Francine Canovas Dias, Lígia Cristina Fonseca Lahoz Melli, Sabine Nunes Boilesen, Soraia Tahan, Mauro Batista de Morais
Hypohydration, Functional Constipation, and Physical Activity in Elementary School Students
Journal of pediatric gastroenterology and nutrition
purpose study create national estimates incidence pediatric infective endocarditis ie united states determine changed implementation 2007 american heart association ie guidelines also sought determine effect congenital heart disease chd status outcomes ie hospital discharges diagnosis ie patients 18 years old kids inpatient database identified years 2000 2003 2006 2009 2012 discharges grouped pre post2007 groups facilitate analysis surrounding implementation guidelines 2007 patients categorized age underlying chd etiologic organism descriptive comparisons changes categorical variables made groups average annual ie hospitalization rates 2007 guidelines 108 93 per 1000000 children respectively proportion ie patients chd stable time periods 45 vs 47 p 050 mortality higher post2007 time period chd patients nonchd patients 111 vs 24 respectively p 0001 difference noted pre2007 time period 65 vs 66 respectively p 095 streptococcus common among chd patients nonchd patients 27 vs 17 staphylococcus common among nonchd patients chd patients 34 vs 24 p 0001 even though incidence ie stable time mortality higher chd patients implementation 2007 aha ie prophylaxis guidelines