A5078730794- Neonatal Respiratory Health Research
- Pediatric Urology and Nephrology Studies
- Neonatal skin health care
- Child Abuse and Related Trauma
- Ultrasound in Clinical Applications
- Congenital Diaphragmatic Hernia Studies
- Infant Health and Development
- Neuroscience of respiration and sleep
- Homicide, Infanticide, and Child Abuse
- Emergency and Acute Care Studies
- Child Abuse and Trauma
- Congenital Ear and Nasal Anomalies
- Neonatal and fetal brain pathology
- Pleural and Pulmonary Diseases
- Oral and Craniofacial Lesions
- Pericarditis and Cardiac Tamponade
- Pulmonary Hypertension Research and Treatments
- Hemodynamic Monitoring and Therapy
- Historical and Architectural Studies
- Cardiac Arrest and Resuscitation
- Radiology practices and education
- Bacterial Infections and Vaccines
- Appendicitis Diagnosis and Management
- Adolescent and Pediatric Healthcare
- Respiratory viral infections research
Children's Hospital of Pittsburgh
2018-2024
University of Pittsburgh Medical Center
2020-2023
University of Pittsburgh
2019-2020
Mashhad University of Medical Sciences
1994
Imam Reza Hospital
1994
Serious bacterial infections (SBIs) in young infants can present with fever or hypothermia. There are substantial data on as a presentation for SBI that help to inform the clinical approach. In contrast, hypothermia lacking, thus leaving clinicians without guidance. We aimed describe workup and findings, specifically occurrence, of SBIs younger than 60 days life hypothermia.We reviewed medical records rectal temperature less 36.5°C upon arrival children's hospital emergency department...
In May 2016, the American Academy of Pediatrics published a clinical practice guideline for brief resolved unexplained events (BRUEs). We evaluated changes in management BRUE after publication.Using pediatric multicenter administrative database, we compared rates admission, testing, revisits, and diagnoses patients diagnosed with or apparent life-threatening event (ALTE) during 2017 ALTE 2015. used interrupted time series analysis to test if was associated admission rate all between 2015...
Management of spontaneous pneumomediastinum in the pediatric population is highly variable. There are limited data on use diagnostic tests and need for admission. Our objectives were to characterize management pneumomediastinum, determine yield advanced imaging, describe patients' outcomes.This a retrospective cohort study all patients presenting single tertiary emergency department between January 2008 February 2015 diagnosed with pneumomediastinum. Patients identified using 2 complementary...
We report the case of a 6-year-old boy presenting to emergency department after syncopal event during flu-like illness. Intermittent ventricular tachycardia was noted Emergency Medical Services transport, and focused cardiac ultrasound (FOCUS) in revealed dilated left ventricle atrium as well severe global systolic dysfunction. Point-of-care findings prompted expedited evaluation management this critically ill patient.
Describe the clinical presentation, prevalence, and outcomes of concurrent serious bacterial infection (SBI) among infants with mastitis.Within Pediatric Emergency Medicine Collaborative Research Committee, 28 sites reviewed records aged ≤90 days mastitis who were seen in emergency department between January 1, 2008, December 31, 2017. Demographic, clinical, laboratory, treatment, outcome data summarized.Among 657 (median age 21 days), 641 (98%) well appearing, 138 (21%) had history fever at...
Abstract Objectives The primary objective was to survey pediatric emergency medicine (PEM) leaders and fellows regarding point‐of‐care ultrasound (POCUS) training in PEM fellowship programs, including teaching methods, requirements, applications taught. Secondary objectives were compare fellows' program leaders' perceptions of fellow POCUS competency barriers. Methods This a cross‐sectional U.S. the 78 programs using two online group‐specific surveys exploring five domains: demographics;...
OBJECTIVE Describe the clinical presentation, prevalence of concurrent serious bacterial infection (SBI), and outcomes among infants with omphalitis. METHODS Within Pediatric Emergency Medicine Collaborative Research Committee, 28 sites reviewed records ≤90 days age omphalitis seen in emergency department from January 1, 2008, to December 31, 2017. Demographic, clinical, laboratory, treatment, outcome data were summarized. RESULTS Among 566 (median 16 days), 537 (95%) well-appearing, 64...
Abstract Background Multiple clinical prediction rules have been published to risk-stratify febrile infants ≤60 days of age for serious bacterial infections (SBI), which is present in 8-13% infants. We evaluate the cost-effectiveness strategies identify with SBI emergency department. Methods developed a Markov decision model estimate outcomes well-appearing, term infants, using following strategies: Boston, Rochester, Philadelphia, Modified Pediatric Emergency Care Applied Research Network...
Background: Approximately 200,000 infants ≤90 days of age present to emergency departments (ED) with fever every year. Among those <60 old, serious bacterial infections (SBI), including meningitis, bacteremia and urinary tract infection (UTI), occur in 8-13%. Balancing the costs medical evaluation treatment, particularly unnecessary hospitalization, risks misdiagnosis poses a clinical challenge. The cost-effectiveness published prediction rules this population is unknown. Objective: To...
Background: Neonatal mastitis and omphalitis are uncommon but potentially serious infections in neonates. Clinical findings may range from localized soft tissue infection to more invasive necrotizing local or systemic illness with other concurrent bacterial infections. Modern literature on these diseases is scant, there very little evidence available guide evaluation treatment decisions. Objective: Describe the clinical presentation, prevalence of (SBI), outcomes among infants neonatal...
Abstract Background: Multiple clinical prediction rules have been published to risk-stratify febrile infants ≤60 days of age for serious bacterial infections (SBI), which is present in 8-13% infants. We evaluate the cost-effectiveness strategies identify with SBI emergency department. Methods: developed a Markov decision model estimate outcomes well-appearing, term infants, using following strategies: Boston, Rochester, Philadelphia, Modified Pediatric Emergency Care Applied Research Network...
Background: Approximately 200,000 infants ≤90 days of age present to emergency departments (ED) with fever every year. Among those <60 old, serious bacterial infections (SBI), including meningitis, bacteremia and urinary tract infection (UTI), occur in 8-13%. Balancing the costs medical evaluation treatment, particularly unnecessary hospitalization, risks misdiagnosis poses a clinical challenge. The cost-effectiveness published prediction rules this population is unknown. Objective: To...