Journal ArticleRespir Care · February 2025
Background: Respiratory failure in infants is a common reason for admission to the pediatric ICU (PICU). Although high-flow nasal cannula (HFNC) is the preferred first-line treatment at our institution, some infants require CPAP or noninvasive ventilation ...
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Journal ArticleWorld J Pediatr Congenit Heart Surg · May 2024
Background: To develop a more holistic measure of congenital heart center performance beyond mortality, we created a composite "textbook outcome" (TO) for the Glenn operation. We hypothesized that meeting TO would have a positive prognostic and financial i ...
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ConferenceJTCVS Tech · April 2024
OBJECTIVE: In select patients with borderline ventricular hypoplasia, we adopted a strategy of initial single-ventricle palliation followed by staged or direct biventricular conversion by 2 years of age. METHODS: Between 2018 and 2023, 14 newborns with bor ...
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Journal ArticleRespir Care · March 27, 2024
BACKGROUND: In children with congenital heart disease, extubation readiness testing (ERT) is performed to evaluate the potential for liberation from mechanical ventilation. There is a paucity of data that suggests what mechanical ventilation parameters are ...
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Journal ArticleRespir Care · December 28, 2023
BACKGROUND: Infants with a high risk of extubation failure are often treated with noninvasive ventilation (NIV) or CPAP, but data on the role of these support modalities following extubation are sparse. This report describes our experience using NIV or CPA ...
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Journal ArticleJTCVS Open · September 2023
OBJECTIVES: To develop a more holistic measure of center performance than operative mortality, we created a composite "textbook outcome" for the Norwood operation using several postoperative end points. We hypothesized that achieving the textbook outcome w ...
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Journal ArticleRespir Care · March 2023
BACKGROUND: Extubation readiness testing (ERT) is often performed in children with congenital heart disease prior to liberation from mechanical ventilation. The ideal ERT method in this population is unknown. We recently changed our ERT method from variabl ...
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Journal ArticleSemin Thorac Cardiovasc Surg · 2023
We developed a technique for the Norwood operation utilizing continuous perfusion of the head, heart, and lower body at mild hypothermia named Sustained Total All-Region (STAR) perfusion. We hypothesized that STAR perfusion would be associated with shorter ...
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Journal ArticleAnn Thorac Surg · December 2022
BACKGROUND: Children with single-ventricle (SV) heart disease possess a spectrum of heart malformations, yet progress through similar hemodynamic states, suggesting differences in outcomes are related to fundamental morphologic differences, patient charact ...
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Journal ArticlePediatr Emerg Care · July 1, 2021
OBJECTIVES: Although closed head injuries occur commonly in children, most do not have a clinically important traumatic brain injury (ciTBI) and do not require neuroimaging. We sought to determine whether the utilization of computed tomography of the head ...
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Journal ArticleJ Am Assoc Nurse Pract · May 18, 2021
BACKGROUND: The arrival of COVID-19 brought urgent limitation of visitation in hospitals across the country. Family-centered care and its delivery rapidly changed and left the family behind-unable to actively participate in their loved one's care. LOCAL PR ...
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Journal ArticleThromb Res · April 2021
INTRODUCTION: We sought to investigate the predictors of catheter-related thrombosis (CRT) in a cohort of critically ill hospitalized infants and using a novel approach (the artificial neural network - ANN) in combination with conventional statistics to id ...
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Journal ArticlePediatr Infect Dis J · September 2020
OBJECTIVE: To evaluate the national trends in pediatric severe sepsis in the United States from 2003 to 2014. STUDY DESIGN: For this study, we included nonoverlapping years of Kids Inpatient database and National Inpatient Sample database while including h ...
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Journal ArticlePediatr Emerg Care · August 2020
OBJECTIVE: The objective of this study was to examine the characteristics and outcomes in children presenting to emergency departments (EDs) with burn injuries. METHODS: The Nationwide Emergency Department Sample (NEDS) for the years 2008 to 2013 was used. ...
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Journal ArticlePediatr Neurol · February 2020
BACKGROUND: Posterior reversible encephalopathy syndrome (PRES) is an increasingly recognized entity with certain identified predisposing factors in children. However, the actual incidence, comorbidities, outcomes, and hospitalization charges among childre ...
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Journal ArticleAnn Transl Med · October 2019
The pediatric acute respiratory distress syndrome (PARDS), a description specific for children with acute respiratory distress syndrome (ARDS), was proposed in the recent Pediatric Acute Lung Injury Consensus Conference (PALICC, 2015). This recent standard ...
