Joan Bregstein

ORCID: 0000-0002-0824-4187
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About
Contact & Profiles
Research Areas
  • Emergency and Acute Care Studies
  • Respiratory viral infections research
  • Respiratory Support and Mechanisms
  • Trauma and Emergency Care Studies
  • Pneumonia and Respiratory Infections
  • Healthcare Systems and Technology
  • COVID-19 and healthcare impacts
  • Radiation Dose and Imaging
  • Injury Epidemiology and Prevention
  • Infant Development and Preterm Care
  • Chronic Obstructive Pulmonary Disease (COPD) Research
  • Trauma Management and Diagnosis
  • Tracheal and airway disorders
  • Pediatric Pain Management Techniques
  • Empathy and Medical Education
  • Cultural Competency in Health Care
  • Traumatic Ocular and Foreign Body Injuries
  • Pharmaceutical studies and practices
  • Child and Adolescent Psychosocial and Emotional Development
  • Migration, Health and Trauma
  • Family and Patient Care in Intensive Care Units
  • Interpreting and Communication in Healthcare
  • Otolaryngology and Infectious Diseases
  • Infant Health and Development
  • Telemedicine and Telehealth Implementation

Columbia University
2007-2024

Morgan Stanley Children's Hospital
2010-2022

Presbyterian Hospital
2022

Cornell University
2022

University of Padua
2012

Bronchiolitis, the most common infection of lower respiratory tract in infants, is a leading cause hospitalization childhood. Corticosteroids are commonly used to treat bronchiolitis, but evidence their effectiveness limited.We conducted double-blind, randomized trial comparing single dose oral dexamethasone (1 mg per kilogram body weight) with placebo 600 children (age range, 2 12 months) first episode wheezing diagnosed emergency department as moderate-to-severe bronchiolitis (defined by...

10.1056/nejmoa071255 article EN New England Journal of Medicine 2007-07-25

Bronchiolitis is a leading cause of infant hospitalization in the United States; mean length stay (LOS) 3.3 days. We sought to identify initial clinical characteristics bronchiolitis associated with admission and longer LOS large multicenter trial.This study was secondary analysis randomized trial conducted 20 emergency departments Pediatric Emergency Care Applied Research Network. examined age, sex, days illness, Respiratory Distress Assessment Instrument score, vital signs, oxygen...

10.1097/pec.0b013e3182440b9b article EN Pediatric Emergency Care 2012-01-21

Disaggregating performance metrics by patients' race, ethnicity, and language (REaL) can identify health care disparities. However, electronic record (EHR) data are often inaccurate not representative of self-identified REaL, the gold standard.1–3 We assessed REaL validity in our pediatric emergency department (ED) comparing EHR-documented to survey-reported data.As part a quality improvement project, we surveyed convenience sample 92 patients ED between December 2022 April 2023. excluded...

10.1542/hpeds.2024-007774 article EN Hospital Pediatrics 2024-08-19

Objective The aim of the study is to determine if there a correlation between perceived staff workload, measured by NASA Task Load Index (TLX), and National Emergency Department Overcrowding Scale (NEDOCS) in pediatric ED. Methods We collected questionnaires large, urban ED assess workload on each six different TLX subscales, which we weighted evenly create an overall estimate workload. evaluated individual responses NEDOCS subgroup. Additionally, analyzed: (1) mean within given hour (2)...

10.1097/pec.0000000000003300 article EN Pediatric Emergency Care 2024-11-19

The aims of this study were to quantify the pain and distress associated with administration intranasal (IN) midazolam in young children using 4 observational measures evaluate degree validity these measures.We conducted a prospective pilot study. Children aged 1 7 years requiring IN enrolled. videotaped, scores assigned baseline phases Observational Scale Behavioral Distress-Revised (OSBD-R), Children's Hospital Eastern Ontario Pain (CHEOPS), Faces-Legs-Activity-Cry-Consolability (FLACC)...

10.1097/pec.0000000000001526 article EN Pediatric Emergency Care 2018-05-24

It was the middle of a busy telehealth shift and paediatric case entered my virtual waiting room. A mother calling about her well-appearing toddler with low-grade fever cough. This would have been mundane encounter had it not for history that father, healthy man in his 30s, critically ill COVID. Initially stoic, recounted course, beginning dry facts morphed into an emotion-filled narrative husband, illness their relationship. She exposed fears own health, fantasies hospitalisation fate...

10.1136/emermed-2020-209989 article EN Emergency Medicine Journal 2020-07-01

Our objectives were to assess the comfort level of pediatric emergency physicians (PEPs) providing urgent care adult patients on telemedicine (APOTM) when redeployed during coronavirus disease 2019 (COVID-19) pandemic, how it changed over time, and what resources helpful. Materials methods: We conducted a retrospective pre-post cross-sectional survey PEPs APOTM with COVID-19 symptoms surge from March 12, 2020, June 2020 (the "care period") at two academic departments in New York City. A...

10.7759/cureus.26145 article EN Cureus 2022-06-21

Abstract These are commentaries on a Cochrane review, published in this issue of EBCH, first as: Bjornson C, Russell KF, Vandermeer B, Durec T, Klassen TP, Johnson DW. Nebulized epinephrine for croup children. Database Systematic Reviews 2011, Issue 2. Art. No.: CD006619. DOI: 10.1002/14651858.CD006619.pub2 Further information review is available EBCH the accompanying Summary article. Copyright © 2012 The Collaboration. Published by John Wiley & Sons, Ltd. Collaboration

10.1002/ebch.1857 article EN Evidence-Based Child Health A Cochrane Review Journal 2012-07-01
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