October 2019, VOLUME 144 / ISSUE 4
Table of Contents
- Open AccessFood Insecurity, Health, and Development in Children Under Age Four YearsChloe R. Drennen, Sharon M. Coleman, Stephanie Ettinger de Cuba, Deborah A. Frank, Mariana Chilton, John T. Cook, Diana B. Cutts, Timothy Heeren, Patrick H. Casey, Maureen M. BlackPediatrics Oct 2019, 144 (4) e20190824; DOI: 10.1542/peds.2019-0824
Food insecurity among children <4 years of age is associated with poor health and development but not with obesity or underweight.
- Open AccessPrevalence and Trends of Developmental Disabilities among Children in the United States: 2009–2017Benjamin Zablotsky, Lindsey I. Black, Matthew J. Maenner, Laura A. Schieve, Melissa L. Danielson, Rebecca H. Bitsko, Stephen J. Blumberg, Michael D. Kogan, Coleen A. BoylePediatrics Oct 2019, 144 (4) e20190811; DOI: 10.1542/peds.2019-0811
From the 2009 to 2017 NHIS, there was a 9.5% increase in the prevalence of developmental disabilities among children aged 3 to 17.
- Open AccessAccuracy of Autism Screening in a Large Pediatric NetworkWhitney Guthrie, Kate Wallis, Amanda Bennett, Elizabeth Brooks, Jesse Dudley, Marsha Gerdes, Juhi Pandey, Susan E. Levy, Robert T. Schultz, Judith S. MillerPediatrics Oct 2019, 144 (4) e20183963; DOI: 10.1542/peds.2018-3963
In a primary care cohort that was universally screened and systematically followed-up, screening detected 39% of children with ASD, revealing lower accuracy than that of previous estimates.
- Open AccessScreening and Referral Practices for Autism Spectrum Disorder in Primary Pediatric CareSonia A. Monteiro, Jack Dempsey, Leandra N. Berry, Robert G. Voigt, Robin P. Goin-KochelPediatrics Oct 2019, 144 (4) e20183326; DOI: 10.1542/peds.2018-3326
Autism-specific screening should lead to earlier diagnosis of ASD, but providers may need guidance to act on failed screens.
- Open AccessTrends in Off-Label Drug Use in Ambulatory Settings: 2006–2015Divya Hoon, Matthew T. Taylor, Pooja Kapadia, Tobias Gerhard, Brian L. Strom, Daniel B. HortonPediatrics Oct 2019, 144 (4) e20190896; DOI: 10.1542/peds.2019-0896
Using nationally representative survey data from 2006 to 2015, in this study, we examined patterns of off-label systemic drug orders for children in ambulatory US settings.
- Open AccessRotavirus Epidemiology and Monovalent Rotavirus Vaccine Effectiveness in Australia: 2010–2017Julia E. Maguire, Keira Glasgow, Kathryn Glass, Susie Roczo-Farkas, Julie E. Bines, Vicky Sheppeard, Kristine Macartney, Helen E. QuinnPediatrics Oct 2019, 144 (4) e20191024; DOI: 10.1542/peds.2019-1024
After a rotavirus outbreak, we describe overall rotavirus disease epidemiology and evaluate VE in Australia’s largest state using notification, genotypic, and immunization register data.
- Open AccessHPV Vaccine Delivery Practices by Primary Care PhysiciansAllison Kempe, Sean T. O’Leary, Lauri E. Markowitz, Lori A. Crane, Laura P. Hurley, Michaela Brtnikova, Brenda L. Beaty, Elissa Meites, Shannon Stokley, Megan C. LindleyPediatrics Oct 2019, 144 (4) e20191475; DOI: 10.1542/peds.2019-1475
In this article, we report current HPV delivery practices by primary care physicians, demonstrating areas for improvement in style and strength of recommendations and practice-based delivery methods.
- Open AccessPolysomnography and Treatment-Related Outcomes of Childhood Sleep ApneaAmal Isaiah, Kevin D. Pereira, Gautam DasPediatrics Oct 2019, 144 (4) e20191097; DOI: 10.1542/peds.2019-1097
Causal mediation analysis of treatment-related outcomes of OSA in children reveals limited benefit for the use of polysomnographic thresholds in its management.
