Journal articles: 'Children Hospital'

1

Belson, Peg. "Children in Hospital." Children & Society 7, no. 2 (December 18, 2007): 196–210. http://dx.doi.org/10.1111/j.1099-0860.1993.tb00579.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

2

Bishop, Tina. "Children in hospital." Primary Health Care 22, no. 8 (September 28, 2012): 12. http://dx.doi.org/10.7748/phc.22.8.12.s7.

Full text

APA, Harvard, Vancouver, ISO, and other styles

3

Anderson, Peggy. "Children??s Hospital." MCN, The American Journal of Maternal/Child Nursing 11, no. 6 (November 1986): 421. http://dx.doi.org/10.1097/00005721-198611000-00019.

Full text

APA, Harvard, Vancouver, ISO, and other styles

4

MITCHELL, ROSS G. "CHILDREN IN HOSPITAL." Developmental Medicine & Child Neurology 22, no. 6 (November 12, 2008): 711–12. http://dx.doi.org/10.1111/j.1469-8749.1980.tb03736.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

5

MATTHEWS, DAVID A., and RAY LONSDALE. "Children in hospital: II. Reading therapy and children in hospital." Health Libraries Review 9, no. 1 (March 1992): 14–26. http://dx.doi.org/10.1046/j.1365-2532.1992.910014.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

6

SilavUtkan, Muna. "Children Hospital Design in Children Picture." Procedia - Social and Behavioral Sciences 51 (2012): 110–14. http://dx.doi.org/10.1016/j.sbspro.2012.08.127.

Full text

APA, Harvard, Vancouver, ISO, and other styles

7

Houlston, Angela. "Hospital for the children." Nursing Standard 20, no. 25 (March 2006): 70–71. http://dx.doi.org/10.7748/ns2006.03.20.25.70.c4081.

Full text

APA, Harvard, Vancouver, ISO, and other styles

8

Houlston, Angela. "Hospital for the children." Nursing Standard 20, no. 25 (March 2006): 70–71. http://dx.doi.org/10.7748/ns.20.25.70.s58.

Full text

APA, Harvard, Vancouver, ISO, and other styles

9

&NA;. "Newington Children??s Hospital." JPO Journal of Prosthetics and Orthotics 2, no. 3 (1990): 244???245. http://dx.doi.org/10.1097/00008526-199004000-00024.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

&NA;, &NA;. "Newington Children??s Hospital." JPO Journal of Prosthetics and Orthotics 4, no. 5 (October 1992): 260–61. http://dx.doi.org/10.1097/00008526-199210000-00015.

Full text

APA, Harvard, Vancouver, ISO, and other styles

11

Wiles, Paddy. "Teaching Children in Hospital." British Journal of Special Education 15, no. 4 (May 31, 2007): 158–62. http://dx.doi.org/10.1111/j.1467-8578.1988.tb00749.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

Uvarov, Nikolay A., Daria B. Uvarova, Larisa V. Sakhno, and Marina V. Zemlianykh. "Hospital clownery – entertainment or treatment? History of development and experience." Pediatrician (St. Petersburg) 11, no. 2 (June 8, 2020): 109–16. http://dx.doi.org/10.17816/ped112109-116.

Full text

Abstract:

The article discusses one of the areas of psychological rehabilitation of children in a hospital hospital clowns. The theoretical and practical prerequisites of the history of the development of hospital clownery both abroad and in the Russian Federation are shown. The results of studies of the effectiveness of the impact of hospital clownery and laughter therapy on the emotional state of children and their parents, in particular on the experience of anxiety and fears in the postoperative period, as well as on the severity of pain during medical manipulations such as venipuncture, allergy tests and radionuclide scanning are presented. The results of a qualitative analysis of the authors empirical research of 133 children and 65 parents are presented. The aim of the research was to study the effect of hospital clownery on the emotional state of children resulting from hospitalization and treatment received (painful manipulations, surgical intervention). Subjective assessments by children and parents of their psycho-emotional state were recorded using questionnaires. The projective method was also used the Luscher Test. The results of a qualitative analysis demonstrated a subjective sensation of an improvement in the psychoemotional state in 97% of children and in 92% of parents (improving mood, decreasing of anxiety and fears). 67% of children noted a weakening of the pain syndrome. Thus, the authors have confirmed by their own research the positive effect of hospital clownery on childrens health. The presented review clearly demonstrates the feasibility of expanding the use of this method in childrens hospitals of various profiles.

