In this volume of The Journal, Silverstein et al examine the use of the Owlet Smart Sock (OSS) in management of supraventricular tachycardia (SVT) in infants. The smart sock is a pulse oximeter-based technology. The investigators found that use of this technology may result in earlier detection of SVT, which may, in turn, result in better clinical outcomes, such as better preserved left ventricular function and shorter length of hospital stay. On the other hand, use of the Smart Sock was also associated with greater medical resource utilization, including more office visits, telephone calls, a ..read more

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In this volume of The Journal, two retrospective cohort studies, both based in Ohio, provide insightful data about the deployment of dedicated pediatric palliative care teams. While home-based visits have been a longtime core principle of pediatric hospice care, their value has not been well defined or justified. Thus, Smith et al analyzed healthcare utilization outcomes in a sample of children who received home visits across two well-established pediatric home-based palliative care and hospice programs over 6 years among 195 children, half of whom had neurologic impairment ..read more

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We thank Dr. Watchko for his further examination of our data, specifically evaluating whether total serum bilirubin (TSB) and bilirubin albumin ratio (B/A ratio) exchange transfusion thresholds align with the development of bilirubin encephalopathy in 18 encephalopathic neonates presented in Table VI of the published paper. We agree with Dr. Watchko that 11 infants exceeded both TSB and B/A ratio exchange transfusion thresholds and 3 (cases 6, 16, and 18) exceeded the B/A ratio exchange transfusion threshold.(1, 2) Of the remaining 4 cases, case 7 showed elevated unbound bilirubin (UB) in the ..read more

Amin et al are to be congratulated on their important paper “Unbound bilirubin and acute bilirubin encephalopathy in infants born late preterm and term with significant hyperbilirubinemia”1 and for the clinical profiles of individual neonates with acute bilirubin encephalopathy (ABE) provided in Table VI ..read more

A recent study in The Journal of Pediatrics from O’Connor et al reports using latent class analysis (LCA) to discover “complexity” subgroups based on cardiac medical histories of 1,482 participants diagnosed with congenital heart disease (CHD).1 Seven medical history variables (including stroke, cardiac surgeries, and cardiac-related hospitalizations) were selected based on indications of CHD complexity. Applying LCA, investigators found four subgroups of complexity: mild, moderate 1, moderate 2, and severe ..read more

To evaluate associations between change in weight z-score after neonatal intensive care unit (NICU) discharge and neurodevelopmental outcomes and obesity at 12-48 months of age among individuals born very preterm ..read more

To assess concordance between umbilical cord blood (UCB) and neonatal blood (NB) laboratory test results at birth ..read more