Assessing Risk for Complications in Acute Hematogenous Osteomyelitis in Children: Validation of 2 Predictive Scores

Article Orthopedics

Institutional performance and validation of severity of illness score for children with acute hematogenous osteomyelitis

Ezan A. Kothari et al.

Summary: A scoring system for determining the severity of illness in children with acute hematogenous osteomyelitis (AHO) has been evaluated. The system utilizes parameters within the first 4-5 days of hospitalization. The study found that higher scores were associated with more severe cases, indicating that the scoring system is helpful in identifying patients who require longer hospitalizations and more intense treatment.

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B (2023)

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Article Orthopedics

Clinical Scores Predict Acute and Chronic Complications in Pediatric Osteomyelitis: An External Validation

Neeraj Vij et al.

Summary: This study aimed to validate the application of A-SCORE and C-SCORE in pediatric acute hematogenous osteomyelitis (AHO). The results showed that A-SCORE had good predictive ability for acute complications, while C-SCORE had strong predictive ability for chronic osteomyelitis. These scoring systems, combined with clinical judgment, can guide early care decisions.

JOURNAL OF PEDIATRIC ORTHOPAEDICS (2022)

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Article Orthopedics

Practice Variation in the Surgical Management of Children With Acute Hematogenous Osteomyelitis

Vidyadhar V. Upasani et al.

Summary: This study objectively identified significant differences in the rates of surgical management of pediatric acute hematogenous osteomyelitis (AHO) across the United States. Surgical intervention appears to be primarily driven by institutional practice, and it is associated with increased recurrence, readmission, and hospital length of stay.

JOURNAL OF PEDIATRIC ORTHOPAEDICS (2022)

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Article Pediatrics

Microbiology and Treatment Outcomes of Community-Acquired Hematogenous Osteoarticular Infections in Infants ≤12 Months of Age

Sarah Diamond et al.

JOURNAL OF PEDIATRICS (2021)

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Article Infectious Diseases

Clinical Practice Guideline by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America: 2021 Guideline on Diagnosis and Management of Acute Hematogenous Osteomyelitis in Pediatrics

Charles R. Woods et al.

Summary: This clinical practice guideline for the diagnosis and treatment of acute hematogenous osteomyelitis in children was developed by a multidisciplinary panel representing PIDS and IDSA. The recommendations are based on evidence from systematic literature reviews and follow a standardized methodology for rating the certainty of the evidence and strength of recommendation using the GRADE approach.

JOURNAL OF THE PEDIATRIC INFECTIOUS DISEASES SOCIETY (2021)

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Article Immunology