A5056902553- Traffic and Road Safety
- Emergency and Acute Care Studies
- Injury Epidemiology and Prevention
- Trauma and Emergency Care Studies
- Multiple Sclerosis Research Studies
- Cardiac Arrest and Resuscitation
- Peripheral Neuropathies and Disorders
- Systemic Lupus Erythematosus Research
- Child Abuse and Trauma
- Automotive and Human Injury Biomechanics
- Healthcare Policy and Management
- Family and Patient Care in Intensive Care Units
- Traumatic Brain Injury Research
- Airway Management and Intubation Techniques
- Hemoglobinopathies and Related Disorders
- Palliative Care and End-of-Life Issues
- Childhood Cancer Survivors' Quality of Life
- Child and Adolescent Health
- Child Abuse and Related Trauma
- Older Adults Driving Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Abdominal Trauma and Injuries
- Data Quality and Management
- Autopsy Techniques and Outcomes
- Respiratory viral infections research
University of Utah
2016-2025
Charité - Universitätsmedizin Berlin
2021-2024
Humboldt-Universität zu Berlin
2021-2024
Freie Universität Berlin
2021-2024
Max Delbrück Center
2021-2024
Einstein Center Digital Future
2024
Moorfields Eye Hospital NHS Foundation Trust
2024
National Hospital for Neurology and Neurosurgery
2024
Ente Ospedaliero Cantonale
2024
University College London
2024
Collisions between large vertebrates and vehicles along roadways are an increasing concern, not only because of ecological consequences, but also associated economic social costs. We used a large-scale, long-term data set comprising several databases from Utah to summarize analyze these The overall cost for 13,020 collisions 1996 2001 in was approximately $45,175,454, resulting estimated average per year about $7,529,242 mean collision $3,470. These fi gures include human fatality costs $24...
OBJECTIVES: To test the hypotheses that minority children with long-bone fractures are less likely to (1) receive analgesics, (2) opioid and (3) achieve pain reduction. METHODS: We performed a 3-year retrospective cross-sectional study of <18 years old using Pediatric Emergency Care Applied Research Network Registry (7 emergency departments). bivariable multivariable logistic regression measure association between patient race ethnicity any analgesic, ≥2-point score reduction, (4)...
To gain insights into NMOSD disease impact, which may negatively affect QoL of patients, their families, and social network.The current study used validated instruments to assess physical, emotional, socioeconomic burden on among 193 patients.A majority patients reported an initial diagnosis a other than NMOSD. Overall, two-thirds as having strong negative impact physical health (Short Form-36 [SF-36] score 27.1 ± 39.1), whereas emotional well-being was relatively unimpaired average (SF-36...
Abstract Background Appendicitis is the most common surgical condition in pediatric emergency department (ED) patients. Prompt diagnosis can reduce morbidity, including appendiceal perforation. The goal of this study was to measure racial/ethnic differences rates 1) perforation, 2) delayed appendicitis, and 3) diagnostic imaging during prior visit(s). Methods This a 3‐year multicenter (seven EDs) retrospective cohort children diagnosed with appendicitis using Pediatric Emergency Care Applied...
To determine optic nerve and retinal damage in aquaporin-4 antibody (AQP4-IgG)-seropositive neuromyelitis optica spectrum disorders (NMOSD) a large international cohort after previous studies have been limited by small heterogeneous cohorts.The cross-sectional Collaborative Retrospective Study on optical coherence tomography (OCT) collected retrospective data from 22 centers. Of 653 screened participants, we included 283 AQP4-IgG-seropositive patients with NMOSD 72 healthy controls (HCs)....
<h3>Importance</h3> Pediatric sepsis definitions have evolved, and some proposed using the measure used in adults to quantify organ dysfunction, a Sequential Organ Failure Assessment (SOFA) score of 2 or more setting suspected infection. A pediatric adaptation SOFA (pSOFA) showed excellent discrimination for mortality critically ill children but has not been evaluated an emergency department (ED) population. <h3>Objective</h3> To delineate test characteristics pSOFA predicting in-hospital...
The National Pediatric Readiness Project assessment provides a comprehensive evaluation of the readiness US emergency departments (EDs) to care for children. Increased pediatric has been shown improve survival children with critical illness and injury.
Abstract Objective The objective was to describe the characteristics of children seeking emergency care for firearm injuries within PECARN network and assess influence both individual neighborhood factors on firearm‐related injury risk. Methods This a retrospective, multicenter cross‐sectional analysis (<19 years old) presenting 16 pediatric ED s (2004–2008). ICD ‐9‐ CM E‐codes were used identify categorize by mechanism/intent. Neighborhood variables derived from home address data....
