Pediatric Annals (Pediatr Ann)

Publisher: Slack

Journal description

Pediatric Annals is America's most widely read journal for continuing education in the field of pediatrics. Each monthly issue provides a thorough, practical review of a single topic in pediatrics, carefully chosen by an editorial board composed of the leading pediatricians in the United States. Three credit hours in Category 1 for the Physician's Recognition Award of the AMA are offered for the successful completion of a CME quiz.

Current impact factor: 0.61

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 0.61
2013 Impact Factor 0.288
2012 Impact Factor 0.303
2011 Impact Factor 0.484
2010 Impact Factor 0.503
2009 Impact Factor 0.369
2008 Impact Factor 0.541
2007 Impact Factor 0.724
2006 Impact Factor 0.741
2005 Impact Factor 0.383
2004 Impact Factor 0.374
2003 Impact Factor 0.318
2002 Impact Factor 0.223
2001 Impact Factor 0.383
2000 Impact Factor 0.739
1999 Impact Factor 0.459
1998 Impact Factor 0.355
1997 Impact Factor 0.31

Impact factor over time

Impact factor

Additional details

5-year impact 0.49
Cited half-life 8.00
Immediacy index 0.13
Eigenfactor 0.00
Article influence 0.15
Website Pediatric Annals website
Other titles Pediatric annals
ISSN 0090-4481
OCLC 1772141
Material type Periodical
Document type Journal / Magazine / Newspaper

Publisher details


  • Pre-print
    • Author cannot archive a pre-print version
  • Post-print
    • Author cannot archive a post-print version
  • Restrictions
    • 12 months embargo
  • Conditions
    • On Institutional Repositories
    • Publisher's version/PDF cannot be used
    • NIH authors may deposit in PubMed Central after 12 months
    • Must link to publisher version
    • Publisher last reviewed on 21/04/2015
  • Classification

Publications in this journal

  • Pediatric Annals 11/2015; 44(11):462-464. DOI:10.3928/00904481-20151112-02
  • [Show abstract] [Hide abstract]
    ABSTRACT: Neurocutaneous syndromes are a diverse group of neurologic disorders with concurrent skin manifestations. Most neurocutaneous syndromes have a genetic basis and are believed to arise from a defect in the differentiation of the primitive ectoderm. In this regard, the skin can be a window into the central nervous system and can aid in the diagnosis of neurologic disease in children. The cutaneous signs may be subtle, which places great importance on the physical examination skills of clinicians providing primary care to children. Early recognition can help with proper diagnosis, formulating a treatment plan, anticipating potential complications, making appropriate referrals, and offering genetic counseling to families. [Pediatr Ann. 2015;44(11):496-498,500-504.].
    Pediatric Annals 11/2015; 44(11):496-504. DOI:10.3928/00904481-20151112-11

  • Pediatric Annals 11/2015; 44(11):456-457. DOI:10.3928/00904481-20151112-01
  • [Show abstract] [Hide abstract]
    ABSTRACT: I recently had an adolescent patient who presented with a chief complaint of depression. He had classic symptoms of difficulty sleeping, dysthymia, and anhedonia (loss of interest in things that used to bring him joy). He was a very smart and self-aware 17-year-old, and was able to describe his symptoms easily. There were no concerns for manic episodes or psychosis, and he met diagnostic criteria for unipolar major depressive disorder. He denied suicidal ideation, and was already seeing a therapist weekly for the last several months. He had a strong family history of depression, with his father, aunts, and grandmother who also carried a diagnosis of depression. He presented with the support of his mother, asking about next steps, and specifically, pharmacotherapy. This patient is a perfect example of an adolescent who is a good candidate for initiation of antidepressant medication. Primary care pediatricians should feel comfortable with first-line agents for major depressive disorder in certain adolescents with depression, but many feel hesitant and rely on child and adolescent psychiatry colleagues for prescriptions. [Pediatr Ann. 2015;44(11):466-468,470.].
    Pediatric Annals 11/2015; 44(11):466-470. DOI:10.3928/00904481-20151112-03

