Preparticipation ECG Screening of Young Athletes: The Controversy Continues
SUMMARY AND COMMENT
November 4, 2009
Robin Drucker, MD
Implementation of the Lausanne recommendations in a Dutch population yielded similar results as in the original Italian population.
Reviewing:
Bessem B et al., Br J Sports Med 2009 Sep; 43:708
Papadakis M and Sharma S., Br J Sports Med 2009 Sep; 43:663
Cardiovascular Screening in Young Athletes: Missed Opportunities
SUMMARY AND COMMENT
Only 17% of state high-school athletic associations' preparticipation forms contain all recommended cardiac screening questions.
Reviewing:
Rausch CM and Phillips GC., J Pediatr 2009 Oct; 155:584
Can We Improve Teenage Driving?
SUMMARY AND COMMENT
Few rules set by parents and teens' access to their own cars might increase the risk for a car accident.
Reviewing:
García-España JF et al., Pediatrics 2009 Oct; 124:1069
Ginsburg KR et al., Pediatrics 2009 Oct; 124:1040
Antibiotic Prophylaxis for Children with UTIs
SUMMARY AND COMMENT
Prophylaxis was associated with a modest but significant reduction in recurrent UTI.
Reviewing:
Craig JC et al., N Engl J Med 2009 Oct 29; 361:1748
Hoberman A and Keren R., N Engl J Med 2009 Oct 29; 361:1804
Family-Based Treatment of Obese Children
SUMMARY AND COMMENT
Long-term weight loss was associated with higher attendance at intervention sessions.
Reviewing:
Kalarchian MA et al., Pediatrics 2009 Oct; 124:1060
Screen for Screen Time
SUMMARY AND COMMENT
In a large national sample of children, television and computer use were associated with increased risk for obesity.
Reviewing:
Russ SA et al., Acad Pediatr 2009 Sep/Oct; 9:300
Sargent JD., Acad Pediatr 2009 Sep/Oct; 9:289
Prophylactic Acetaminophen Blunts Immunogenicity of Childhood Vaccinations
SUMMARY AND COMMENT
Routine prophylactic use of acetaminophen at the time of childhood immunizations should be reconsidered.
Reviewing:
Prymula R et al., Lancet 2009 Oct 17; 374:1339
Developmental Effect of Very Low Lead Levels: What Does It Mean?
SUMMARY AND COMMENT
Toddlers with lead levels of 5–10 µg/dL had slightly lower reading and writing scores at age 7–8 years.
Reviewing:
Chandramouli L et al., Arch Dis Child 2009 Sep 21
Screening for Hyperbilirubinemia in Infants
SUMMARY AND COMMENT
The lack of evidence must be balanced by the risk for kernicterus.
Reviewing:
Kuzniewicz MW et al., Pediatrics 2009 Oct; 124:1031
Trikalinos TA et al., Pediatrics 2009 Oct; 124:1162
US Preventive Services Task Force., Pediatrics 2009 Oct; 124:1172
Fay DL et al., Pediatrics 2009 Oct; 124:1203
Maisels MJ et al., Pediatrics 2009 Oct; 124:1193
Newman TB., Pediatrics 2009 Oct; 124:1199
Intensive Blood Pressure Control Slows Progression of Chronic Kidney Disease in Children
SUMMARY AND COMMENT
The renoprotective effect of blood pressure control is independent of ACE inhibition.
Reviewing:
The ESCAPE Trial Group., N Engl J Med 2009 Oct 22; 361:1639
Ingelfinger JR., N Engl J Med 2009 Oct 22; 361:1701