- Open AccessCeliac Disease Autoimmunity and Emotional and Behavioral Problems in ChildhoodRama J. Wahab, Sytske A. Beth, Ivonne P.M. Derks, Pauline W. Jansen, Henriëtte A. Moll, Jessica C. Kiefte-de JongPediatrics Oct 2019, 144 (4) e20183933; DOI: 10.1542/peds.2018-3933
In this study, we capture the associations between children with CDA identified by screening and emotional and behavioral problems in childhood.
- Open AccessNewborn Screening for Sickle Cell Disease Using Point-of-Care Testing in Low-Income SettingOfelia A. Alvarez, Tally Hustace, Mimose Voltaire, Alejandro Mantero, Ulrick Liberus, Rony Saint FleurPediatrics Oct 2019, 144 (4) e20184105; DOI: 10.1542/peds.2018-4105
The POC Sickle SCAN enhanced newborn screening in Haiti, making this an attractive strategy for low-income countries.
- Open AccessDepression, Anxiety, and Emergency Department Use for AsthmaNaomi S. Bardach, Caroline Neel, Lawrence C. Kleinman, Charles E. McCulloch, Robert Thombley, Bonnie T. Zima, Jacqueline Grupp-Phelan, Tumaini R. Coker, Michael D. CabanaPediatrics Oct 2019, 144 (4) e20190856; DOI: 10.1542/peds.2019-0856
In a state all-payer claims database, children with asthma who had anxiety, depression, or comorbid anxiety and depression had higher asthma-related ED use.
- Open AccessFeasibility and Accuracy of Fast MRI Versus CT for Traumatic Brain Injury in Young ChildrenDaniel M. Lindberg, Nicholas V. Stence, Joseph A. Grubenhoff, Terri Lewis, David M. Mirsky, Angie L. Miller, Brent R. O’Neill, Kathleen Grice, Peter M. Mourani, Desmond K. RunyanPediatrics Oct 2019, 144 (4) e20190419; DOI: 10.1542/peds.2019-0419
This study measured fast MRI completion rate, duration, and accuracy in 225 children who underwent head CT and received care at a pediatric ED.
- Open AccessChanges in the Management of Children With Brief Resolved Unexplained Events (BRUEs)Sriram Ramgopal, Kathleen A. Noorbakhsh, Clifton W. Callaway, Paria M. Wilson, Raymond D. PitettiPediatrics Oct 2019, 144 (4) e20190375; DOI: 10.1542/peds.2019-0375
In this study, we evaluate changes in the management of BRUE after publication of a national practice guideline from a multicenter administrative data set.
- Open AccessPneumonia Prevention Strategies for Children With Neurologic ImpairmentJody L. Lin, Keith Van Haren, Joseph Rigdon, Olga Saynina, Hannah Song, MyMy C. Buu, Yogita Thakur, Nivedita Srinivas, Steven M. Asch, Lee M. SandersPediatrics Oct 2019, 144 (4) e20190543; DOI: 10.1542/peds.2019-0543
In children with NI at risk for severe pneumonia, dental care is the only prevention strategy associated with decreased risk of recurrent severe pneumonia.
- Open AccessA Multistate Outbreak of E Coli O157:H7 Infections Linked to Soy Nut ButterRashida Hassan, Sharon Seelman, Vi Peralta, Hillary Booth, Mackenzie Tewell, Beth Melius, Brooke Whitney, Rosemary Sexton, Asha Dwarka, Duc Vugia, Jeff Vidanes, David Kiang, Elysia Gonzales, Natasha Dowell, Samantha M. Olson, Lori M. Gladney, Michael A. Jhung, Karen P. NeilPediatrics Oct 2019, 144 (4) e20183978; DOI: 10.1542/peds.2018-3978
This investigation identified a novel vehicle, a commercial soy nut butter, as the source of a multistate outbreak of STEC infections affecting mainly children.
- Open AccessRacial Differences in Sepsis Recognition in the Emergency DepartmentJenny Raman, Tiffani J. Johnson, Katie Hayes, Fran BalamuthPediatrics Oct 2019, 144 (4) e20190348; DOI: 10.1542/peds.2019-0348
We aimed to evaluate racial differences in pediatric sepsis recognition in a pediatric ED with an established electronic sepsis alert system.