  • Pediatric Annals 11/2015; 44(11):477-483. DOI:10.3928/00904481-20151112-05

  • Pediatric Annals 11/2015; 44(11):471-476. DOI:10.3928/00904481-20151112-04
  • [Show abstract] [Hide abstract]
    ABSTRACT: Neonatal pain management has evolved dramatically in the past few decades. Evidence is clear that neonates experience pain. Furthermore, we are increasingly aware of the detrimental effects of untreated neonatal pain during a critical period of neuronal maturation. Providing safe and effective pain relief is a primary goal of neonatal critical care specialists to ensure good outcomes. However, there are lingering concerns regarding the harmful effects of sedative-analgesics on the developing brain. Thus, striking a fine balance between effective analgesia and avoiding serious short- and long-term adverse effects from pain medications remains a major challenge for caregivers. [Pediatr Ann. 2015;44(11):e260-e264.].
    Pediatric Annals 11/2015; 44(11):e260-e264. DOI:10.3928/00904481-20151112-08
  • [Show abstract] [Hide abstract]
    ABSTRACT: The intestinal microbiome is a complex ecosystem of microorganisms that colonize the human gastrointestinal tract. The microbiome evolves rapidly in early life with contributions from diet, genetics and immunomodulatory factors. Changes in composition of the microbiota due to antibiotics may lead to negative long-term effects including obesity and diabetes mellitus, as evidenced by both animal and large human studies. Inappropriate exposures to antibiotics occur frequently in early childhood. Therefore, an evidence-based system of antimicrobial use should be employed by all providers, especially those who care for pediatric patients. This article explores the natural evolution of the intestinal microbiome from the perinatal period into early childhood, the effect of antibiotics on the microbial ecology, and the implications for future health and disease. [Pediatr Ann. 2015;44(11):e265-e269.].
    Pediatric Annals 11/2015; 44(11):e265-e269. DOI:10.3928/00904481-20151112-09
  • [Show abstract] [Hide abstract]
    ABSTRACT: In recent decades, with advances in neonatal intensive care, extremely premature infants are now surviving into adulthood. Epidemiologic data on the health of these ex-premature infants have begun to reveal a concerning motif-that is, prematurity, in and of itself, seems to be a risk factor for cardiovascular and metabolic disease in later adulthood. The mechanisms underlying this increased risk are unclear, but it is believed that both adverse fetal environment and postnatal exposures for a premature infant likely contribute to the developmental programming of disease by altering the normal trajectory of maturation and aging of multiple organ systems. This article specifically focuses on perinatal factors that may affect risk for cardiovascular disease. [Pediatr Ann. 2015;44(11):e254-e259.].
    Pediatric Annals 11/2015; 44(11):e254-e259. DOI:10.3928/00904481-20151112-07

  • Pediatric Annals 11/2015; 44(11):485-485. DOI:10.3928/00904481-20151112-06
  • [Show abstract] [Hide abstract]
    ABSTRACT: Pediatricians have significant roles in preventive health care, and understanding how various exposures during childhood can have long-lasting effects on cancer risk is critical in promoting future health. With the exception of rare genetic syndromes conferring increased cancer susceptibility, most cancers are considered idiopathic and may be influenced by modifiable exposures and risks. This review aims to serve as a brief overview of a subset of known exposures during childhood that have been associated with an increased risk of malignancy in adulthood, including the effects of radiation, chemotherapy, pesticides, nutrition, puberty, and infection. [Pediatr Ann. 2015;44(11):e270-e273.].
    Pediatric Annals 11/2015; 44(11):e270-e273. DOI:10.3928/00904481-20151112-10
  • [Show abstract] [Hide abstract]
    ABSTRACT: An 18-month-old boy presented to our clinic for a routine well visit. His mother was concerned that, although he was cruising at age 12 months, he was still not walking or talking. He was born at 39 weeks and 5 days via cesarean delivery secondary to breech presentation. His APGAR (Appearance, Pulse, Grimace, Activity, Respiration) scores were 9 and 9 at 1 and 5 minutes, respectively. Antenatal course was only pertinent for gestational hypertension. His birth weight, length, and head circumference were 3,770 g (65th percentile), 52.7 cm (76th percentile), and 36.3 cm (49th percentile), respectively. His hospital course was uneventful and his newborn metabolic screen was normal.
    Pediatric Annals 10/2015; 44(10):418-421. DOI:10.3928/00904481-20151012-04
  • [Show abstract] [Hide abstract]
    ABSTRACT: An 11-year-old-boy was admitted to the pediatric emergency department with 5 days of headache that was bilateral, throbbing, and progressively worsening. It was associated with fever, vomiting, neck pain, and stiffness. He was previously diagnosed as having acute sinusitis, given oral amoxicillin, and discharged from the hospital. Prior to his presentation he was a healthy boy and had no history of headache, chronic illness, recent vaccinations, cutaneous rash, cough, diarrhea, arthralgia, or myalgia. He had two scars of Bacille Calmette-Guerin (BCG) vaccine. Axillary temperature on admission was 38.5°C.
    Pediatric Annals 10/2015; 44(10):426-432. DOI:10.3928/00904481-20151012-05
  • [Show abstract] [Hide abstract]
    ABSTRACT: The role of the pediatrician in today's health care environment is one of constant evolution, as specialty care becomes more difficult to access for a growing number of young patients and their families. The primary care doctor will now have to offer more reassurance and follow-up that was once thought to be solely the role of the subspecialist. This article helps to define commonly seen entities in pediatric gynecology and offers the necessary background enabling the practitioner to provide a simple course of treatment, reassurance, or appropriate referral for specialty care. [Pediatr Ann. 2015;44(10):412,414,416-417.].
    Pediatric Annals 10/2015; 44(10):412-417. DOI:10.3928/00904481-20151012-03
  • [Show abstract] [Hide abstract]
    ABSTRACT: Necrotizing enterocolitis in full-term infants is relatively rare. When seen, it is usually associated with perinatal asphyxia, sepsis, or specific forms of congenital heart disease. It can also be associated with endocrinopathies. In this review, a full-term infant was found to have necrotizing enterocolitis and persistent hypoglycemia. Evaluation for hypoglycemia revealed pan-hypopituitarism, and magnetic resonance imaging confirmed this diagnosis. Timely evaluation and early initiation of hormone replacement therapy is essential to minimize long-term morbidities and mortality associated with pan-hypopituitarism. [Pediatr Ann. 2015;44(10):e237-e242.].
    Pediatric Annals 10/2015; 44(10):e237-e242. DOI:10.3928/00904481-20151012-07

