

Pediatrics Pub Date : 2025-04-01 DOI: 10.1542/peds.2024-069341

Stephen M Downs

引用次数: 0