1
40
8
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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December 2021 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
December 2021 List
URL Address
<a href="http://doi.org/10.1542/hpeds.2020-0066" target="_blank" rel="noreferrer noopener">http://doi.org/10.1542/hpeds.2020-0066</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Point-of-Care Complexity Screening Algorithm to Identify Children With Medical Complexity
Publisher
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Hospital Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Subject
The topic of the resource
Algorithms; Child; Child Health Services; Chronic Disease; Disabled Children; Humans; Point-of-Care Systems
Creator
An entity primarily responsible for making the resource
Parente V; Parnell L; Childers J; Spears T; Jarrett V; Ming D
Description
An account of the resource
OBJECTIVES: For pediatric complex care programs to target enhanced care coordination services to the highest-risk patients, it is critical to accurately identify children with medical complexity (CMC); however, no gold standard definition exists. The aim of this study is to describe a point-of-care screening algorithm to identify CMC with high health care use, a group that may benefit the most from improved care coordination. METHODS: From July 1, 2015, to June 30, 2016 (fiscal year 2016 [FY16]), a medical complexity screening algorithm was implemented by a pediatric complex care program at a single tertiary care center for hospitalized patients at the time of admission. Using the screening algorithm, we categorized inpatients into 1 of 3 groups: CMC, children with special health care needs (CSHCN), or previously healthy (PH) children. Inpatient resource use for FY16 and FY17 encounters was extracted for children screened in FY16. RESULTS: We categorized 2187 inpatients in FY16 into the 3 complexity groups (CMC = 77; CSHCN = 1437; PH children = 673). CMC had more complex chronic conditions (median = 6; interquartile range [IQR] 4-11) than CSHCN (median = 1; IQR 0-2) and PH children (median = 0; IQR 0-0). CMC had greater per-patient and per-encounter hospital use than CSHCN and PH children. CMC and children with ≥4 complex chronic conditions had comparable levels of resource use. CONCLUSIONS: By implementation of a point-of-care screening algorithm, we identified CMC with high health care use. By using this algorithm, it was feasible to identify hospitalized CMC that could benefit from care coordination by a pediatric complex care program.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1542/hpeds.2020-0066" target="_blank" rel="noreferrer noopener">10.1542/hpeds.2020-0066</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021
algorithms
Child
Child Health Services
Childers J
Chronic Disease
December 2021 List
Disabled Children
Hospital Pediatrics
Humans
Jarrett V
Ming D
Parente V
Parnell L
Point-of-Care Systems
Spears T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.2196/resprot.3041" target="_blank" rel="noreferrer">http://doi.org/10.2196/resprot.3041</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
A smartphone-based pain management app for adolescents with cancer: establishing system requirements and a pain care algorithm based on literature review, interviews, and consensus
Publisher
An entity responsible for making the resource available
Jmir Research Protocols
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
Subject
The topic of the resource
Pain; adolescent; algorithms; Neoplasms; cellular phone
Creator
An entity primarily responsible for making the resource
Jibb LA; Stevens BJ; Nathan PC; Seto Emily; Cafazzo JA; Stinson JN
Description
An account of the resource
BACKGROUND: Pain that occurs both within and outside of the hospital setting is a common and distressing problem for adolescents with cancer. The use of smartphone technology may facilitate rapid, in-the-moment pain support for this population. To ensure the best possible pain management advice is given, evidence-based and expert-vetted care algorithms and system design features, which are designed using user-centered methods, are required. OBJECTIVE: To develop the decision algorithm and system requirements that will inform the pain management advice provided by a real-time smartphone-based pain management app for adolescents with cancer. METHODS: A systematic approach to algorithm development and system design was utilized. Initially, a comprehensive literature review was undertaken to understand the current body of knowledge pertaining to pediatric cancer pain management. A user-centered approach to development was used as the results of the review were disseminated to 15 international experts (clinicians, scientists, and a consumer) in pediatric pain, pediatric oncology and mHealth design, who participated in a 2-day consensus conference. This conference used nominal group technique to develop consensus on important pain inputs, pain management advice, and system design requirements. Using data generated at the conference, a prototype algorithm was developed. Iterative qualitative testing was conducted with adolescents with cancer, as well as pediatric oncology and pain health care providers to vet and refine the developed algorithm and system requirements for the real-time smartphone app. RESULTS: The systematic literature review established the current state of research related to nonpharmacological pediatric cancer pain management. The 2-day consensus conference established which clinically important pain inputs by adolescents would require action (pain management advice) from the app, the appropriate advice the app should provide to adolescents in pain, and the functional requirements of the app. These results were used to build a detailed prototype algorithm capable of providing adolescents with pain management support based on their individual pain. Analysis of qualitative interviews with 9 multidisciplinary health care professionals and 10 adolescents resulted in 4 themes that helped to adapt the algorithm and requirements to the needs of adolescents. Specifically, themes were overall endorsement of the system, the need for a clinical expert, the need to individualize the system, and changes to the algorithm to improve potential clinical effectiveness. CONCLUSIONS: This study used a phased and user-centered approach to develop a pain management algorithm for adolescents with cancer and the system requirements of an associated app. The smartphone software is currently being created and subsequent work will focus on the usability, feasibility, and effectiveness testing of the app for adolescents with cancer pain.
