Current Problems in Pediatric and Adolescent Health Care最新文献_第5页

The learning curve of a pediatric bariatric surgery program: Lessons learned from the first 100 patients 儿童减肥手术项目的学习曲线：前100名患者的经验教训。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-12-01 Epub Date: 2025-11-27 DOI: 10.1016/j.cppeds.2025.101888

Nicolle Burgwardt , Christine Finck , Prabhath Mannam , Darren S. Tishler , Pavlos K. Papasavas , James M. Healy

{"title":"The learning curve of a pediatric bariatric surgery program: Lessons learned from the first 100 patients","authors":"Nicolle Burgwardt , Christine Finck , Prabhath Mannam , Darren S. Tishler , Pavlos K. Papasavas , James M. Healy","doi":"10.1016/j.cppeds.2025.101888","DOIUrl":"10.1016/j.cppeds.2025.101888","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric obesity continues to be an epidemic and as a result, pediatric surgical programs are developing expertise in bariatric surgery to improve outcomes in these children. This study aims to characterize the pathway from initiation to designation by The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) as a Center of Excellence over the course of our first 100 patients, and examine the implementation and associated learning curve of an institutional pediatric bariatric program at a free-standing children’s hospital.</div></div><div><h3>Methods</h3><div>Retrospective review of prospectively collected data from the first 100 laparoscopic sleeve gastrectomy patients at a freestanding academic children’s hospital. Patients were separated into quartiles to evaluate outcome measures. Demographics, perioperative and follow-up data were collected to reflect the ASMBS recommended reporting standards.</div></div><div><h3>Results</h3><div>100 patients were reviewed from 2015–2022. Significant reductions were seen in average operative time (127.6 vs. 65.3 min, <em>p</em> < 0.001), supply cost ($9031.08 vs. $2918.92, <em>p</em> < 0.001), postoperative length of stay (3.2 vs. 2.0 days, <em>p</em> < 0.001), and postoperative narcotic usage (8.4 vs. 1.8 doses, <em>p</em> < 0.001), between the first and fourth quartiles. Beginning in 2019, quality improvement initiatives were developed annually.</div></div><div><h3>Conclusion</h3><div>Partnership with an established high-volume bariatric center and accumulation of experience, followed by systematic implementation of quality and safety measures through MBSAQIP, can substantially improve the care provided to adolescent patients during the building of a pediatric bariatric program.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 12","pages":"Article 101888"},"PeriodicalIF":3.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642313","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}

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Editorial Board Page 编委会页面

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-11-01 Epub Date: 2025-12-10 DOI: 10.1016/S1538-5442(25)00176-2

引用次数: 0

Keeping patients moving: Understanding appropriate adaptive devices for positioning and mobility 保持患者活动：了解适当的定位和活动的适应性装置。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-11-01 Epub Date: 2025-12-05 DOI: 10.1016/j.cppeds.2025.101879

Julie Will , Mi Ran Shin , Brooke Jerome , Karla Feitl , Amanda Hall , Olga Morozova

引用次数: 0

Pediatric stroke: From emergent evaluation to rehabilitation 小儿中风：从紧急评估到康复。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-11-01 Epub Date: 2025-12-05 DOI: 10.1016/j.cppeds.2025.101878