- Open AccessNeonatal CPAP for Respiratory Distress Across Malawi and MortalityJennifer Carns, Kondwani Kawaza, Sara Liaghati-Mobarhan, Aba Asibon, Mary K. Quinn, Alfred Chalira, Norman Lufesi, Elizabeth Molyneux, Maria Oden, Rebecca Richards-KortumPediatrics Oct 2019, 144 (4) e20190668; DOI: 10.1542/peds.2019-0668
This quality-improvement initiative shows that scaling CPAP to all government hospitals in Malawi is feasible, reduces neonatal mortality, and can be sustained.
- Open AccessGender Differences in Earnings of Early- and Midcareer PediatriciansMary Pat Frintner, Blake Sisk, Bobbi J. Byrne, Gary L. Freed, Amy J. Starmer, Lynn M. OlsonPediatrics Oct 2019, 144 (4) e20183955; DOI: 10.1542/peds.2018-3955
In this study, we examine early- and midcareer pediatricians’ self-reported annual earnings in 2016 by gender.
- Open AccessGender Discrepancies Related to Pediatrician Work-Life Balance and Household ResponsibilitiesAmy J. Starmer, Mary Pat Frintner, Kenneth Matos, Chloe Somberg, Gary Freed, Bobbi J. ByrnePediatrics Oct 2019, 144 (4) e20182926; DOI: 10.1542/peds.2018-2926
In this study, we examine experiences and satisfaction of pediatricians with their household responsibilities and work-life balance and how these experiences differ by gender.
- Open AccessFood Insecurity During Early Childhood: Marker for Disparities in Healthy Growth and DevelopmentRachel S. Gross, Alan L. MendelsohnPediatrics Oct 2019, 144 (4) e20192430; DOI: 10.1542/peds.2019-2430
- Open AccessRotavirus Epidemiology and Vaccine Effectiveness: Continuing Successes and Ongoing ChallengesBenjamin Lee, E. Ross ColgatePediatrics Oct 2019, 144 (4) e20192426; DOI: 10.1542/peds.2019-2426
- Open AccessNewborn Screening With Sickle Cell Point of Care: A Valuable Resource in Low-Income SettingsRussell E. Ware, Isaac OdamePediatrics Oct 2019, 144 (4) e20191681; DOI: 10.1542/peds.2019-1681
- Open AccessThe Feasibility of Fast MRI to Reduce CT Radiation Exposure With Acute Traumatic Head InjuriesBrett Burstein, Christine Saint-MartinPediatrics Oct 2019, 144 (4) e20192387; DOI: 10.1542/peds.2019-2387
From the American Academy of Pediatrics
- Open AccessPediatric Application of Coding and Valuation SystemsDavid M. Kanter, Richard Lander, Richard A. Molteni, COMMITTEE ON CODING AND NOMENCLATURE, PRIVATE PAYER ADVOCACY ADVISORY COMMITTEEPediatrics Oct 2019, 144 (4) e20192496; DOI: 10.1542/peds.2019-2496
- Open AccessPediatric Application of Coding and Valuation SystemsDavid M. Kanter, Richard A. Molteni, COMMITTEE ON CODING AND NOMENCLATUREPediatrics Oct 2019, 144 (4) e20192498; DOI: 10.1542/peds.2019-2498
- Open AccessExecutive Summary: Criteria for Critical Care of Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care GuidanceBenson S. Hsu, Vanessa Hill, Lorry R. Frankel, Timothy S. Yeh, Shari Simone, Marjorie J. Arca, Jorge A. Coss-Bu, Mary E. Fallat, Jason Foland, Samir Gadepalli, Michael O. Gayle, Lori A. Harmon, Christa A. Joseph, Aaron D. Kessel, Niranjan Kissoon, Michele Moss, Mohan R. Mysore, Michele C. Papo, Kari L. Rajzer-Wakeham, Tom B. Rice, David L. Rosenberg, Martin K. Wakeham, Edward E. Conway, Michael S.D. AgusPediatrics Oct 2019, 144 (4) e20192433; DOI: 10.1542/peds.2019-2433
- Open AccessSchool-aged Children Who Are Not Progressing Academically: Considerations for PediatriciansCeliane Rey-Casserly, Laura McGuinn, Arthur Lavin, COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH,SECTION ON DEVELOPMENTAL AND BEHAVIORAL PEDIATRICSPediatrics Oct 2019, 144 (4) e20192520; DOI: 10.1542/peds.2019-2520