2014
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2196/resprot.3041" target="_blank" rel="noreferrer">10.2196/resprot.3041</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2014
Adolescent
algorithms
Backlog
Cafazzo JA
cellular phone
Jibb LA
Jmir Research Protocols
Journal Article
Nathan PC
Neoplasms
Pain
Seto Emily
Stevens BJ
Stinson JN
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1056/NEJMra041867" target="_blank" rel="noreferrer">http://doi.org/10.1056/NEJMra041867</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The serotonin syndrome
Publisher
An entity responsible for making the resource available
The New England Journal Of Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
Subject
The topic of the resource
Humans; Drug Interactions; P.H.S.; Research Support; U.S. Gov't; algorithms; Antidepressive Agents/adverse effects; Diagnostic Errors; Monoamine Oxidase Inhibitors/adverse effects; Overdose/complications; Serotonin Syndrome/chemically induced/diagnosis/drug therapy/physiopathology; Serotonin Uptake Inhibitors/adverse effects
Creator
An entity primarily responsible for making the resource
Boyer EW; Shannon M
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1056/NEJMra041867" target="_blank" rel="noreferrer">10.1056/NEJMra041867</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
Description
An account of the resource
2005
2005
algorithms
Antidepressive Agents/adverse effects
Backlog
Boyer EW
Diagnostic Errors
Drug Interactions
Humans
Journal Article
Monoamine Oxidase Inhibitors/adverse effects
Overdose/complications
P.H.S.
Research Support
Serotonin Syndrome/chemically induced/diagnosis/drug therapy/physiopathology
Serotonin Uptake Inhibitors/adverse effects
Shannon M
The New England Journal Of Medicine
U.S. Gov't
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1185/030079902125001164" target="_blank" rel="noreferrer">http://doi.org/10.1185/030079902125001164</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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New guidelines for the management of migraine in primary care
Publisher
An entity responsible for making the resource available
Current Medical Research And Opinion
Date
A point or period of time associated with an event in the lifecycle of the resource
2002
Subject
The topic of the resource
Humans; Questionnaires; Medical History Taking; Primary Health Care; Non-U.S. Gov't; Research Support; patient care team; referral and consultation; algorithms; Diagnosis; Differential; Patient Education; Migraine Disorders/diagnosis/prevention & control/therapy
Creator
An entity primarily responsible for making the resource
Dowson AJ; Lipscombe S; Sender J; Rees T; Watson D; Migraine In Primary Care Advisors (MIPCA) - Migraine Guidelines Development Group
Description
An account of the resource
Despite repeated initiatives over the past decade, migraine remains under-recognised, under-diagnosed and under-treated in everyday clinical practice. The Migraine in Primary Care Advisors (MIPCA) group has produced new guidelines for migraine management to attempt to rectify this situation. MIPCA is a group of physicians, nurses, pharmacists and other healthcare professionals dedicated to the improvement of headache management in primary care, who have also worked closely with the Migraine Action Association (the UK patients' group) in the development of these guidelines. The principles of the new MIPCA guidelines are: To arrange specific consultations for headache. To institute a system of detailed history taking, patient education and buy-in at the outset of the consultation. To utilise a new screening algorithm for the differential diagnosis of headache, which can be confirmed by further questioning, if necessary. To institute a process of management that is individualised for each patient, using a new algorithm. Assessing the impact on the patient's daily life is a key aspect of diagnosis and management. To prescribe only treatments that have objective evidence of favourable efficacy and tolerability. To utilise prospective follow-up procedures to monitor the success of treatment. To organise a team approach to headache management in primary care.