  • Pediatric Annals 10/2015; 44(10):405-410. DOI:10.3928/00904481-20151012-02
  • [Show abstract] [Hide abstract]
    ABSTRACT: Early recognition of a patient who might have Fancomi anemia by the general pediatrician and referral to a tertiary care center with a dedicated cancer risk program is critical for early diagnosis. Genetic testing and close multidisciplinary surveillance is required for patients with this syndrome and their families because of its multisystem involvement and propensity for early-onset bone marrow failure and leukemic transformation. This article reviews the clinical symptoms and signs, radiologic findings, and screening guidelines of FA for the general pediatrician. [Pediatr Ann. 2015;44(10):444-445,448,450,452.].
    Pediatric Annals 10/2015; 44(10):444-452. DOI:10.3928/00904481-20151012-11
  • [Show abstract] [Hide abstract]
    ABSTRACT: The vein of Galen is the most common type of arteriovenous malformation in the fetus and neonate. Most vein of Galen arteriovenous malformations (VGAMs) are diagnosed in the neonatal period, with the remainder being identified in early childhood, typically via computed tomography scan. The VGAM is found in five different patterns where the vein of Galen and straight sinus extending to the torcula Herophili are dilated. This dilation can lead to significant compression of the posterior fossa structures. Clinically, the infant with this malformation can present with seizures or most commonly, high output cardiac failure. It is important, however, to keep a broad differential diagnosis as more prevalent neonatal conditions arise similarly. These conditions can include developmental delay, cerebral palsy, epilepsy, superior vena cava syndrome, hemangioendothelioma, and other arteriovenous fistulae. Treatment begins with early diagnosis and testing of initial sequelae. This is often accomplished in consultation with different pediatric subspecialists, particularly neurologists and cardiologists. The mainstay of therapy is with neurosurgical intervention. Although the mortality of a fetus or neonate with VGAM is very high, prognosis is dependent on the size of the malformation, age at diagnosis, and successful neurosurgical outcome. [Pediatr Ann. 2015;44(10):e243-e246.].
    Pediatric Annals 10/2015; 44(10):e243-e246. DOI:10.3928/00904481-20151012-08
  • [Show abstract] [Hide abstract]
    ABSTRACT: Atrial flutter (AFL) is the second most common type of tachyarrhythmia in the fetus and neonate. An atrial rate of 240 to 360 beats per minute, 2:1 atrioventricular conduction, and a "saw tooth" appearance on electrocardiogram (ECG) are characteristic. On echocardiogram, bilateral atrial dilatation is the most common finding. Treatment is dependent on the severity of symptoms; delivery is usually indicated in the case of fetal heart failure or hydrops fetalis, whereas postnatal AFL is most commonly treated with direct current cardioversion (DCC). This article presents an illustrative case in which the patient presented antenatally via abnormal nonstress testing and subsequent fetal echocardiogram that was concerning for AFL. Postnatal ECG confirmed this diagnosis and the patient received DCC on the day of birth, followed by digoxin and propranolol as maintenance therapy. [Pediatr Ann. 2015;44(10):e247-e250.].
    Pediatric Annals 10/2015; 44(10):e247-e250. DOI:10.3928/00904481-20151012-09

  • Pediatric Annals 10/2015; 44(10):395-401. DOI:10.3928/00904481-20151012-01