- Open AccessClinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and AdolescentsMark L. Wolraich, Joseph F. Hagan, Carla Allan, Eugenia Chan, Dale Davison, Marian Earls, Steven W. Evans, Susan K. Flinn, Tanya Froehlich, Jennifer Frost, Joseph R. Holbrook, Christoph Ulrich Lehmann, Herschel Robert Lessin, Kymika Okechukwu, Karen L. Pierce, Jonathan D. Winner, William Zurhellen, SUBCOMMITTEE ON CHILDREN AND ADOLESCENTS WITH ATTENTION-DEFICIT/HYPERACTIVE DISORDERPediatrics Oct 2019, 144 (4) e20192528; DOI: 10.1542/peds.2019-2528
- Open AccessBuilding Trust: Clergy and the Call to Eliminate Religious ExemptionsJoshua T.B. Williams, Abraham M. Nussbaum, Sean T. O’LearyPediatrics Oct 2019, 144 (4) e20190933; DOI: 10.1542/peds.2019-0933
The AAP has prioritized eliminating religious vaccine exemptions. Clergy are key stakeholders with diverse vaccination views. Community-centered approaches are essential to building trust with them.
Advocacy Case Study
- Open AccessComplete Eats: Summer Meals Offered by the Emergency Department for Food InsecurityDanielle Cullen, Abigail Blauch, Morgan Mirth, Joel FeinPediatrics Oct 2019, 144 (4) e20190201; DOI: 10.1542/peds.2019-0201
How can community-clinical partnerships address food insecurity? This advocacy case study describes the implementation and evaluation of the summer meal program in an ED.
- Open AccessScreening Children for Social Determinants of Health: A Systematic ReviewRebeccah Sokol, Anna Austin, Caroline Chandler, Elizabeth Byrum, Jessica Bousquette, Christiana Lancaster, Ginna Doss, Andrea Dotson, Venera Urbaeva, Bhavna Singichetti, Kanisha Brevard, Sarah Towner Wright, Paul Lanier, Meghan ShanahanPediatrics Oct 2019, 144 (4) e20191622; DOI: 10.1542/peds.2019-1622
In this systematic review, we catalog SDOH screening tools used among children and evaluate how the tools detect early indicators of risk and inform care.
- Open AccessParenting Behavior and Child Language: A Meta-analysisSheri Madigan, Heather Prime, Susan A. Graham, Michelle Rodrigues, Nina Anderson, Jennifer Khoury, Jennifer M. JenkinsPediatrics Oct 2019, 144 (4) e20183556; DOI: 10.1542/peds.2018-3556
In this meta-analysis of 39 samples, we synthesize the evidence on parenting behavior and the development of children’s language skills.
- Open AccessThe Impact of Physical Activity on Brain Structure and Function in Youth: A Systematic ReviewSarah Ruth Valkenborghs, Michael Noetel, Charles H. Hillman, Michael Nilsson, Jordan J. Smith, Francisco B. Ortega, David Revalds LubansPediatrics Oct 2019, 144 (4) e20184032; DOI: 10.1542/peds.2018-4032
In this article, we present a qualitative systematic review of MRI studies in which the impact of physical activity on brain structure and function in youth have been examined.
State-of-the-Art Review Article
- Open AccessMoving Beyond the Stethoscope: Diagnostic Point-of-Care Ultrasound in Pediatric PracticeThomas W. Conlon, Akira Nishisaki, Yogen Singh, Shazia Bhombal, Daniele De Luca, David O. Kessler, Erik R. Su, Aaron E. Chen, María V. FragaPediatrics Oct 2019, 144 (4) e20191402; DOI: 10.1542/peds.2019-1402
We describe the current and emerging use of diagnostic POCUS by noncardiology and nonradiology clinicians in the care of pediatric patients.