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Journal ArticleBMJ Open · August 22, 2019
OBJECTIVES: The use of peripherally inserted central catheters (PICCs) are an integral part of caring for hospitalised children. We sought to estimate the incidence of and identify the risk factors for complications associated with PICCs in an advanced reg ...
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Journal ArticleClin Pediatr (Phila) · January 2019
We analyzed data from the Nationwide Emergency Department Sample (NEDS) database for the years 2008 to 2013 to characterize deliberate self-harm among children and adolescents presenting to an emergency department (ED) in the United States. All ED visits f ...
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Journal ArticlePLoS One · 2019
OBJECTIVE: The American College of Critical Care Medicine recommends that children with persistent fluid, catecholamine, and hormone-resistant septic shock be considered for extracorporeal membrane oxygenation (ECMO) support. Current national estimates of ...
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Chapter · January 1, 2019
Pediatric acute respiratory distress syndrome (PARDS) is associated with significant morbidity and mortality. The development of pediatric-specific criteria by the Pediatric Acute Lung Injury Consensus Conference (PALICC) may help with prompt recognition, ...
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Journal ArticleJ Oral Maxillofac Surg · December 2018
PURPOSE: In the United States, 2.1 million people develop substance abuse disorders that are associated with prescribed opioids. The objective of the present study was to identify the factors associated with opioid abuse and dependence (OAD) in those hospi ...
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Journal ArticleClin Pediatr (Phila) · November 2018
We sought to quantify early deaths following neonatal circumcision (same hospital admission) and to identify factors associated with such mortality. We performed a retrospective analysis of all infants who underwent circumcision in an inpatient hospital se ...
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Journal ArticleJ Investig Clin Dent · November 2018
AIM: Opioid abuse/dependence (OAD) is an emerging public health crisis in the USA. The aim of the present study was to estimate the nationwide prevalence of OAD in those hospitalized due to periapical abscess in the USA. METHODS: The Nationwide Inpatient S ...
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Journal Article · July 6, 2018
We propose a Multi-vAlue Rule Set (MRS) model for in-hospital predicting
patient mortality. Compared to rule sets built from single-valued rules, MRS
adopts a more generalized form of association rules that allows multiple values
in a condition. Rules of t ...
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Journal ArticlePerfusion · May 2018
BACKGROUND: Acute massive pulmonary embolism (PE) is a very rare condition in children. We report the successful use of veno-arterial extracorporeal membrane oxygenation (VA ECMO) as a lifesaving modality in a child with acute massive PE. CASE PRESENTATION ...
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Journal ArticleASAIO J · 2018
Berlin Heart Inc. EXCOR is an extracorporeal pneumatically pulsatile ventricular assist device approved for use in pediatric age group since 2011 in the United States. It is a well-established life-saving therapy for the bridge to heart transplant or to pr ...
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Journal ArticleBMJ Paediatr Open · 2018
INTRODUCTION: The haemophagocytic syndrome (HS) is a rare condition that presents with uncontrolled inflammation leading to multiorgan failure and is associated with significant morbidity and mortality. Current national estimates of children hospitalised d ...
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Journal ArticleAm J Orthod Dentofacial Orthop · November 2017
INTRODUCTION: The objectives of this study were to examine adverse clinical events after the use of the Invisalign system and to provide an overview of the actions taken by the manufacturer to address these events. METHODS: A retrospective analysis of the ...
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Journal ArticleJ Oral Maxillofac Surg · October 2017
PURPOSE: Firearm injuries (FAIs) are a major public health issue in the United States. The objective of this study was to examine characteristics and outcomes of patients presenting to emergency departments (EDs) with facial fractures attributed to FAIs. M ...
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Journal ArticleJ Evid Based Dent Pract · March 2017
OBJECTIVE: Extracorporeal circulation auxiliary to open-heart surgeries (ECAOHS) may exert nonphysiological stresses on periapical abscessed tissues leading to hematogenous spread of microbes. The aim of this report was to estimate risk of postoperative in ...
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Journal ArticlePLoS One · 2017
INTRODUCTION: Immediate success rates of renal transplantation (RT) procedures are generally very high. National estimates of the impact of post-operative complications, specifically, septicemia occurring during hospitalization for RT's on outcomes is uncl ...
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Journal ArticleClin Respir J · January 2017
BACKGROUND AND AIMS: The objective of this study is to examine longitudinal trends in hospital admissions attributed to tuberculosis and resulting hospitalization outcomes in the United States for the years 2000-2010. METHODS: We used the Nationwide Inpati ...
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Journal ArticleJ Investig Clin Dent · August 2016
AIM: The aim of the present study was to examine the impact of obesity on hospitalization charges and comorbid burden following hospitalization due to dental conditions. METHODS: The Nationwide Inpatient Sample for 2004-2010 was used. All hospitalizations ...
