Heart rate (HR) increases with increasing body temperature. Previous studies have characterized the relationship among HR, age, and temperature for patients in primary care and emergency department settings but not in hospitalized children.

Our data demonstrate an overall increase in HR by ~10 beats/minute for each 1°C increase in body temperature. Expected heart rates for hospitalized children differ from those for primary care and emergency department patients at the same age and temperature. (Read the full article)

Meaningful use (MU) incentive payments have been developed to encourage adoption and use of electronic health records (EHRs). Several studies have revealed children’s hospitals have unique barriers to the use of EHRs but were relatively early adopters of information technology.

Although a minority of children’s hospitals have succeeded with MU incentives, freestanding children’s hospitals are significantly more likely to succeed. Improvement of EHRs for pediatric use should focus on information exchange, quality reporting, and MU relevance to pediatrics. (Read the full article)

Distribution of infant formula discharge packs to breastfeeding mothers is common practice in maternity care facilities in the United States. Receiving discharge packs is associated with shortened exclusive breastfeeding duration. Many efforts have been made to discourage this practice.

From 2007 to 2013, there has been a marked reduction in distribution of discharge packs containing infant formula to breastfeeding mothers in hospitals and birth centers in the United States. (Read the full article)

The 2011 national guidelines for the management of pediatric community-acquired pneumonia recommended narrow-spectrum antibiotic therapy (eg, ampicillin) for most children hospitalized with pneumonia. Before the release of the guidelines, the use of broader-spectrum antibiotics (eg, third-generation cephalosporins) was much more common.

After release of the guidelines, third-generation cephalosporin use declined and penicillin/ampicillin use increased among children hospitalized with pneumonia. Changes were most apparent among institutions that proactively disseminated the guidelines, underscoring the importance of local efforts for timely guideline implementation. (Read the full article)

Although existing analyses of inpatient pediatric pulmonary hypertension (PH) care have established an association with substantial morbidity and mortality, these investigations have been limited to small single-institution series or focused registries representative of selected patient subgroups.

This study provides the first contemporary, national trend analysis of inpatient care for children with PH. Pediatric PH is associated with a rapidly increasing number of hospital discharges and magnitude of resource utilization, and the makeup of this population is changing. (Read the full article)

Hospital quality-of-care measures are publicly reported to inform consumer choice and stimulate quality improvement. The number of hospitals and states with a sufficient number of pediatric hospital discharges to detect worse-than-average pediatric inpatient care quality remains unknown.

Most children are admitted to hospitals in which all-condition measures of inpatient quality are powered to show differences in performance from average, but most condition-specific measures are not. Policy on incentives for pediatric inpatient quality should take these findings into account. (Read the full article)

Childhood inflammatory mediators are associated with adult obesity, but the stimuli that initiate and perpetuate chronic inflammation start in early life are largely unknown.

Childhood infection-related hospitalization was independently associated with adverse adult metabolic variables, which suggests that infections and/or their treatment in childhood may contribute to causal pathways leading to adult cardiometabolic diseases. (Read the full article)

Concern of the risk of malignancy from ionizing radiation has prompted many to advocate for judicious use of computed tomography (CT) and as low as necessary radiation doses administered per scan. Recent analysis has shown a decline in CT utilization.

We identified decreases in CT utilization between 2004 and 2012 for the 10 most common diagnostic groups receiving CT. Decreases were typically associated with increases in alternate imaging modalities. We provide a possible reason for the decrease in CT utilization. (Read the full article)

Infants with neonatal abstinence syndrome are hospitalized for longer after birth and are more likely to be from highly vulnerable families. Determining long-term outcomes is difficult because this is a large and chaotic population.

(Read the full article)

Children with life-threatening complex chronic conditions (LT-CCCs) experience high hospital use.

Hospital use in the last year of life for these children varies by type and number of LT-CCCs. Most children with ≥3 LT-CCCs are admitted to the hospital for more than 2 months in the last year of life. (Read the full article)

Children with medical complexity require a disproportionate amount of health services due to a multitude of chronic severe illness, and their impact on the health care system appears to be increasing.