APA, Harvard, Vancouver, ISO, and other styles

13

Chisanga, Kenly, and Misa Funjika. "REFRACTIVE ERRORS IN SCHOOL-AGE CHILDREN AS DIAGNOSED AT ARTHUR DAVISON CHILDREN’S HOSPITAL EYE CLINIC DEPARTMENT." Asian Pacific Journal of Health Sciences 3, no. 3 (July 2016): 173–77. http://dx.doi.org/10.21276/apjhs.2016.3.3.26.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

Gardner, MD, Aaron H., Michael R. FitzGerald, PhD, Hamilton P. Schwartz, MD, and Nathan L. Timm, MD. "Evaluation of regional hospitals’ use of children in disaster drills." American Journal of Disaster Medicine 8, no. 2 (April 1, 2013): 137–43. http://dx.doi.org/10.5055/ajdm.2013.0120.

Full text

Abstract:

Objective: Describe the prevalence of pediatric casualties in disaster drills by community hospitals and determine if there is an association between the use of pediatric casualties in disaster drills and the proximity of a community hospital to a tertiary children’s hospital.Design: Survey, descriptive study.Setting: Tertiary children’s hospital and surrounding community hospitals.Participants: Hospital emergency management personnel for 30 general community hospitals in the greater Cincinnati, Ohio region.Interventions: NoneMain Outcome Measure(s): The utilization of pediatric casualties in community hospital disaster drills and its relationship to the distance of those hospitals from a tertiary children’s hospital.Results: Sixteen hospitals reported a total of 57 disaster drills representing 1,309 casualties. The overwhelming majority (82 percent [1,077/1,309]) of simulated patients from all locations were 16 years of age or older. Those hospitals closest to the children’s hospital reported the lowest percentage of pediatric patients (10 percent [35/357]) used in their drills.The hospitals furthest from the children’s hospital reported the highest percentage of pediatric patients (32 percent [71/219]) used during disaster drills.Conclusions: The majority of community hospitals do not incorporate children into their disaster drills, and the closer a community hospital is to a tertiary children’s hospital, the less likely it is to include children in its drills. Focused effort and additional resources should be directed toward preparing community hospitals to care for children in the event of a disaster.

APA, Harvard, Vancouver, ISO, and other styles

15

AL-Abataheen, Nasser Mesfer Rashed. "Commonest Type of Congenital Heart Disease (CHD) Among Children in Maternity and Children Hospital (MCH)." International Journal of Innovative Research in Medical Science 02, no. 02 (February 2, 2016): 552–64. http://dx.doi.org/10.23958/ijirms/vol02-i02/08.

Full text

APA, Harvard, Vancouver, ISO, and other styles

16

McCallum, Dawn E., Paul Byrne, and Eduardo Bruera. "How Children Die in Hospital." Journal of Pain and Symptom Management 20, no. 6 (December 2000): 417–23. http://dx.doi.org/10.1016/s0885-3924(00)00212-8.

Full text

APA, Harvard, Vancouver, ISO, and other styles

17

Hatchard, Lynne. "Hospital lunches: giving children choice." Paediatric Nursing 15, no. 10 (December 2003): 33–35. http://dx.doi.org/10.7748/paed.15.10.33.s22.

Full text

APA, Harvard, Vancouver, ISO, and other styles

18

Donowitz, L. G. "HOSPITAL-ACQUIRED INFECTIONS IN CHILDREN." Pediatric Infectious Disease Journal 10, no. 6 (June 1991): 481. http://dx.doi.org/10.1097/00006454-199106000-00029.

Full text

APA, Harvard, Vancouver, ISO, and other styles

19

Cooper, Christine. "CHILDREN IN HOSPITAL WITH MOTHERS." Developmental Medicine & Child Neurology 4, no. 6 (November 12, 2008): 644–46. http://dx.doi.org/10.1111/j.1469-8749.1962.tb04160.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

20

Alvares, Paula Andrade, Mariana Volpe Arnoni, Cely Barreto da Silva, Marco Aurélio Palazzi Sáfadi, and Marcelo Jenné Mimica. "Hospital-Acquired Infections in Children." Pediatric Infectious Disease Journal 38, no. 1 (January 2019): e12-e14. http://dx.doi.org/10.1097/inf.0000000000002046.

