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Research Article

Trends in Resource Utilization by Children with Neurological Impairment in the United States Inpatient Health Care System: A Repeat Cross-Sectional Study

  • Jay G. Berry mail,

    jay.berry@childrens.harvard.edu

    Affiliation: Complex Care Service, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, United States of America

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  • Annapurna Poduri,

    Affiliation: Department of Pediatric Neurology, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, United States of America

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  • Joshua L. Bonkowsky,

    Affiliation: Division of Pediatric Neurology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, United States of America

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  • Jing Zhou,

    Affiliation: Clinical Research Program, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, United States of America

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  • Dionne A. Graham,

    Affiliation: Clinical Research Program, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, United States of America

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  • Chelsea Welch,

    Affiliation: Division of Inpatient Medicine, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, United States of America

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  • Heather Putney,

    Affiliation: Institute for Community Inclusion, Boston, Massachusetts, United States of America

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  • Rajendu Srivastava

    Affiliation: Division of Inpatient Medicine, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, United States of America

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  • Published: January 17, 2012
  • DOI: 10.1371/journal.pmed.1001158

Reader Comments (1)

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Prevention

Posted by drouse on 20 Jan 2012 at 20:46 GMT

This otherwise well done article lacks an important facet: recognition that childhood neurologic disablity can in some cases be prevented. Rigorous randomized clinical trials demonstrate that antenatal corticosteroids and magnesium sulfate lower the risk of cerebral palsy, and that post-natal cooling of term infants with hypoxic ischemic encephalopathy lowers their combined risk of death or cerebral palsy (and not at the expense of turning the former into the latter). A burden of disease article should at least give a passing nod as to how the burden might be lowered.

No competing interests declared.