This study provides one of the first comparisons of health care utilization patterns for children with medical complexity between medical centers in a population-based cohort. (Read the full article)

Communication between parents and providers is an important driver of parent experience of care. The impact of nighttime communication, which has become increasingly relevant after changes in resident physician duty hours, on parent experience is unknown.

Parent communication with nighttime doctors and nurses, and parent perceptions of communication and teamwork between these providers, may be important drivers of parent experience. Efforts to improve nighttime communication, both with parents and between team members, may improve parent experience. (Read the full article)

Given the efforts to decrease the use of ionizing radiation in pediatric patients, there is significant variability in head computed tomography (CT) scan use in pediatric emergency departments for minor head trauma.

This study characterized variability in CT scan rates for all body regions in emergency department, observation, and inpatient encounters across 30 tertiary pediatric hospitals. Two-fold variation remained after case-mix adjustment, with higher volume hospitals having lower rates of CT scanning. (Read the full article)

Receiving primary care in a high-quality medical home may lead to reductions in hospital or emergency department (ED) utilization; however, the relationship between the medical home and postdischarge hospitalizations and ED visits is poorly understood.

Readmission rates vary markedly based on data source and definition. Unplanned readmissions were associated with absence of a usual source of well and sick care but not other medical home components. Lack of parent confidence at discharge identified patients at high risk for readmissions and ED visits shortly after discharge. (Read the full article)

Objectives: Empiric antibiotic prescribing can be supported by guidelines and/or local antibiograms, but these have limitations. We sought to use data from a comprehensive electronic health record to use statistical learning to develop predictive models for individual antibiotics that incorporate patient-, and hospital-specific factors. This paper reports on the development and validation of these models on a large retrospective cohort.

Methods: This is a retrospective cohort study including hospitalized patients with positive urine cultures in the first 48 hours of hospitalization at a 1500 bed, tertiary care hospital over a 4.5 year period. All first urine cultures with susceptibilities were included. Statistical learning techniques, including penalized logistic regression, were used to create predictive models for cefazolin, ceftriaxone, ciprofloxacin, cefepime, and piperacillin-tazobactam. These were validated on a held-out cohort.

Results: The final dataset used for analysis included 6,366 patients. Final model covariates included demographics, comorbidity score, recent antibiotic use, recent antimicrobial resistance, and antibiotic allergies. Models had acceptable to good discrimination in the training dataset and acceptable performance in the validation dataset, with a point estimate for area under the receiver operating characteristic curve (AUC) that ranged from 0.65 for ceftriaxone to 0.69 for cefazolin. All models had excellent calibration.

Conclusion: In this study we used electronic health record data to create predictive models to estimate antibiotic susceptibilities for UTIs in hospitalized patients. Our models had acceptable performance in a held-out validation cohort.

BACKGROUND AND OBJECTIVES:

The albuterol dropper bottle used to prepare solutions for continuous nebulization contains the preservative benzalkonium chloride (BAC). BAC, by itself, has been shown to cause bronchospasm. We hypothesized that BAC would decrease the therapeutic efficacy of albuterol in patients with acute asthma exacerbations.

Penn State Health has enrolled its first COVID-19 patient into an experimental treatment program called convalescent plasma therapy.

It is crucial that all children are provided with high-quality and safe health care. Pediatric inpatient needs are unique in regard to policies, equipment, facilities, and personnel. The intent of this clinical report is to provide recommendations for the resources necessary to provide high-quality and safe pediatric inpatient medical care.

Katherine H. Burns
Oct 1, 2010; 126:638-646
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Richard A. Ehrenkranz
Aug 1, 1999; 104:280-289
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Kohei Hasegawa
Jul 1, 2013; 132:28-36
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Kate Costeloe
Oct 1, 2000; 106:659-671
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Tamara D. Simon
Oct 1, 2010; 126:647-655
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The IMpact-RSV Study Group
Sep 1, 1998; 102:531-537
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As a student in Penn State's College of Information Sciences and Technology, Steve Ney learned critical skills, from coding to data design and architecture. Today, he applies that foundation in his "dream job" as a healthcare data analyst for Geisinger Health, where he uses those skills to help produce visual outputs for doctors and staff to utilize in caring for patients.