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Journal ArticleClin Pediatr (Phila) · June 2016
Outcomes of tonsillectomy (with or without adenoidectomy [w/woA]) in hospitalized children are unclear. We sought, to describe the characteristics of hospitalized children who underwent tonsillectomy (w/woA), to estimate the prevalence of complications and ...
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Journal ArticleInt J Oral Maxillofac Surg · June 2016
Facial reconstruction procedures are immensely challenging and are done for a multitude of reasons. The purpose of this report is to provide nationally representative estimates of different types of facial reconstructive procedures and to examine prevalenc ...
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Journal ArticleSpine (Phila Pa 1976) · November 2015
STUDY DESIGN: Retrospective study of Nationwide Inpatient Sample (NIS). OBJECTIVE: The objective of this study is to estimate the prevalence of complications in children who had insertion of recombinant human bone morphogenetic protein (rhBMP) at the time ...
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Journal ArticlePediatr Crit Care Med · October 2015
OBJECTIVES: Procedural sedation/anesthesia outside the operating room for a variety of procedures is well described with an overall low adverse event rate in certain settings. Adverse event associated with procedural sedation/anesthesia outside the operati ...
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Journal ArticleWorld J Pediatr · August 2015
BACKGROUND: The purpose of this study is to provide nationally representative estimates of children visiting hospital-based emergency departments (ED) for motor vechicle traffic accidents (MVTA) in the United States during the year of 2008. METHODS: Nation ...
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Journal ArticleAm J Surg · July 2015
BACKGROUND: National estimates of methicillin-resistant Staphylococcus aureus (MRSA) infection rates in hospitalized surgical patients and outcomes are lacking. We sought to estimate the prevalence, identify the predictors, and describe the outcomes of MRS ...
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Journal ArticleJ Asthma · May 2015
OBJECTIVE: Current national estimates of and outcomes of Invasive Mechanical Ventilation (MV) in status asthmaticus (SA) are unclear. The objective of this study is to estimate the incidence and outcomes of MV in hospitalized SA children and adolescents. M ...
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Journal ArticlePLoS One · 2015
INTRODUCTION: Current prevalence estimates of gastrostomy tube (GT)/tracheostomy placement in hospitalized patients with anoxic/hypoxic ischemic encephalopathic injury (AHIE) post cardiopulmonary resuscitation (CPR) are unknown. We sought, to estimate the ...
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Journal ArticleJ Mass Dent Soc · 2015
OBJECTIVE: The objective of this study is to examine the impact of the presence of gingivitis/periodontitis on the occurrence of infectious complications (including septicemia, bacterial infections, and mycoses) in hospitalized leukemic adults in the Unite ...
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Journal ArticleJ Mass Dent Soc · 2015
OBJECTIVE: To examine the prevalence and impact of gingivitis and periodontitis in patients having heart valve surgical procedures. METHODS: Nationwide Inpatient Sample for the years 2004-2010 was used. All patients who had heart valve surgical procedures ...
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Journal ArticleOral Surg Oral Med Oral Pathol Oral Radiol · November 2014
OBJECTIVE: Objective is to provide longitudinal discharge trends and hospitalization outcomes in patients hospitalized because of mouth cellulitis or Ludwig angina. METHODS: Nationwide Inpatient Sample for years 2004 to 2010 was used. All hospitalizations ...
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Journal ArticleAm J Orthod Dentofacial Orthop · November 2014
INTRODUCTION: The Food and Drug Administration Modernization Act of 1997 made it mandatory for all phase II through IV trials regulated by this Act to be registered. After this, the National Institutes of Health created ClinicalTrials.gov, which is a regis ...
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Journal ArticleBone Marrow Transplant · October 2014
SCT indications and procedures are increasing worldwide. We sought to estimate the prevalence of acute respiratory failure (ARF) of any cause in hospitalized SCT patients, and assess the impact of invasive mechanical ventilation (IMV) on outcomes. We hypot ...
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Journal ArticlePediatr Crit Care Med · October 2014
OBJECTIVES: We conducted this study to characterize in-flight pediatric fatalities onboard commercial airline flights worldwide and identify patterns that would have been unnoticed through single case analysis of these relative rare events. DESIGN: Retrosp ...
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Journal ArticleJ Oral Maxillofac Surg · September 2014
PURPOSE: The objectives of this study were to provide nationally representative estimates of hospital-based emergency department (ED) visits for facial fractures in children and adolescents, examine the burden associated with such visits, identify common t ...