Management of children with intra-abdominal solid organ injuries has evolved markedly. We describe the current management after blunt trauma in a large multicenter network.We performed planned secondary analysis prospective, observational study (<18 years) torso trauma. included spleen, liver, or kidney identified by computed tomography, laparotomy/laparoscopy, autopsy. Outcomes disposition and interventions (blood transfusion for hemorrhage, angiography, laparotomy/laparoscopy). subanalyses...
<h3>Importance</h3> Pediatric mild traumatic brain injury (TBI) and concussion are a public health challenge with up to 30% of patients experiencing prolonged recovery. presenting clinics often have ongoing impairments may be at increased risk for persistent symptoms. Understanding this population is critical improved prognostic estimates optimal treatment. <h3>Objective</h3> To describe pediatric characterize factors associated their <h3>Design, Setting, Participants</h3> This prospective...
Patients with myelin oligodendrocyte glycoprotein antibody (MOG-IgG)-associated disease (MOGAD) suffer from severe optic neuritis (ON) leading to retinal neuro-axonal loss, which can be quantified by optical coherence tomography (OCT). We assessed whether ON-independent atrophy detected in MOGAD. Eighty patients MOGAD and 139 healthy controls (HCs) were included. OCT data was acquired (1) Spectralis spectral domain (MOGAD: N = 66 HCs: 103) (2) Cirrus high-definition 14 36). Macular combined...
To assess the effect of maternal involvement in motor vehicle crashes on likelihood adverse pregnancy outcomes and to estimate seatbelt use reducing occurrence those outcomes.Statewide crash, birth, fetal death records from 1992 1999 were probabilistically linked. Logistic regression was used compare birth including low weight, prematurity, placental abruption, distress, excessive bleeding, death, other complications among pregnant women not crashes.Of 322,704 single live resident births,...
Objectives: To describe the epidemiology of repeat users emergency department (ED) using a statewide database. Methods: Probabilistic linkage was used to convert three years ED visit data into longitudinal, patient-based set. Patients were classified as single, (at least two visits within years), or serial (four more 365-day period) ED. Serial patients further stratified by number EDs attended. Descriptive statistics assess differences between patient types. Results: There 1,370,607 separate...
Objective. To determine the effect of restraint use and seating position on injuries to children in motor vehicle crashes, with stratification by area impact. Methods. Children &lt;15 years old involved serious automobile crashes Utah from 1992 through 1996 were identified statewide crash records. Serious are defined as those resulting occupant broken bones or significant bleeding property damage exceeding $750. Probabilistic methods used link these records hospital Analysis logistic...
Abstract Objective To assess the safety and efficacy of a 0.005% mixture solasodine glycosides (Zycure) in treatment basal cell carcinoma. Design Double‐blind, randomized, vehicle‐controlled, parallel group study. Setting Ten centers United Kingdom. Participants Male, n = 50; female, 44; age range, 32–95 years ( Table 1 ). Demographics Characteristic Treatment Zycure 62 Vehicle 32 Age (in years): mean 68.9 70.0 Sex: male 33 17 female 29 15 Race: Caucasian Intervention Ninety‐four patients...
ACADEMIC EMERGENCY MEDICINE 2012; 19: 469–480 © 2012 by the Society for Academic Emergency Medicine Abstract Objectives: The objective was to evaluate process of using existing data sources, probabilistic linkage, and multiple imputation create large population‐based injury databases matched outcomes. Methods: This a retrospective cohort study injured children adults transported 94 emergency medical systems (EMS) agencies 122 hospitals in seven regions western United States over 36‐month...
BACKGROUND AND OBJECTIVES: The Joint Commission introduced 3 Children’s Asthma Care (CAC 1–3) measures to improve the quality of pediatric inpatient asthma care. Validity commission’s has not yet been demonstrated. objectives this improvement study were examine changes in provider compliance with CAC 1–3 and associated hospitalization outcomes after full implementation an care process model (CPM). METHODS: included children aged 2 17 years who admitted a tertiary children’s hospital for...
Despite evidence that motorcycle helmets reduce morbidity and mortality, helmet laws rates of use vary by state in the U.S.We pooled data from eleven states: five with universal requiring all motorcyclists to wear a helmet, six partial only subset helmet. Data were combined Crash Outcome Evaluation System's General Use Model included crash records probabilistically linked emergency department inpatient discharges for years 2005-2008. Medical outcomes compared between law settings. We...
<h3>Importance</h3> The Four Corners Youth Consortium was created to fill the gap in our understanding of youth concussion. This study is first analysis posttraumatic headache (PTH) phenotype and prognosis this cohort concussed youth. <h3>Objective</h3> To describe characteristics with PTH determine whether associated outcome. <h3>Design, Setting, Participants</h3> examined outcomes from patients a multi-institutional registry traumatic brain injury (TBI) clinics December 2017 June 2019....
The COVID-19 pandemic adversely affected children's mental health (MH) and changed patterns of MH emergency department (ED) utilization. Our objective was to assess how pediatric ED visits during the differed from expected prepandemic trends.