A5058390584- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Childhood Cancer Survivors' Quality of Life
- COVID-19 Clinical Research Studies
- Respiratory Support and Mechanisms
- Infant Development and Preterm Care
- Healthcare Policy and Management
- Intensive Care Unit Cognitive Disorders
- Kawasaki Disease and Coronary Complications
- Cardiac Arrest and Resuscitation
- Family and Patient Care in Intensive Care Units
- Child and Adolescent Health
- COVID-19 Impact on Reproduction
- Tracheal and airway disorders
- Neonatal Respiratory Health Research
- Congenital Diaphragmatic Hernia Studies
- Anesthesia and Sedative Agents
- Cardiac, Anesthesia and Surgical Outcomes
- Hemodynamic Monitoring and Therapy
- Hematopoietic Stem Cell Transplantation
- Chronic Disease Management Strategies
- Traumatic Brain Injury Research
- Clinical Reasoning and Diagnostic Skills
- Injury Epidemiology and Prevention
- Adolescent and Pediatric Healthcare
University of Minnesota
2021-2025
University of Minnesota Children's Hospital
2020-2025
Fairview Health Services
2024
University of Ottawa
2024
George Washington University
2018-2022
Society of Critical Care Medicine
2021-2022
Children's National
2017-2020
Rainbow Babies & Children's Hospital
2014-2019
Office of Adolescent Health
2017
Children's Hospital of Los Angeles
2017
To identify trends in the population of patients PICUs over time.Cross-sectional, retrospective cohort study using Pediatric Health Information System database.Forty-three U.S. children's hospitals.All admitted to System-participating hospitals from January 2014 December 2019. Individuals greater than 65 years old and normal newborns were excluded.None.PICU care occurred 13.8% all pediatric hospital encounters increased period 13.3% 14.3%. Resource intensity, based on average Hospitalization...
To examine the association between a validated composite measure of neighborhood factors, Child Opportunity Index (COI), and emergent PICU readmission during year following discharge for survivors pediatric critical illness.Retrospective cross-sectional study.Forty-three U.S. children's hospitals contributing to Pediatric Health Information System administrative dataset.Children (< 18 yr) with at least one admission in 2018-2019 who survived an index admission.None.Of 78,839 patients, 26%...
Objectives: In survivors of illnesses or surgeries requiring PICU admission, there is a risk posttraumatic stress disorder (PTSD). We aimed to estimate PTSD prevalence and potential contributing factors in admission. Data Sources: performed PROSPERO registered systematic review (CRD42022348997; Registered August 2022) using MEDLINE, Embase, CINAHL, Cochrane Central Register Controlled Trials (CENTRAL) databases, 2000 2022, with no language restrictions. Study Selection: Observational...
Objectives: Multicenter data on the characteristics and outcomes of children hospitalized with coronavirus disease 2019 are limited. Our objective was to describe characteristics, ICU admissions, among using Society Critical Care Medicine Discovery Viral Infection Respiratory Illness Universal Study: Coronavirus Disease registry. Design: Retrospective study. Setting: Study (Coronavirus 2019) Patients: Children (< 18 yr) at participating hospitals from February 2020 January 2021....
Objectives: To identify a PICU Core Outcome Measurement Set (PICU COMS), set of measures that can be used to evaluate the COS) domains in patients and their families. Design: A modified Delphi consensus process. Setting: Four webinars attended by physicians nurses, pediatric surgeons, rehabilitation physicians, scientists with expertise clinical care or research ( n = 35). Attendees were from eight countries convened Pediatric Acute Lung Injury Sepsis Investigators Outcomes STudies after...
OBJECTIVE To describe the impact of obesity on disease severity and outcomes coronavirus 2019 (COVID-19) among hospitalized children. METHODS This retrospective cohort study from Society Critical Care Medicine Viral Respiratory Illness Universal Study registry included all children with COVID-19 March 2020 to January 2021. Obesity was defined by Centers for Disease Control Prevention BMI or World Health Organization weight length criteria. illness definition adapted National Institutes...
OBJECTIVES: Children with chronic critical illness (CCI) are hypothesized to be a high-risk patient population persistent multiple organ dysfunction and functional morbidities resulting in recurrent or prolonged care; however, it is unclear how CCI should defined. The aim of this scoping review was evaluate the existing literature for case definitions pediatric PICU admission explore methodologies used derive these definitions. DATA SOURCES: Four electronic databases (Ovid Medline, Embase,...
INTRODUCTION The identification of children with medical complexity (CMC) from administrative data sources is essential to understanding illness severity, morbidity, mortality, and utilization patterns in this population.1 CMC have severe chronic conditions that require multiple subspecialties, lead functional high impact family limitations, are often associated technology dependence.2 Identifying using operational definitions important given their contribution pediatric expenditures.3...
Children who use invasive long-term mechanical ventilation (LTMV) are a rare, clinically heterogenous population with relatively high hospitalization rates, most commonly for acute respiratory infection (ARI). We sought to describe patterns of ARI-related utilization and mortality in pediatric patients LTMV, evaluating the association pre-existing neurologic diagnoses outcomes. studied longitudinal retrospective cohort across 40 U.S. children's hospital emergency department (ED) encounters...
Objectives/Goals: Children with chronic respiratory technology needs (CRTN) are becoming a dominant patient group in pediatric intensive care units (ICUs). However, little is known about patient-level, long-term outcomes this population. The lack of such knowledge may lead to inadequate ICU therapies, interventions, or follow-up care. Methods/Study Population: This project will deploy set ecological momentary assessment (EMA) modules measuring real-time functioning as well standardized...
Objectives: Children with dependence on respiratory or feeding technologies are frequently admitted to the PICU, but little is known about their characteristics outcomes. We hypothesized that they at increased risk of critical illness–related morbidity and mortality compared children without technology dependence. Design: Secondary analysis prospective, probability-sampled cohort study from birth 18 years old. Demographic clinical were assessed. Outcomes included death, survival new...
OBJECTIVES: To compare clinical characteristics and outcomes of children admitted to the PICU for severe acute respiratory syndrome coronavirus 2–related illness with or without multisystem inflammatory in children. The secondary objective was identify explanatory factors associated outcome critical defined by a composite index in-hospital mortality organ system support requirement. DESIGN: Retrospective cohort study. SETTING: Thirty-eight PICUs within Viral Infection Respiratory Illness...
Hematopoietic cell transplant (HCT) is a curative treatment for multiple malignant and non-malignant disorders. While morbidity mortality have decreased significantly over the years, some patients still require management in pediatric intensive care unit (PICU) during their HCT course additional respiratory, cardiovascular, and/or renal support. We retrospectively reviewed (0–18 years) who underwent from January 2015–December 2020 at our institution to determine risk factors PICU evaluate...
Previous studies have reported concerning numbers of injuries to children in the school setting. The objective was understand temporal and demographic trends intentional setting compare these with outside Data from National Electronic Injury Surveillance System-All Program 2001 2008 were analyzed assess emergency department visits (EDVs) after an injury. There estimated 7,397,301 total EDVs due sustained at 2008. Of these, 736,014 (10%) as (range: 8.5%-10.7% for study time period). overall...
Objectives: To describe the pharmaceutical management of sedation, analgesia, and neuromuscular blockade medications administered to children in ICUs. Design: A retrospective analysis using data extracted from national database Health Facts. Setting: One hundred sixty-one ICUs United States with pediatric admissions. Patients: Children receiving 2009 2016. Exposure/Intervention: Frequency duration administration medications. Measurements Main Results: Of 66,443 patients a median age 1.3...