Mejdi Najjar, Melissa Fleming

{"title":"Pediatric stroke: From emergent evaluation to rehabilitation","authors":"Mejdi Najjar, Melissa Fleming","doi":"10.1016/j.cppeds.2025.101878","DOIUrl":"10.1016/j.cppeds.2025.101878","url":null,"abstract":"<div><div>Pediatric stroke, though less common than adult stroke, is a significant cause of morbidity and mortality in children, affecting neonates, infants, and adolescents. Strokes in children could be due to ischemic, hemorrhagic, or venous-thrombotic events. Timely recognition and intervention to optimize neurologic outcomes and minimize long-term disability is most critical. Clinical symptoms are dependent on location of the stroke, but pediatric-specific challenges include higher prevalence of stroke mimics and more frequent seizures. Rapid diagnosis hinges on detailed history, neurologic examination, and emergent imaging, with MRI and angiography preferred for evaluating ischemia and vascular anomalies.</div><div>Hyperacute treatments include intravenous thrombolysis and mechanical thrombectomy. Risk factors are often multifactorial, including congenital heart disease, sickle cell disease, and thrombophilia. Acute complications may involve cerebral edema, hemorrhagic conversion, and post-stroke epilepsy.</div><div>Rehabilitation is essential and begins early in the intensive care unit. A multidisciplinary team—including physical, occupational, and speech therapists alongside physiatrists—supports recovery. Rehabilitation intervention includes uses of orthoses to improve function, prevent complications, impairment specific treatment including constraint-induced movement therapy (CIMT) and goal-oriented hypertonia management. Cognitive and communication impairments also require tailored therapies and school reintegration planning.</div><div>Although neural plasticity offers potential for recovery, many children experience persistent motor, cognitive, and psychosocial deficits. Early, aggressive rehabilitation and coordinated outpatient care are key to maximizing functional outcomes and improving long-term quality of life.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 11","pages":"Article 101878"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145696049","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

Congenital muscular torticollis: Diagnosis, management, and prognosis in the pediatric population 先天性肌性斜颈：儿科人群的诊断、管理和预后。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-11-01 Epub Date: 2025-12-06 DOI: 10.1016/j.cppeds.2025.101877

Leslie Phillips DNP, Kelly Walsh PT, Justin Burton MD

引用次数: 0

Neurofibromatosis review with focus on rehabilitation intervention 神经纤维瘤病综述，重点是康复干预。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-11-01 Epub Date: 2025-11-29 DOI: 10.1016/j.cppeds.2025.101886

Mi Ran Shin MD, MPH , Mackenzie Brown MD , Benjamin Siegel MD , Sinan Turnacioglu MD

{"title":"Neurofibromatosis review with focus on rehabilitation intervention","authors":"Mi Ran Shin MD, MPH , Mackenzie Brown MD , Benjamin Siegel MD , Sinan Turnacioglu MD","doi":"10.1016/j.cppeds.2025.101886","DOIUrl":"10.1016/j.cppeds.2025.101886","url":null,"abstract":"<div><div>Neurofibromatosis Type 1 (NF1) is a complex, multisystem genetic disorder characterized by cutaneous, neurologic, orthopedic, and cognitive manifestations. Affecting approximately 1 in 3000 individuals worldwide, NF1 has a variable phenotype, but children commonly present with a combination of cognitive impairment, learning disabilities, attention-deficit/hyperactivity disorder (ADHD), motor coordination deficits, behavioral challenges, chronic pain, and orthopedic complications. Functional impairments often manifest in both gross and fine motor domains, with gait abnormalities, hypotonia, and reduced endurance. Chronic pain, especially related to plexiform neurofibromas, further impacts quality of life and is associated with neuronal hyperexcitability in the context of neurofibromin deficiency. Rehabilitation plays a critical role in improving function and quality of life by integrating interdisciplinary therapies, educational support, family education, and individualized goal-setting. A comprehensive approach is essential for identifying and managing the diverse impairments associated with NF1 across developmental stages.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 11","pages":"Article 101886"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649898","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

Paroxysmal sympathetic hyperactivity in children: An updated narrative review 儿童阵发性交感神经过动症：最新的叙述回顾。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-11-01 Epub Date: 2025-12-03 DOI: 10.1016/j.cppeds.2025.101887

Justin Burton , Mi Ran Shin , Annie Abraham , Olga Morozova

引用次数: 0

FOREWORD: Rehabilitation Approaches in Complex Pediatric Diagnosis 前言：复杂儿科诊断中的康复方法。

IF 3.7 4区医学

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-11-01 Epub Date: 2025-11-24 DOI: 10.1016/j.cppeds.2025.101876

Louis M. Bell MD

引用次数: 0

A practical guide to strength/resistance training in pediatrics ages 7 through 18 years old 7至18岁儿科力量/阻力训练的实用指南