Missed Opportunities for Transcranial Doppler Screening Among Children With Sickle Cell Disease
Transcranial Doppler (TCD) screening rates remain low among children with sickle cell disease (SCD). We assessed TCD screening rates and missed opportunities for TCD screening. Children 2 to 16 years old with SCD enrolled in Michigan Medicaid for ≥1 year (2007-2011) were identified through newborn screening. Receipt of TCD screening and presence of a missed opportunity (≥1 SCD-related outpatient visit, no TCD screening) were identified through administrative claims. Potential correlates of missed opportunities included SCD-related health services, comorbidities, and demographics. Logistic regression with generalized ...
Source: Clinical Pediatrics - September 12, 2016 Category: Pediatrics Authors: Reeves, S. L., Fullerton, H. J., Cohn, L. M., Dombkowski, K. J., Boulton, M. L., Braun, T. M., Lisabeth, L. D. Tags: Articles Source Type: research
Refractory Otitis Media and Sinonasal Disease in a Child
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Choi, J. S., Genther, D. J., Boss, E. F. Tags: Resident Rounds Source Type: research
Submandibular Swelling and Fever Following Frenulectomy in a 13-Day-Old Infant
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Maciag, M., Sediva, I., Alexander-Scott, N. Tags: Resident Rounds Source Type: research
Abdominal Pain, Fatigue, and Constipation in a Teenager Female: Is It Worth Further Investigations?
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Alsaied, T., Mohameden, M., Lee, L., Lawson, S. A., Mantell, B. S., Saqr, A. H., Nagarajan, R. Tags: Resident Rounds Source Type: research
Physician Perspectives on Obesity Screening in Hospitalized Children
Nearly one-third of the children in the United States are obese or overweight and face associated physical and mental health issues.1,2 Parents often misperceive and underreport their child’s weight status.3-5 This misperception is a major barrier to increasing healthy lifestyle choices, such as limiting screen time, increasing physical activity, improving diet, and participating in prevention programs.6-8 Increasing parental awareness of children’s weight status is an important initial step in addressing the obesity epidemic. (Source: Clinical Pediatrics)
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Lee, D. S., Gross, E., Rinke, M. L. Tags: Brief Reports Source Type: research
Psychosocial Dimensions and Functioning in Youth With Postural Orthostatic Tachycardia Syndrome
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: McTate, E. A., Weiss, K. E. Tags: Brief Reports Source Type: research
Portomesenteric Venous Thrombosis in Previously Healthy Adolescents Presenting With Subacute Abdominal Pain
(Source: Clinical Pediatrics)
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Boiko, J. R., Srinath, A. I., Cooper, J. D. Tags: Brief Reports Source Type: research
Growth Charts for Prader-Willi Syndrome During Growth Hormone Treatment
The purpose of the current study was to develop syndrome-specific standardized growth curves for growth hormone–treated Prader-Willi syndrome (PWS) individuals aged 0 to 18 years. Anthropometric growth-related measures were obtained on 171 subjects with PWS who were treated with growth hormone for at least 40% of their lifespan. They had no history of scoliosis. PWS standardized growth curves were developed for 7 percentile ranges using the LMS method for weight, height, head circumference, weight/length, and BMI along with normative 3rd, 50th, and 97th percentiles plotted using control data from the literature and g...
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Butler, M. G., Lee, J., Cox, D. M., Manzardo, A. M., Gold, J.-A., Miller, J. L., Roof, E., Dykens, E., Kimonis, V., Driscoll, D. J. Tags: Articles Source Type: research
Obesity as a Risk Factor for Urinary Tract Infection in Children
Childhood obesity is a nationwide epidemic with an estimated 16% to 18% of children and adolescents qualifying as obese and another 21% to 24% considered overweight. Obesity has been linked to an increased risk of developing serious infections. Healthcare Cost and Utilization Project–Kids’ Inpatient Database 2009 was queried to analyze national trends in patient encounters, specifically those listing patients as comorbid obese and then identified those with urinary tract infection (UTI) as primary or secondary diagnosis. Propensity matching was used to calculate risk for UTI in the inpatient obese pediatric pop...