Full text

APA, Harvard, Vancouver, ISO, and other styles

21

Edelsten, T. D., R. J. Stocks, and M. A. Cresswell. "Caring for children in hospital." BMJ 306, no. 6883 (April 10, 1993): 1001–2. http://dx.doi.org/10.1136/bmj.306.6883.1001-d.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

Donowitz, Leigh G. "Hospital-Acquired Infections in Children." New England Journal of Medicine 323, no. 26 (December 27, 1990): 1836–37. http://dx.doi.org/10.1056/nejm199012273232610.

Full text

APA, Harvard, Vancouver, ISO, and other styles

23

Jackson, A. D. "Children in specialist hospital departments." Archives of Disease in Childhood 64, no. 1 (January 1, 1989): 181–82. http://dx.doi.org/10.1136/adc.64.1.181.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

Lovell-Davis, J. "Welfare of children in hospital." Archives of Disease in Childhood 60, no. 6 (June 1, 1985): 595–96. http://dx.doi.org/10.1136/adc.60.6.595-b.

Full text

APA, Harvard, Vancouver, ISO, and other styles

25

Eissa, Maged Mohamed. "Evaluation of Health-Related Quality of Life among Children Attending Asthma Clinic in Alexandria University Children's Hospital." Journal of Medical Science And clinical Research 05, no. 06 (June 12, 2017): 23093–102. http://dx.doi.org/10.18535/jmscr/v5i6.49.

Full text

APA, Harvard, Vancouver, ISO, and other styles

26

Sieniawski, Daniel, and Mariusz Goniewicz. "Epidemiology, diagnosis and pharmacotherapy of head injuries in children treated in the Children's Clinical Hospital in Lublin." Current Issues in Pharmacy and Medical Sciences 25, no. 1 (March 30, 2012): 92–95. http://dx.doi.org/10.12923/j.2084-980x/25.1/a.21.

Full text

APA, Harvard, Vancouver, ISO, and other styles

27

Lekei, Elikana, Aiwerasia V. Ngowi, and Leslie London. "Acute Pesticide Poisoning in Children: Hospital Review in Selected Hospitals of Tanzania." Journal of Toxicology 2017 (2017): 1–8. http://dx.doi.org/10.1155/2017/4208405.

Full text

Abstract:

Background. Acute pesticide poisoning (APP) is a serious problem worldwide. Because the burden of childhood APP is unknown in Tanzania, this study describes the distribution, circumstances, and patterns of APP involving children under 18 years in Tanzania. Methodology. A 12-month prospective study was conducted in 10 Tanzanian healthcare facilities in 2006 using a data collection tool for surveillance. Results. Of 53 childhood poisoning cases identified, 56.6% were female. The most common poisoning circumstances were accidents (49.1%) and suicide (30.2%). The most vulnerable children were 16-17 years old (30.2%). Suicide was significantly more common in females (PRR females/males = 1.66; 95% CI = 1.03–2.68) and accidental cases were more common in children aged 10 years or younger. Suicide was concentrated in children over 10 years, comprising 53% of cases in this age group. Organophosphates (OPs), zinc phosphide, and endosulfan were common amongst reported poisoning agents. The annual APP incidence rate was 1.61/100,000. Conclusion. APP is common among children in this region of Tanzania. Prevention of suicide in older children should address mental health issues and control access to toxic pesticides. Prevention of accidents in younger children requires safer storage and hygiene measures. Diverse interventions are needed to reduce pesticide poisoning among children in Tanzania.

APA, Harvard, Vancouver, ISO, and other styles

28

Kurtanova, Yu E., A. M. Shcherbakova, A. Yu Khokhlova, O. V. Belozerskaya, A. P. Shcherbakov, E. A. Vasileva, and K. L. Mamina. "Psychological Support for Children Undergoing Long-Term Treatment in Isolation." Psychological-Educational Studies 12, no. 3 (2020): 45–60. http://dx.doi.org/10.17759/psyedu.2020120303.

Full text

Abstract:

The article presents the experience of specialists working with children who are on long-term treatment in hospitals. Due to the pandemic, children in hospitals were placed in “double” isolation. Not only have they become separated from their usual lifestyle due to their stay in the hospital, but their contacts inside the hospital in quarantine conditions have become significantly limited. Psychologists, teachers, and speech pathologists of hospital schools were forced to switch to a remote format of work. The article analyzes the features, limitations and advantages of this format of work with children in stationary conditions.

APA, Harvard, Vancouver, ISO, and other styles

29

Barbaro, Ryan P., Philip S. Boonstra, Frank W. Moler, Matthew M. Davis, and Lisa A. Prosser. "Hospital-level variation in inpatient cost among children receiving extracorporeal membrane oxygenation." Perfusion 32, no. 7 (March 24, 2017): 538–46. http://dx.doi.org/10.1177/0267659117702709.

