JAMA Pediatrics

2023 JAMA Pediatrics

doi: 10.1001/jamapediatrics.2022.3902pmid: 37395747

Meléndez García, Carlos E.; Coulter, Robert W. S.

2023 JAMA Pediatrics

doi: 10.1001/jamapediatrics.2023.1053pmid: 37155192

This Viewpoint proposes ways to promote safe spaces for sexual and gender minority health care professionals and patients.

Carter, Michael C.

2023 JAMA Pediatrics

doi: 10.1001/jamapediatrics.2023.1056pmid: 37184878

This Viewpoint reviews the central contributions of the Personal Social Media Ecosystem Framework and outlines how the framework can help advance understanding of social media effects among youths as an ongoing public health challenge.

Flynn, Erin F.; Kenyon, Chén C.; Vasan, Aditi

2023 JAMA Pediatrics

doi: 10.1001/jamapediatrics.2023.1181pmid: 37213121

This Viewpoint describes how nondirected cash transfer programs influence the dynamics of child poverty, highlights pathways by which poverty reduction programs could improve child health, and provides suggested directions for future research and policy.

Russell, Robert T.; Koenig, Samantha M.

2023 JAMA Pediatrics

doi: 10.1001/jamapediatrics.2023.1297pmid: 37213114

Bloch-Salisbury, Elisabeth; Wilson, James D.; Rodriguez, Nicolas; Bruch, Tory; McKenna, Lauren; Derbin, Matthew; Glidden, Barbara; Ayturk, Didem; Aurora, Sanjay; Yanowitz, Toby; Barton, Bruce; Vining, Mark; Beers, Sue R.; Bogen, Debra L.

2023 JAMA Pediatrics

doi: 10.1001/jamapediatrics.2023.1077pmid: 37184872

Key PointsQuestionIs stochastic vibrotactile stimulation (SVS) via a crib mattress an effective intervention for reducing pharmacologic treatment in newborns with prenatal opioid exposure (POE)? FindingsIn this randomized clinical trial, analysis of 181 newborns with POE revealed SVS duration was associated with a significantly reduced risk of pharmacologic treatment. Among infants who completed pharmacotherapy within 3 weeks, those receiving SVS completed treatment in 3.18 fewer days and received 1.76 mg/kg less morphine than infants treated as usual. MeaningThe findings of this study suggest that SVS may serve as a complementary nonpharmacologic intervention for treating infants with POE; less pharmacotherapy has implications for reduced hospitalization and costs.

Grossarth, Sarah; Osmundson, Sarah S.; Wiese, Andrew D.; Phillips, Sharon E.; Pham, Amelie; Leech, Ashley A.; Patrick, Stephen W.; Spieker, Andrew J.; Grijalva, Carlos G.; Adgent, Margaret A.

2023 JAMA Pediatrics

doi: 10.1001/jamapediatrics.2023.1047pmid: 37155175

This study characterizes the risk of postneonatal infant mortality among infants with a neonatal opioid withdrawal syndrome diagnosis or born to individuals with opioid use disorder.

Khayargoli, Pranamika; Niyibizi, Joseph; Mayrand, Marie-Hélène; Audibert, François; Monnier, Patricia; Brassard, Paul; Laporte, Louise; Lacaille, Julie; Zahreddine, Monica; Bédard, Marie-Josée; Girard, Isabelle; Francoeur, Diane; Carceller, Ana Maria; Lacroix, Jacques; Fraser, William; Coutlée, François; Trottier, Helen

2023 JAMA Pediatrics

doi: 10.1001/jamapediatrics.2023.1283pmid: 37213128

This cohort study investigates if vaginal human papillomavirus infection during pregnancy can be transmitted to the neonate via the placenta and if the virus persists in infected neonates.

Morgan, Katrina M.; Abou-Khalil, Elissa; Strotmeyer, Stephen; Richardson, Ward M.; Gaines, Barbara A.; Leeper, Christine M.

2023 JAMA Pediatrics

doi: 10.1001/jamapediatrics.2023.1291pmid: 37213096

This cohort study determines if prehospital transfusion is associated with decreased mortality in injured children using a statewide trauma database.

McGrath, Caitlin L.; Bettinger, Brendan; Stimpson, Megan; Bell, Shaquita L.; Coker, Tumaini R.; Kronman, Matthew P.; Zerr, Danielle M.

2023 JAMA Pediatrics

doi: 10.1001/jamapediatrics.2023.1379pmid: 37252746

Key PointsQuestionWhat racial, ethnic, and language disparities exist in central line–associated bloodstream infection (CLABSI) rates, and can hospital quality improvement interventions mitigate them? FindingsIn this cohort study of 8269 pediatric patients, those identifying as Black and those using a language other than English experienced higher rates of first CLABSI after adjusting for known factors associated with line infection risk. After identifying disparities and initiating equity-focused quality improvement interventions, rates for both groups significantly improved. MeaningThese findings suggest that assessing hospital quality metrics for disparities can be an indicator of racism and bias and that targeted interventions to improve equitable care with a specific focus on health care–associated infections may be feasible.