A woman in Halle, Germany, comes to know Christ during her stay in the hospital.

Penn State Scranton recently donated personal protective equipment (PPE) to two local hospitals, Geisinger Community Medical Center and Commonwealth Health Moses Taylor Hospital, to help them during the growing coronavirus pandemic.

The majority of pediatric hospitalization costs are associated with the room; improvement projects that address room costs could have the most financial impact.

Amid a spurt in coronavirus cases in the national capital, the Delhi government has roped in three more private hospitals with a total of 150 beds to treat COVID-19 patients.

Former Uttar Pradesh chief minister and Samajwadi Party founder Mulayam Singh Yadav was discharged from a Lucknow hospital where he was admitted after he complained of stomach and urine-related...

NEW CASTLE (Aug. 21, 2019) – The Delaware Hospital for the Chronically Ill (DHCI) is seeking community volunteers to assist residents during its upcoming Family & Friends Day event at the facility’s grounds in Smyrna. Volunteers are needed to help make sure all of the residents are able to enjoy the day’s activities. Groups and […]

NEW CASTLE (Oct. 23, 2019) – “Remembering Farnhurst: Stories from the Delaware State Hospital, 1894-1920,” a new book by local anthropologist Katherine A. Dettwyler, details the early history of the Delaware State Hospital, now known as the Delaware Psychiatric Center. Dettwyler spent four years transcribing seven State Hospital ledgers that detailed the admission and clinical […]

Andhra Pradesh chief minister YS Jagan Mohan Reddy has constituted a high-level committee to probe into the gas leak and announced an ex-gratia of Rs 1 crore to each of the families of the nine who lost their lives.

Kerala has flattened the coronavirus curve 100 days after the first case was confirmed, state Finance Minister Thomas Isaac tweeted Saturday morning, adding that there were only 16 active cases in...

H.E.L.P. to include more industries and additional small businesses WILMINGTON, Del. –  Governor John Carney on Thursday announced the expansion of the Hospitality Emergency Loan Program (H.E.L.P.) to provide financial relief for additional industries impacted because of coronavirus (COVID-19). The expansion makes personal care services businesses – such as barber shops, hair salons, nail salons, and beauty shops […]

SMYRNA (April 5, 2020) – The Delaware Division of Public Health (DPH) is announcing 80 additional positive cases bringing the total cases related to coronavirus disease 2019 (COVID-19) to 673, including 6 new hospitalizations across the state. No new fatalities were reported today in the state. The latest Delaware COVID-19 case statistics, cumulatively since March 11, include: 673 total laboratory-confirmed […]

NEW CASTLE (May 8, 2020) – The Department of Health and Social Services (DHSS) is announcing three more deaths from coronavirus disease 2019 (COVID-19) involving residents of Delaware Hospital for the Chronically Ill (DHCI) in Smyrna. Their deaths bring the total of residents or patients from DHSS’ 24/7 facilities who have died to 10. Two […]

Museums and historic sites are among the organizations eligible for support.

The post Loans available for Delaware’s hospitality industry impacted by coronavirus appeared first on Division of Historical and Cultural Affairs - State of Delaware.

Originally, hospital ships were designed for military use to treat the wounded during wartime. The ships also provide relief to the hospitals on land, and they may dock near natural disasters.

SHORT messaging services (SMS) on mobile phones will be restored in Jammu and Kashmir Tuesday midnight, the 150th day since the government suspended it in the erstwhile state.

The coronavirus impact could render 3.8 crore people jobless, which is around 70 per cent of the total workforce in the tourism and hospitality sector, according to a grouping.

That’s increasingly important in a health-care market where patients have more choices, such as going to an urgent care clinic rather than a hospital emergency room.

The hospital’s admissions and out patient department services were sealed on March 28 after two nurses tested positive that day.