Full text

Abstract:

Objective: Pediatric extracorporeal membrane oxygenation (ECMO) varies in the way care is provided from hospital to hospital. This variability in hospital ECMO care can be represented by the variation in ECMO costs. We hypothesized that hospitals will demonstrate large variations in case-mix-adjusted ECMO inpatient costs for children requiring ECMO and higher volume hospitals will have lower associated costs. Methods: We retrospectively analyzed the inpatient cost of children receiving ECMO in 2006, 2009 and 2012, using the Healthcare Cost and Utilization Project Kids’ Inpatient Database. We used a hierarchical linear regression model and the intraclass correlation coefficient to quantify how much of the difference in ECMO inpatient costs was associated with the hospital where a child received care. To do this, we adjusted for patient factors, hospital factors and potentially modifiable factors such as complications, procedures and length of stay. Results: The median inflation-adjusted inpatient costs for children requiring ECMO were $183,000, $240,000 and $241,000 in years 2006, 2009 and 2012, respectively. The largest median cost for ECMO cases in a given hospital in a given year ($690,000) was more than 11 times that of the smallest median cost ($60,000). After case-mix adjustment, 27% of the variation in inpatient costs was associated with the hospital where ECMO care was provided. Average hospital costs were not associated with hospital ECMO volume. Conclusions: The large variation in ECMO inpatient costs between hospitals suggests great variation in care between hospitals, which is important because hospitals have a co-existing variation in ECMO survival rates.

APA, Harvard, Vancouver, ISO, and other styles

30

H., Durgappa, Honnappa M., L. N. Reddy, Sudhakar Hegde, and Nagraj K. "Bacteriological and Radiological Study of Severe Pneumonia in Children at Medical College Hospital & Head Quarter Hospital." Indian Journal of Trauma and Emergency Pediatrics 9, no. 1 (2017): 39–43. http://dx.doi.org/10.21088/ijtep.2348.9987.9117.7.

Full text

APA, Harvard, Vancouver, ISO, and other styles

31

Ayeni, Oluwatosin A., Sibongile Walaza, Stefano Tempia, Michelle Groome, Kathleen Kahn, Shabir A. Madhi, Adam L. Cohen, et al. "Mortality in children aged <5 years with severe acute respiratory illness in a high HIV-prevalence urban and rural areas of South Africa, 2009–2013." PLOS ONE 16, no. 8 (August 12, 2021): e0255941. http://dx.doi.org/10.1371/journal.pone.0255941.

Full text

Abstract:

Background Severe acute respiratory illness (SARI) is an important cause of mortality in young children, especially in children living with HIV infection. Disparities in SARI death in children aged <5 years exist in urban and rural areas. Objective To compare the factors associated with in-hospital death among children aged <5 years hospitalized with SARI in an urban vs. a rural setting in South Africa from 2009–2013. Methods Data were collected from hospitalized children with SARI in one urban and two rural sentinel surveillance hospitals. Nasopharyngeal aspirates were tested for ten respiratory viruses and blood for pneumococcal DNA using polymerase chain reaction. We used multivariable logistic regression to identify patient and clinical characteristics associated with in-hospital death. Results From 2009 through 2013, 5,297 children aged <5 years with SARI-associated hospital admission were enrolled; 3,811 (72%) in the urban and 1,486 (28%) in the rural hospitals. In-hospital case-fatality proportion (CFP) was higher in the rural hospitals (6.9%) than the urban hospital (1.3%, p<0.001), and among HIV-infected than the HIV-uninfected children (9.6% vs. 1.6%, p<0.001). In the urban hospital, HIV infection (odds ratio (OR):11.4, 95% confidence interval (CI):5.4–24.1) and presence of any other underlying illness (OR: 3.0, 95% CI: 1.0–9.2) were the only factors independently associated with death. In the rural hospitals, HIV infection (OR: 4.1, 95% CI: 2.3–7.1) and age <1 year (OR: 3.7, 95% CI: 1.9–7.2) were independently associated with death, whereas duration of hospitalization ≥5 days (OR: 0.5, 95% CI: 0.3–0.8) and any respiratory virus detection (OR: 0.4, 95% CI: 0.3–0.8) were negatively associated with death. Conclusion We found that the case-fatality proportion was substantially higher among children admitted to rural hospitals and HIV infected children with SARI in South Africa. While efforts to prevent and treat HIV infections in children may reduce SARI deaths, further efforts to address health care inequality in rural populations are needed.

