Pediatrics

EHR dashboard associated with higher developmental screening completion and faster workflows

In a large integrated system (17,303 referrals), questionnaire return rate was 43.3% overall and rose from 41.2% to 54.7% after an EHR monitoring dashboard was implemented. Dashboard implementation was linked to faster returns and shorter case completion; portal access doubled return likelihood (ARR 1.99). Lower return rates occurred with older age, non-English preference, Black race, Hispanic ethnicity, high neighborhood deprivation, and Medicaid. Implication: Deploy EHR monitoring plus portal outreach but actively track and address equity gaps in return rates. 1

Scoping review finds wide heterogeneity in PICU nutrition practices and outcomes

This scoping review screened 652 records and included 30 studies of critically ill children ≤21 years, with 27% randomized trials. Studies variably examined timing, route, and composition of feeding and reported outcomes including feeding intolerance, ventilation duration, and PICU length of stay. The literature shows persistent gaps in timing, delivery, and adequacy of nutritional support and limits cross-study comparability. Implication: Individualize PICU nutrition plans and prioritize clinical monitoring and goal-directed nutrition while awaiting higher-quality comparative trials. 2

Meta-analysis: behavioral sleep interventions improve sleep disturbance in youths with ADHD

Meta-analysis of 40 RCTs (≈4,361 participants) found small-to-moderate reductions in sleep disturbance (overall SMD -0.30; behavioral sleep SMD -0.48). Behavioral sleep interventions also reduced sleep onset latency; pharmacologic sleeping pills showed mixed benefits for different sleep outcomes. The network analysis suggested sleeping pills shorten sleep onset but behavioral approaches best reduce overall sleep disturbance. Implication: Offer multi-component behavioral sleep interventions first and reserve medications for selected, monitored cases. 3