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This Article Full Text Full Text (PDF) Take the CME quiz: Vol. 20 No. 2, August 2008 Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to My File Cabinet Download to citation manager Citing Articles Citing Articles via CrossRef Google Scholar Articles by Bratton, S. L. PubMed Articles by Bratton, S. L.

AAP Grand Rounds 20:16-17 (2008)
© 2008 American Academy of Pediatrics

Corticosteroids and Mortality in Children With Bacterial Meningitis

The first 20% of the full text of this article appears below.

PICO Question: Among children with bacterial meningitis, does corticosteroid administration within the first 24 hours of admission decrease mortality or length of hospital stay? Question type: Prognosis Study design: Retrospective cohort

 

Investigators from the Children’s Hospital of Philadelphia and the University of Pennsylvania conducted a retrospective cohort study to determine the association between use of adjuvant corticosteroids and survival and length of hospital stay in children with bacterial meningitis.

Data from the Pediatric Health Information System (PHIS), a national administrative database containing resource utilization data from 27 freestanding, tertiary care children’s hospitals, were analyzed. Children younger than 18 years with bacterial meningitis were eligible for inclusion if they were discharged between 2001 and 2006. Children with a ventricular shunt were excluded from analysis. Patients with more than one admission with bacterial meningitis were included only for . . . [Full Text of this Article]

Susan L. Bratton, MD, MPH, FAAP

Pediatric Critical Care Medicine, Primary Children’s Medical Center, University of Utah Health Sciences Center, Salt Lake City, UT