APA, Harvard, Vancouver, ISO, and other styles

32

Jortveit, Jarle, Jakob Klcovansky, Gaute Døhlen, Leif Eskedal, Sigurd Birkeland, and Henrik Holmstrøm. "Out-of-hospital sudden cardiac arrest in children with congenital heart defects." Archives of Disease in Childhood 103, no. 1 (August 24, 2017): 57–60. http://dx.doi.org/10.1136/archdischild-2017-312621.

Full text

Abstract:

AimsOut-of-hospital sudden cardiac arrest (SCA) is a rare but devastating event in children and adolescents. The risk is assumed to be higher in children with congenital heart defects (CHDs) than in healthy individuals. The aim of the present study was to investigate the rate of and survival after out-of-hospital cardiac arrest in children 2–18 years old with CHDs.Methods and resultsData concerning all live births in Norway between 1994 and 2009 were retrieved from the Medical Birth Registry of Norway, the patient administrative systems at all hospitals in Norway, the Oslo University Hospital’s Clinical Registry for Congenital Heart Defects and the Norwegian Cause of Death Registry. Survivors were followed through 2012, and supplementary information for the deceased children was retrieved from medical records at Norwegian hospitals. Among the 943 871 live births in Norway from 1994 to 2009, 11 272 (1.2%) children had a CHD. We identified 11 (0.1%) children 2–18 years old with CHDs who experienced out-of-hospital SCA. The estimated rate of out-of-hospital SCA in children 2–18 years old with CHD was 10 per 100 000 person-years. Early cardiopulmonary resuscitation was initiated in all patients. Three children survived.ConclusionsThe incidence of and survival after out-of-hospital SCA in children with CHDs were comparable to the reported rates in the general child population.

APA, Harvard, Vancouver, ISO, and other styles

33

Sean Quadros, Del-Rossi, Rose Kamenwa, Samuel Akech, and William M Macharia. "Hospital-acquired malnutrition in children at a tertiary care hospital." South African Journal of Clinical Nutrition 31, no. 1 (May 19, 2017): 8–13. http://dx.doi.org/10.1080/16070658.2017.1322825.

Full text

APA, Harvard, Vancouver, ISO, and other styles

34

Matthews, David. "Do children need books in hospital?" Paediatric Nursing 3, no. 1 (February 1991): 24–25. http://dx.doi.org/10.7748/paed.3.1.24.s18.

Full text

APA, Harvard, Vancouver, ISO, and other styles

35

Slonim, A. D., B. J. LaFleur, W. Ahmed, and J. G. Joseph. "Hospital-Reported Medical Errors in Children." PEDIATRICS 111, no. 3 (March 1, 2003): 617–21. http://dx.doi.org/10.1542/peds.111.3.617.

Full text

APA, Harvard, Vancouver, ISO, and other styles

36

Lewis, Emanuel, and Judith Trowell. "SECRET OBSERVATION OF CHILDREN IN HOSPITAL." Lancet 331, no. 8592 (April 1988): 998. http://dx.doi.org/10.1016/s0140-6736(88)91817-x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

37

Kemmner, Maggie. "Better care for children in hospital." Paediatric Nursing 19, no. 3 (April 2007): 26–27. http://dx.doi.org/10.7748/paed.19.3.26.s23.

Full text

APA, Harvard, Vancouver, ISO, and other styles

38

Horrigan, Kaye. "Franciscan Children??s Hospital Goes Wireless." Nursing Management (Springhouse) 23, no. 2 (February 1992): 74,77. http://dx.doi.org/10.1097/00006247-199202000-00021.

Full text

APA, Harvard, Vancouver, ISO, and other styles

39

CHALMERS, BEVERLEY. "Annotation: Care of children in hospital." Child: Care, Health and Development 19, no. 2 (March 1993): 119–26. http://dx.doi.org/10.1111/j.1365-2214.1993.tb00719.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

40

Beŝtak, D., and K. Ŝeŝo. "1252 Safety of Children in Hospital." Pediatric Research 68 (November 2010): 620. http://dx.doi.org/10.1203/00006450-201011001-01252.