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Journal ArticleOral Surg Oral Med Oral Pathol Oral Radiol · September 2014
OBJECTIVE: Identify characteristics of individuals with mental health conditions who use hospital resources to manage dental conditions. STUDY DESIGN: Data from the Nationwide Inpatient Sample for the years 2007 to 2010 were used. All hospitalizations with ...
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Journal ArticleOral Surg Oral Med Oral Pathol Oral Radiol · September 2014
OBJECTIVE: To determine the prevalence and impact of adverse effects of medical care in patients who underwent excision of cervical lymph nodes. STUDY DESIGN: Data from the Nationwide Inpatient Sample for the years 2009 and 2010 were used. The outcome vari ...
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Journal ArticlePediatr Emerg Care · August 2014
BACKGROUND: Sports-related injuries in adolescents incur a significant amount of hospital resources. Sports-related injuries are not an uncommon cause of ED visit; however, national estimates of such injuries in teenagers are unknown. OBJECTIVES: The aim o ...
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Journal ArticlePediatr Emerg Care · July 2014
OBJECTIVE: The aim of this study was to provide nationally representative hospital-based emergency department (ED) estimate visits in children (aged ≤ 18 y) attributed to poisoning in the United States in 2008. METHODS: Nationwide Emergency Department Samp ...
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Journal ArticleJAMA Otolaryngol Head Neck Surg · April 2014
IMPORTANCE: Firearm injuries (FAIs) play a major role in unintentional injuries, suicides, and homicides. It is important that policy makers, public health authorities, physicians, and the public are kept abreast of current trends in FAIs so that preventiv ...
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Journal ArticleJ Am Dent Assoc · April 2014
BACKGROUND: Untreated dental conditions may progress to lesions that are severe enough to necessitate emergency visits to hospitals. The authors conducted a study to investigate nationally representative trends in U.S. hospital-based emergency department ( ...
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Journal ArticleBr Dent J · April 2014
Few dentists play integrated roles within hospital settings and few hospital emergency rooms have dentists. Existing research shows that only 67% of ER visits for dental problems are managed appropriately. Every year Americans die in hospital after being a ...
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Journal ArticlePLoS One · 2014
UNLABELLED: Adults with sickle cell disease(SCD) are a growing population. Recent national estimates of outcomes in acute chest syndrome(ACS) among adults with SCD are lacking. We describe the incidence, outcomes and predictors of mortality in ACS in adult ...
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Journal ArticlePLoS One · 2014
OBJECTIVES: To describe nationally representative outcomes of physical abuse injuries in children necessitating Emergency Department (ED) visits in United States. The impact of various injuries on mortality is examined. We hypothesize that physical abuse r ...
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Journal ArticlePLoS One · 2013
OBJECTIVE: To examine the prevalence and predictors of infection related never events (NE) associated with spinal fusion procedures (SFP) in children (age < = 18 years) in the United States. METHODS: We performed a retrospective analysis of the Nationwide ...
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Journal ArticlePLoS One · 2013
OBJECTIVE: The objectives of the current study are to provide nationally representative estimates of hospital based emergency department visits (ED) attributed to self inflicted injuries and attempted suicides among children in United States; and to identi ...
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Journal ArticleInjury · December 2012
OBJECTIVE: The objective of this study is to provide estimates of firearm related injuries in children seeking care in hospital based emergency departments. METHODS: The Nationwide Emergency Department Sample (NEDS) for the year 2008 was used for the curre ...
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Journal ArticleWorld J Pediatr · August 2012
BACKGROUND: This study examines hospital charges and length of stay (LOS) associated with septicemia during hospitalization for leukemia treatment among children aged ≤18 years. METHODS: Nationwide Inpatient Sample (year 2008) was used. All hospitalization ...
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Journal ArticleJ Oral Maxillofac Surg · October 2011
PURPOSE: Injuries resulting from accidents are a leading cause of mortality and morbidity. The objective of this study was to present epidemiologic estimates of hospital-based emergency department (ED) visits for facial fractures in the United States. MATE ...
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Journal ArticleAnn Surg · February 2010
BACKGROUND: There is limited published data on the relationship between hospital volume and postoperative complications. The objectives of the current study are to examine the association between hospital volume and complications and also to examine the as ...
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Journal ArticleAnn Surg · July 2007
OBJECTIVE: Several studies have examined the association between procedure-specific volume and in-hospital mortality and concluded that high-volume hospitals have lower mortality rates when compared with low-volume hospitals. There is a paucity of studies ...
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Journal ArticleJ Cardiovasc Surg (Torino) · June 2007
AIM: Heart valve replacement surgeries account for 20% of all cardiac procedures. In-hospital mortality rates are approximately 6% for aortic valve replacements and 10% for mitral valve replacements. The objectives of the study are to provide nationally re ...
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