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Grier, W. R., Kratimenos, P., Singh, S., Guaghan, J. P., Koutroulis, I. Tags: Articles Source Type: research
Incidence, Trends, and Outcomes of Cerebral Edema Among Children With Diabetic Ketoacidosis in the United States
Conclusion. Our study shows that over the study period, trend in incidence of cerebral edema among DKA patients has increased. Patients with cerebral edema were found to have longer LOS and higher cost of hospitalization. (Source: Clinical Pediatrics)
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Patel, A., Singh, D., Bhatt, P., Thakkar, B., Akingbola, O. A., Srivastav, S. K. Tags: Articles Source Type: research
Pediatric Hereditary Angioedema: Onset, Diagnostic Delay, and Disease Severity
We examined age of onset, delay in diagnosis, androgen exposure, and their influence on ultimate disease severity in a large cohort of patients with HAE. Median age of first swelling was 11 years with a median age at diagnosis of 19 years. Earlier onset of symptoms correlated with longer delays in diagnosis (P < .001) and predicted a more severe disease course, including increased number of attacks per year (P = .0009) and hospital admissions (P = .009). Earlier age of onset also significantly correlated with increased perceived HAE severity (P = .0002), negative overall life impact (P < .0001), and use of anabolic a...
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Christiansen, S. C., Davis, D. K., Castaldo, A. J., Zuraw, B. L. Tags: Articles Source Type: research
Implementation of Web-Based Autism Screening in an Urban Clinic
Screening toddlers for autism spectrum disorder (ASD) with the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) has been shown to lower age of diagnosis by 2 years. In order to streamline ASD screening, research is exploring the use of web-based screening during well-child checkups. The current study examined implementation of the web-based M-CHAT-R in an urban pediatric clinic in Atlanta, Georgia. Toddlers (N = 2557; 87% African American) were screened during well-child visits (Mage = 22.43 months, SD = 3.65). Using the web-based version resulted in a 58.5% increase in the number of cases screened per month. ...
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Brooks, B. A., Haynes, K., Smith, J., McFadden, T., Robins, D. L. Tags: Articles Source Type: research
Poor Concordance Between Elevated Blood Pressures in the Preschool Years
The 2013 US Preventive Services Task Force report found insufficient evidence for pediatric blood pressure screening. This retrospective study evaluated the reliability of successive annual blood pressure screening of children for hypertension at the 3-, 4-, and 5-year-old health maintenance visits (January 1, 2010 to June 18, 2014). Of 328 patients, 290 (88%) were normotensive at all 3 visits. All elevated blood pressures (≥95th percentile) were stage 1. No patient was hypertensive (3 elevated measures). The extended concordance correlation coefficient indicated poor agreement for systolic (0.19, 95% CI –0.49 to ...
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: To, W. J., King, T. S., Sekhar, D. L. Tags: Articles Source Type: research
Adverse Effects of Tattoos and Piercing on Parent/Patient Confidence in Health Care Providers
First impressions based on practitioner appearance often form the basis for preliminary assumptions regarding trust, confidence, and competence, especially in situations where patients or family members do not have an established relationship with the physician. Given their growing prevalence, we strove to further investigate whether visible tattoos or piercings on a medical provider affects a patient’s perception of the provider’s capabilities and their trust in the care that would be provided. A survey using photographs of simulated practitioners was administered to 314 participants split between rural and ur...
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Johnson, S. C., Doi, M. L. M., Yamamoto, L. G. Tags: Articles Source Type: research
Human Papillomavirus Vaccination Coverage Among Girls Before 13 Years: A Birth Year Cohort Analysis of the National Immunization Survey-Teen, 2008-2013
Routine human papillomavirus (HPV) vaccination is recommended at 11 or 12 years by the Advisory Committee on Immunization Practices. National Immunization Survey–Teen data were analyzed to evaluate, among girls, coverage with one or more doses of HPV vaccination, missed opportunities for HPV vaccination, and potential achievable coverage before 13 years. Results were stratified by birth year cohorts. HPV vaccination coverage before 13 years (≥1 HPV dose) increased from 28.4% for girls born in 1995 to 46.8% for girls born in 2000. Among girls born during 1999-2000 who had not received HPV vaccination before 13 year...
Source: Clinical Pediatrics - August 27, 2016 Category: Pediatrics Authors: Jeyarajah, J., Elam-Evans, L. D., Stokley, S., Smith, P. J., Singleton, J. A. Tags: Articles Source Type: research