Full text

APA, Harvard, Vancouver, ISO, and other styles

41

Oppé, Thomas. "Children and Newborn Infants in Hospital." Developmental Medicine & Child Neurology 3, no. 4 (November 12, 2008): 318. http://dx.doi.org/10.1111/j.1469-8749.1961.tb15326.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

42

Haas, Janet F. "Out-of-Hospital Intubation of Children." Journal of Head Trauma Rehabilitation 15, no. 5 (October 2000): 1192–93. http://dx.doi.org/10.1097/00001199-200010000-00020.

Full text

APA, Harvard, Vancouver, ISO, and other styles

43

Glaeser, Peter. "Out-of-Hospital Intubation of Children." JAMA 283, no. 6 (February 9, 2000): 797. http://dx.doi.org/10.1001/jama.283.6.797.

Full text

APA, Harvard, Vancouver, ISO, and other styles

44

Heavenrich, Robert M. "HOSPITAL CARE OF CHILDREN AND YOUTH." Pediatric Annals 16, no. 8 (August 1, 1987): 666–67. http://dx.doi.org/10.3928/0090-4481-19870801-14.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Payne, D. "Hospital used to house healthy children." BMJ 316, no. 7145 (May 30, 1998): 1625. http://dx.doi.org/10.1136/bmj.316.7145.1625m.

Full text

APA, Harvard, Vancouver, ISO, and other styles

46

ROY, L. PAUL. "HOSPITAL EMERGENCY DEPARTMENT SERVICES FOR CHILDREN." Journal of Paediatrics and Child Health 29, no. 2 (March 10, 2008): 99–100. http://dx.doi.org/10.1111/j.1440-1754.1993.tb00458.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

47

Boelen, W. J. C., D. H. van der Heide, O. Kluft, and H. Huijer-Abu Saad. "Pain relief for children in hospital." Journal of Pain and Symptom Management 6, no. 3 (April 1991): 190. http://dx.doi.org/10.1016/0885-3924(91)91114-o.

Full text

APA, Harvard, Vancouver, ISO, and other styles

48

Baldwin, Nicholas J. "Great Ormond Street Hospital for children." Journal of Medicine and the Person 11, no. 3 (December 11, 2012): 134–37. http://dx.doi.org/10.1007/s12682-012-0134-x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

49

Raffay, Violetta, and Suzana Ranđelović. "Out-of-hospital traumatism in children." Journal Resuscitatio Balcanica 5, no. 12 (2019): 150–54. http://dx.doi.org/10.5937/jrb1912150r.

Full text

APA, Harvard, Vancouver, ISO, and other styles

50

Berry, Jay G., Matthew A. Hall, Vidya Sharma, Liliana Goumnerova, Anthony D. Slonim, and Samir S. Shah. "A MULTI-INSTITUTIONAL, 5-YEAR ANALYSIS OF INITIAL AND MULTIPLE VENTRICULAR SHUNT REVISIONS IN CHILDREN." Neurosurgery 62, no. 2 (February 1, 2008): 445–54. http://dx.doi.org/10.1227/01.neu.0000316012.20797.04.

Full text

Abstract:

Abstract OBJECTIVE To evaluate risk factors and predictors of cerebrospinal ventricular shunt revisions in children. METHODS A retrospective, longitudinal cohort of 1307 children ages 0 to 18 years undergoing initial ventricular shunt placement in the year 2000, with follow-up through 2005, from 32 freestanding children's hospitals within the Pediatric Health Information Systems database was studied. Rates of ventricular shunt revision were compared with patient demographic, clinical, and hospital characteristics with use of bivariate and multivariate regression accounting for hospital clustering. RESULTS Thirty-seven percent of children required at least one shunt revision within 5 years of initial shunt placement; 20% of children required two or more revisions. Institutional rates of first shunt revision ranged from 20 to 70% of initial shunts placed among the 32 hospitals in the cohort. Hospitals where one to 20 initial shunt placements per year experienced the highest initial shunt revision rate (42%). Hospitals performing over 83 initial shunt placements per year experienced the lowest revision rate (22%). We found that children undergoing shunt placement in the Midwest were more likely to experience multiple shunt revisions (odds ratio, 1.25; 95% confidence interval, 1.06–1.47) after controlling for hospital volume, shunt type, age, and diagnosis associated with initial shunt placement. CONCLUSION Higher hospital volume of initial shunt placement was associated with lower revision rates. Substantial hospital variation in the rates of ventricular shunt revision exists among children's hospitals. Future prospective studies are needed to examine the reasons for the variability in shunt revision rates among hospitals, including differences in specific processes of care.

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Children Hospital'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles