发表一篇学和医学成像类SCI论文
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Abstract:
:Infants requiring hospitalization due to a viral lower respiratory tract infection (LRTI) have a high risk of developing recurrent respiratory illnesses in early life and asthma beyond childhood. Notably, all validated clinical scales for viral LRTI have focused on predicting acute severity instead of recurrence. We present a novel clinical approach combining individual risk factors with bedside clinical parameters to predict recurrence after viral LRTI hospitalization in young children. A retrospective longitudinal cohort of young children (≤3 years) designed to define clinical predictive factors of recurrent respiratory illnesses within 12 months after hospitalization due to PCR-confirmed viral LRTI. Data collection was through electronic medical record. We included 138 children hospitalized with viral LRTI. Using automatic stepwise logistic model selection, we found that the strongest predictors of recurrence in infants hospitalized for the first time were severe prematurity (≤32 weeks' gestational age, OR=5.19; 95% CI 1.76 to 15.32; p=0.002) and a clinical score that weighted hypoxemia, subcostal retractions and wheezing (OR=3.33; 95% CI 1.59 to 6.98; p<0.001). After the first hospitalization, the strongest predictors of subsequent episodes were wheezing (OR=5.62; 95% CI 1.03 to 30.62; p=0.04) and family history of asthma (OR=5.39; 95% CI 1.04 to 27.96; p=0.04). We found that integrating individual risk factors (eg, prematurity or family history of asthma) with bedside clinical assessment (eg, wheezing, subcostal retractions or hypoxemia) can predict the risk of recurrence after viral LRTI hospitalization in infants. This strategy may enable clinically oriented subsetting of infants with viral LRTI based on individual predictors for recurrent respiratory illnesses during early life.
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最新影响因子:3.235 | 期刊ISSN:1081-5589 | CiteScore:1.82 |
出版周期:Bimonthly | 是否OA:YES | 出版年份:1994 |
自引率:1.10% | 研究方向:医学-医学:内科 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Published by BC Decker. ISSN: 1081-5589. The Journal of Investigative Medicine offers original investigations and articles detailing the latest developments in interdisciplinary disease-oriented medical research. The Journal also provides: information about policy changes affecting academic medicine, physician investigators, and the clinical biomedical research community; interviews with prominent members of the medical research community; news on federal regulatory changes; and professional recruitment and research funding guides. Discontinued in 2004.
由BC Decker出版。ISSN: 1081-5589。 调查医学杂志提供了原始的调查和文章,详细介绍了跨学科疾病为导向的医学研究的最新发展。该杂志还提供:有关政策变化影响学术医学,医生调查人员和临床生物医学研究社区的信息;采访医学研究领域的杰出人士;有关联邦监管改革的新闻;以及专业的招聘和研究资助指南。在2004年停止。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
MEDICINE, GENERAL & INTERNAL (医学:内科) 3区 MEDICINE, RESEARCH & EXPERIMENTAL (医学:研究与实验) 4区 |
55/155 85/133 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
60 | 51 | 9 |
引文计数(2018)
文献(2015-2017)
374次引用
206篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Biochemistry, Genetics and Molecular Biology
小类(学科):General Biochemistry, Genetics and Molecular Biology
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#70/187
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研究方向:医药科学 循环系统 血压调节异常与高血压病
审稿时间: 2个月内
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审稿时间: 24个月内 接受率: 非常困难(几乎不命中)s
影响因子:1.714
ISSN:1386-2073
研究方向:化学-生化研究方法
影响因子:6.088
ISSN:1933-7213
研究方向:医学-神经科学
影响因子:1.379
ISSN:0362-5664
研究方向:医学-临床神经学
影响因子:4.287
ISSN:1473-7175
研究方向:CLINICAL NEUROLOGY-PHARMACOLOGY & PHARMACY
影响因子:1.821
ISSN:1528-4336
研究方向:医学-传染病学
影响因子:2.385
ISSN:1120-009X
研究方向:医学-药学
影响因子:2.706
ISSN:1076-6294
研究方向:医学-传染病学
影响因子:4.177
ISSN:1178-6973
研究方向:-
影响因子:5.758
ISSN:0305-7453
研究方向:医学-传染病学
发表一篇学和医学成像类SCI论文
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