Croup is an acute upper respiratory disease primarily caused by the parainfluenza virus. Owing to inflammation and edema of airways, children present with barky cough stridor, some may experience distress. We investigated aged < 5 years coronavirus 2019 (COVID-19) admitted two hospitals in Seoul, South Korea, observed a spike croup cases during omicron surge. Among 569 from March 1, 2021 February 25, 2022, 21 (3.7%) had croup, proportion was significantly higher wave than that delta (12.4%...

Abstract Background Prolonged emergency department length of stay (EDLOS) in critically ill patients leads to increased mortality. This nationwide study investigated patient and hospital characteristics associated with prolonged EDLOS in-hospital mortality adult admitted from the (ED) intensive care unit (ICU). Methods We conducted a retrospective cohort using data National Emergency Department Information System. was defined as an ≥ 6 h. constructed multivariate logistic regression models...

Despite the high prevalence of potential drug-drug interactions in pediatric intensive care units, their clinical relevance and significance are unclear. We assessed characteristics risk factors clinically relevant to facilitate efficient monitoring units. This retrospective cohort study reviewed medical records 159 patients aged <19 years who were hospitalized unit at Seoul National University Hospital (Seoul, Korea) for ≥3 days between August 2019 February 2020. Potential screened using...

Abstract The aim of this study was to develop a predictive model pediatric mortality in the early stages intensive care unit (ICU) admission using machine learning. Patients less than 18 years old who were admitted ICUs at four tertiary referral hospitals enrolled. Three designated as derivation cohort for learning development and internal validation, other hospital validation external validation. We developed random forest (RF) that predicts within 72 h ICU admission, evaluated its...

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on the neurodevelopment of children. However, precise effects virus and social consequences pediatric are not yet fully understood. We aimed to compare children between before during COVID-19 pandemic, as well examine socioeconomic status (SES) regional differences development. Methods study used Korean Developmental Screening Test difference in risk neurodevelopmental delay pandemic....

This study employed a longitudinal analysis to evaluate the association between coronavirus disease 2019 pandemic and neurodevelopment by analyzing over 1.8 million children from Korean Developmental Screening Test for Infants Children included in South Korea's National Health Program. We compared developmental outcomes five age groups-9-17 months, 18-29 30-41 42-53 54-65 months-between pre-pandemic (2018-2019) (2020-2021) periods. Significant increases potential delays were observed during...

PC are a main cause of death following HSCT in children. We aimed to evaluate early predictors mortality paediatric recipients with PCs. A retrospective observational study 35 patients 49 episodes PI on chest radiography (of 124 patients) who had undergone at tertiary university hospital between January 2011 and December 2012 was performed. During follow-up (median 26.1 months), 15 led (30.6%). An aetiologic diagnosis made by non-invasive tests 24 (49.0%) adding bronchoalveolar lavage and/or...

Abstract Early detection of deteriorating patients is important to prevent life-threatening events and improve clinical outcomes. Efforts have been made detect or major such as cardiopulmonary resuscitation, but previously developed tools are often complicated time-consuming, rendering them impractical. To overcome this problem, we designed study create a deep learning prediction model that predicts critical with simplified variables. This retrospective observational included under the age...

Background Despite the rising trend of tracheostomies in children, there is a lack comprehensive resources for families to navigate challenges living with tracheostomy, emphasising need evidence-based support understanding postoperative care and long-term adjustments. This study aimed examine pattern using healthcare services nationwide medical outcomes children who underwent tracheotomy before age 2 years. Methods retrospective used National Health Insurance System database from 2008 2016...

<title>Abstract</title> Accurate assessment of pediatric vital signs is critical for detecting abnormalities and guiding medical interventions, but establishing normal ranges challenging due to physiological variations. Efficient tools clinical use are necessary. Our study analyzed 1,369,608 records from the National Emergency Department Information System Korea, focusing on patients under 15 years old admitted between January 2016 December 2017. We developed age-specific centile curves...

Optimal sedation assessment in critically ill children remains challenging due to the subjective nature of behavioral scales and intermittent evaluation schedules. This study aimed develop a deep learning model based on heart rate variability (HRV) parameters vital signs predict effective safe levels pediatric patients.

Abstract Background Some infants with severe bronchopulmonary dysplasia (sBPD) are referred to higher‐level centers for multidisciplinary care, including the pediatric intensive care unit (PICU). However, information regarding these is limited in PICUs. Methods We investigated characteristics and outcomes of preterm sBPD PICU a tertiary hospital. This retrospective cohort study included 14 who were transferred beyond 40 weeks’ postmenstrual age (PMA) because weaning failure, from January 1,...

6세 남아가 인플루엔자 A 바이러스 감염 이후 급성 호흡부전 상태에서 내원하였다. 기관 삽관 인공 호흡 및 산화 질소 공급에도 호흡성 산증 저산소증의 호전이 없어 내원 9시간 체외막 산소 공급을 이용하여 보조를 시행하였다. 12시간 기관지경을 우측 중간 기관지부터 상엽 구멍을 막고 있는 단단한 점액 마개를 제거하였다. 환자는 신경계와 호흡기계 후유증 없이 퇴원하였다. 저자들은 플라스틱 기관지염으로 인한 부전 상태의 환자에서 신속한 공급 기관지경술의 처치를 시행함으로써 치료한 사례를 보고한다.

Laryngotracheobronchitis (LTB) is a common disease in the pediatric population, and it rarely caused by fungal infection.Acute respiratory failure LTB mainly occurs immunocompromised patients, early diagnosis closely associated with morbidity mortality.However, an appropriate challenging for pediatricians because symptoms signs of Aspergillus spp.are nonspecific.Here, we report case progressive pseudomembranous child suspicion primary immunodeficiency highlight importance investigation,...

Pediatric Index of Mortality 3 (PIM 3) and Logistic Organ Dysfunction-2 (PELOD-2) are validated tools for predicting mortality in children. Research suggests that these may have different predictive performance depending on patient group characteristics. Therefore, we designed this study to identify the factors make rates predicted by different.This retrospective included patients (<18 years) who were admitted a pediatric intensive care unit from July 2017 May 2019. After defining PIM minus...

Background: Various rapid response systems have been developed to detect clinical deterioration in patients. Few studies evaluated single-parameter children compared scoring systems. Therefore, this study we a system called the acute (ARS).Methods: This retrospective was performed at tertiary children’s hospital. Patients under 18 years old admitted from January 2012 August 2023 were enrolled. ARS parameters such as systolic blood pressure, heart rate, respiratory oxygen saturation, and...

Gorham-Stout syndrome is a rare bone disorder characterized by progressive massive osteolysis and proliferation of vascular lymphatic vessels. A 15-year-old boy was initially diagnosed with at the age 8 years based on clinical radiological findings. Following diagnosis, he treated pamidronate, interferon alfa, propranolol, oral corticosteroids, sirolimus. He developed proteinuria 15 progressed into nephrotic range 2 later. renal biopsy revealed focal segmental glomerulosclerosis, not...

Abstract Background: Prolonged emergency department length of stay (EDLOS) in critically ill patients leads to adverse outcomes, including an increased mortality risk. This nationwide study investigated patient and hospital characteristics associated with prolonged EDLOS in-hospital adult admitted from the (ED) intensive care unit (ICU). Methods : We conducted a retrospective cohort using data National Emergency Department Information System. was defined as 6 h or more. constructed...