- Open AccessThe 2019 Joseph W. St. Geme, Jr Leadership Award Address: Ubuntu: The Power of Social ConnectionsF. Bruder StapletonPediatrics Oct 2019, 144 (4) e20191887; DOI: 10.1542/peds.2019-1887
- Open AccessADHD Diagnosis and Treatment Guidelines: A Historical PerspectiveMark L. Wolraich, Eugenia Chan, Tanya Froehlich, Rachel L. Lynch, Ami Bax, Susan T. Redwine, Demvihin Ihyembe, Joseph F. HaganPediatrics Oct 2019, 144 (4) e20191682; DOI: 10.1542/peds.2019-1682
This article is about the history of the diagnosis and treatment of ADHD and its relevance to the development of ADHD guidelines for primary pediatric clinicians.
- Open AccessFailure to Provide Adequate Palliative Care May Be Medical NeglectCarly Levy, Kristin S. Weeks, Rebecca J. Benson, Jonathan M. Miller, Jennifer Higgins, Stephanie Anne Deutsch, John D. LantosPediatrics Oct 2019, 144 (4) e20183939; DOI: 10.1542/peds.2018-3939
Parents have an ethical and legal obligation to provide appropriate medical care for their children. Does this include their provision of appropriate palliative treatments?
- Open AccessImproving Emergency Department Management of Diabetic Ketoacidosis in ChildrenShannon H. Baumer-Mouradian, Matthew P. Gray, Peter M. Wolfgram, Matthew Kopetsky, Franklin Chang, David C. Brousseau, Mogen M. Frenkel, Catherine C. FergusonPediatrics Oct 2019, 144 (4) e20182984; DOI: 10.1542/peds.2018-2984
Through the implementation of POC testing, this study dramatically reduced DKA diagnostic time, IV placements, and ED LOS for children with diabetes.
- Open AccessReducing Streptococcal Testing in Patients <3 Years Old in an Emergency DepartmentTania Ahluwalia, Shobhit Jain, Laura Norton, Jennifer Meade, Jana Etherton-Still, Angela MyersPediatrics Oct 2019, 144 (4) e20190174; DOI: 10.1542/peds.2019-0174
A QI project aimed at reducing RSTs in the ED in patients aged <3 years.
- Open AccessMycoplasma pneumoniae Carriage With De Novo Macrolide-Resistance and Breakthrough PneumoniaAmmar Saadoon Alishlash, Thomas Prescott Atkinson, Charles Schlappi, Sixto M. Leal, Ken B. Waites, Li XiaoPediatrics Oct 2019, 144 (4) e20191642; DOI: 10.1542/peds.2019-1642
We report a case of chronic Mycoplasma pneumoniae carriage with de novo macrolide-resistance mutations in an immunocompromised child enabling a breakthrough invasive pulmonary infection.
- Open AccessCongenital Syphilis Misdiagnosed as Suspected Nonaccidental TraumaKimberley Jacobs, David M. Vu, Vidya Mony, Elvera Sofos, Nadav BuziPediatrics Oct 2019, 144 (4) e20191564; DOI: 10.1542/peds.2019-1564
CS presented as a long bone fracture. Current prenatal screening guidelines are reviewed with arguments to consider their re-evaluation given rising rates of syphilis.
- Open AccessSuccessful Medical Management of Life-threatening Hepatic Hemangioma in NeonatesRamrada Lekwuttikarn, Shellie Josephs, Joyce M. TengPediatrics Oct 2019, 144 (4) e20191339; DOI: 10.1542/peds.2019-1339
Complicated HHs carry a high risk of morbidity; we report 2 cases of life-threatening HH that were managed successfully with medical therapies.
- Open AccessPuopolo KM, Lynfield R, Cummings JJ; American Academy of Pediatrics, Committee on Fetus and Newborn, Committee on Infectious Diseases. Management of Infants at Risk for Group B Streptococcal Disease. Pediatrics. 2019;144(2):e20191881Pediatrics Oct 2019, 144 (4) e20192350; DOI: 10.1542/peds.2019-2350
- Open AccessBernstein AS, Oken E, de Ferranti S; Council on Environmental Health; Committee on Nutrition. Fish, Shellfish, and Children’s Health: An Assessment of Benefits, Risks, and Sustainability. Pediatrics. 2019;143(6):e20190999Pediatrics Oct 2019, 144 (4) e20192403; DOI: 10.1542/peds.2019-2403