• Parental perceptions on use of artificial intelligence in pediatric acute care

    7 days ago - By Academic Pediatrics

    Family engagement is critical in the implementation of artificial intelligence -based clinical decision support tools, which will play an increasing role in healthcare in the future. We sought to understand parental perceptions of computer-assisted health care of children in the emergency department .
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  • A Clinical and Physiological Prospective Observational Study on the Management of Pediatric Shock in the Post-Fluid Expansion as Supportive Therapy Trial Era

    A Clinical and Physiological Prospective Observational Study on the Management of Pediatric Shock in the Post-Fluid Expansion as Supportive Therapy Trial Era

    7 days ago - By Pediatric Critical Care Medicine

    Objectives:
    Fluid bolus resuscitation in African children is harmful. Little research has evaluated physiologic effects of maintenance-only fluid strategy.
    Design:
    We describe the efficacy of fluid-conservative resuscitation of septic shock using case-fatality, hemodynamic, and myocardial function endpoints.
    Setting:
    Pediatric wards of Mbale Regional Referral Hospital, Uganda, and Kilifi County Hospital, Kenya, conducted between October 2013 and July 2015. Data were analysed from August 2016 to July 2019.
    Patients:
    Children with severe febrile illness and clinical signs of impaired...
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  • Clinical Decision Support in the PICU: Implications for Design and Evaluation

    Clinical Decision Support in the PICU: Implications for Design and Evaluation

    7 days ago - By Pediatric Critical Care Medicine

    Objectives:
    To assess the current landscape of clinical decision support tools in PICUs in order to identify priority areas of focus in this field.
    Design:
    International, quantitative, cross-sectional survey.
    Setting:
    Role-specific, web-based survey administered in November and December 2020.
    Subjects:
    Medical directors, bedside nurses, attending physicians, and residents/advanced practice providers at Pediatric Acute Lung Injury and Sepsis Network-affiliated PICUs.
    Interventions:
    None.
    Measurements and Main Results:
    The survey was completed by 109 respondents from 45 institutions...
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