2002
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1185/030079902125001164" target="_blank" rel="noreferrer">10.1185/030079902125001164</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2002
algorithms
Backlog
Current Medical Research And Opinion
Diagnosis
Differential
Dowson AJ
Humans
Journal Article
Lipscombe S
Medical History Taking
Migraine Disorders/diagnosis/prevention & control/therapy
Migraine In Primary Care Advisors (MIPCA) - Migraine Guidelines Development Group
Non-U.S. Gov't
Patient Care Team
Patient Education
Primary Health Care
Questionnaires
Rees T
Referral And Consultation
Research Support
Sender J
Watson D
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=12837717" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=12837717</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Complexities in prognostication in advanced cancer: "to help them live their lives the way they want to"
Publisher
An entity responsible for making the resource available
Jama
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
Subject
The topic of the resource
Female; Physician-Patient Relations; Prognosis; Aged; Patient Participation; Survival Analysis; Antineoplastic Agents; 80 and over; Non-U.S. Gov't; P.H.S.; U.S. Gov't; algorithms; Human; Truth Disclosure; Support; Adenocarcinoma/drug therapy/secondary; Hormonal/therapeutic use; Skin Neoplasms/drug therapy/secondary; Stomach Neoplasms/drug therapy/pathology; Tamoxifen/therapeutic use
Creator
An entity primarily responsible for making the resource
Lamont EB; Christakis NA
Description
An account of the resource
Predicting survival and disclosing the prediction to patients with advanced disease, particularly cancer, is among the most difficult tasks that physicians face. With the de-emphasis of prognosis in favor of diagnosis and therapeutics in the medical literature, physicians may have difficulty finding the survival information they need to make appropriate estimates of survival for patients who develop cancer. Quite separate from the challenge of estimating survival accurately, physicians may also find the process of disclosing the prognosis to their patients difficult. Using the vignette of a real patient with advanced cancer who far outlived her physician's prognostic estimate, we discuss clinical issues related to the science of prognosis in advanced cancer and the art of its disclosure.
2003
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2003
80 And Over
Adenocarcinoma/drug therapy/secondary
Aged
algorithms
Antineoplastic Agents
Backlog
Christakis NA
Female
Hormonal/therapeutic use
Human
JAMA
Journal Article
Lamont EB
Non-U.S. Gov't
P.H.S.
Patient Participation
Physician-patient Relations
Prognosis
Skin Neoplasms/drug therapy/secondary
Stomach Neoplasms/drug therapy/pathology
Support
Survival Analysis
Tamoxifen/therapeutic use
Truth Disclosure
U.S. Gov't
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1001/archpedi.1993.02160320065021" target="_blank" rel="noreferrer">http://doi.org/10.1001/archpedi.1993.02160320065021</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Advice seeking and appropriate use of a pediatric emergency department
Publisher
An entity responsible for making the resource available
American Journal Of Diseases Of Children
Date
A point or period of time associated with an event in the lifecycle of the resource
1993
Subject
The topic of the resource
Child; Cross-Sectional Studies; Female; Humans; infant; Male; Questionnaires; Age Factors; Health Services Research; Severity of Illness Index; Sex Factors; Hospitals; Quebec; Emergency Service; adolescent; Hospital/utilization; Preschool; infant; Newborn; algorithms; Birth Order; Counseling/statistics & numerical data; Health Services Misuse/statistics & numerical data; Parents/education/psychology; Patient Acceptance of Health Care/statistics & numerical data; Pediatric/utilization; Teaching/utilization
Creator
An entity primarily responsible for making the resource
Oberlander T; Pless IB; Dougherty GE
Description
An account of the resource
OBJECTIVES: To determine whether seeking advice prior to an unscheduled visit to a pediatric emergency department (PED) influences appropriate use of this setting for minor illnesses. DESIGN: Cross-sectional questionnaire survey. SETTING: The medical emergency department of the Montreal (Quebec) Children's Hospital, a major referral and urban teaching hospital. PARTICIPANTS: Four hundred eighty-nine of 562 consecutive parents visiting the PED over two periods, one in February and the other in July 1989. INTERVENTIONS: None. MEASUREMENTS/MAIN RESULTS: Parents of children between 0 and 18 years of age visiting the PED were asked whether they had previously sought advice from family, friends, or a physician. Other factors possibly related to the decision to seek care were also measured. Appropriateness was rated, blind to discharge diagnosis, by two pediatricians using a structured series of questions incorporating the child's age, time of the visit, clinical state, and problem at presentation. Thirty-four percent of visits among respondents were judged appropriate. In bivariate analysis, appropriate visits occurred significantly more often when a parent spoke to both a physician and a nonphysician (47%) prior to visiting the PED than when no advice was sought (29%; P < .05). In multivariate analysis, having a regular physician and being one of two children also contributed to appropriateness. CONCLUSIONS: Appropriate use of the PED was positively influenced by seeking prior advice from both a physician and family member, having a regular physician, and having prior child care experience.
1993
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1001/archpedi.1993.02160320065021" target="_blank" rel="noreferrer">10.1001/archpedi.1993.02160320065021</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1993
Adolescent
Age Factors
algorithms
American Journal Of Diseases Of Children
Backlog
Birth Order
Child
Counseling/statistics & numerical data
Cross-sectional Studies
Dougherty GE
Emergency Service
Female
Health Services Misuse/statistics & numerical data
Health Services Research
Hospital/utilization
Hospitals
Humans
Infant
Journal Article
Male
Newborn
Oberlander T
Parents/education/psychology
Patient Acceptance Of Health Care/statistics & Numerical Data
Pediatric/utilization
Pless IB
Preschool
Quebec
Questionnaires
Severity Of Illness Index
Sex Factors
Teaching/utilization
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1097/00003246-200103000-00035" target="_blank" rel="noreferrer">http://doi.org/10.1097/00003246-200103000-00035</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Long-stay patients in the pediatric intensive care unit
Publisher
An entity responsible for making the resource available
Critical Care Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
Subject
The topic of the resource
Child; Female; Humans; Male; Intensive Care Units; Hospital Mortality; Logistic Models; Treatment Outcome; Comorbidity; Health Services Research; Severity of Illness Index; Risk Factors; Quality of Health Care; Sensitivity and Specificity; Analysis of Variance; Predictive Value of Tests; Cost Savings; Preschool; infant; algorithms; Pediatric/utilization; ICU Decision Making; United States/epidemiology; Age Distribution; Discriminant Analysis; Patient Admission/statistics & numerical data; Length of Stay/statistics & numerical data; Emergencies; Decision Trees; Intensive Care/economics/standards
Creator
An entity primarily responsible for making the resource
Marcin JP; Slonim AD; Pollack MM; Ruttimann UE
Description
An account of the resource
OBJECTIVE: Length of stay in the pediatric intensive care unit (PICU) is a reflection of patient severity of illness and health status, as well as PICU quality and performance. We determined the clinical profiles and relative resource use of long-stay patients (LSPs) and developed a prediction model to identify LSPs for early quality and cost saving interventions. DESIGN: Nonconcurrent cohort study. SETTING: A total of 16 randomly selected PICUs and 16 volunteer PICUs. PATIENTS: A total of 11,165 consecutive admissions to the 32 PICUs. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: LSPs were defined as patients having a length of stay greater than the 95th percentile (>12 days). Logistic regression analysis was used to determine which clinical characteristics, available within the first 24 hrs after admission, were associated with LSPs and to create a predictive algorithm. Overall, LSPs were 4.7% of the population but represented 36.1% of the days of care. Multivariate analysis indicated that the following factors are predictive of long stays: age <12 months, previous ICU admission, emergency admission, no CPR before admission, admission from another ICU or intermediate care unit, chronic care requirements (total parenteral nutrition and tracheostomy), specific diagnoses including acquired cardiac disease, pneumonia, and other respiratory disorders, having never been discharged from the hospital, need for ventilatory support or an intracranial catheter, and a Pediatric Risk of Mortality III score between 10 and 33. The performance of the prediction algorithm in both the training and validation samples for identifying LSPs was good for both discrimination (area under the receiver operating characteristics curve of 0.83 and 0.85, respectively), and calibration (goodness of fit, p = .33 and p = .16, respectively). LSPs comprised from 2.1% to 8.1% of individual ICU patients and occupied from 15.2% to 57.8% of individual ICU bed days. CONCLUSIONS: LSPs have less favorable outcomes and use more resources than non-LSPs. The clinical profile of LSPs includes those who are younger and those that require chronic care devices. A predictive algorithm could help identify patients at high risk of prolonged stays appropriate for specific interventions.
2001
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/00003246-200103000-00035" target="_blank" rel="noreferrer">10.1097/00003246-200103000-00035</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2001
Age Distribution
algorithms
Analysis of Variance
Backlog
Child
Comorbidity
Cost Savings
Critical Care Medicine
Decision Trees
Discriminant Analysis
Emergencies
Female
Health Services Research
Hospital Mortality
Humans
ICU Decision Making
Infant
Intensive Care Units
Intensive Care/economics/standards
Journal Article
Length Of Stay/statistics & Numerical Data
Logistic Models
Male
Marcin JP
Patient Admission/statistics & numerical data
Pediatric/utilization
Pollack MM
Predictive Value of Tests
Preschool
Quality Of Health Care
Risk Factors
Ruttimann UE
Sensitivity and Specificity
Severity Of Illness Index
Slonim AD
Treatment Outcome
United States/epidemiology
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=2066846" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=2066846</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Comparison of morphine and methadone for prevention of postoperative pain in 3- to 7-year-old children
Publisher
An entity responsible for making the resource available
Journal Of Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
1991
Subject
The topic of the resource
Child; Female; Male; Pain; Pain Measurement; Prospective Studies; Analysis of Variance; Double-Blind Method; Preschool; Non-U.S. Gov't; Comparative Study; Drug Evaluation; Human; Support; Postoperative/prevention & control; algorithms; Intraoperative Care; Methadone/adverse effects/pharmacokinetics/therapeutic use; Morphine/adverse effects/therapeutic use
Creator
An entity primarily responsible for making the resource
Berde CB; Beyer JE; Bournaki MC; Levin CR; Sethna NF
Description
An account of the resource
A randomized, double-blind, prospective study was performed to determine the effects of perioperative administration of morphine or methadone on postoperative analgesic requirements and pain scores in 35 children aged 3 to 7 years undergoing major surgery. After a standardized induction of anesthesia, methadone or morphine, 0.2 mg/kg, was blindly administered, and supplemental doses were titrated to achieve comfort in the recovery room. Pain was assessed during the next 36 hours with a combination of validated behavioral and self-report measures. Patients in the methadone group required fewer supplemental opioid analgesic drugs during the next 36 hours, and reported lower pain scores. No patient had prolonged emergence from anesthesia, and no patient required naloxone or postoperative ventilatory assistance. No major adverse events occurred. We conclude that perioperative intravenous administration of methadone is an effective, inexpensive, and technologically simple means for providing prolonged analgesia for children after surgery.
1991
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1991
algorithms
Analysis of Variance
Backlog
Berde CB
Beyer JE
Bournaki MC
Child
Comparative Study
Double-Blind Method
Drug Evaluation
Female
Human
Intraoperative Care
Journal Article
Journal of Pediatrics
Levin CR
Male
Methadone/adverse effects/pharmacokinetics/therapeutic use
Morphine/adverse effects/therapeutic use
Non-U.S. Gov't
Pain
Pain Measurement
Postoperative/prevention & control
Preschool
Prospective Studies
Sethna NF
Support