- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Healthcare Policy and Management
- Injury Epidemiology and Prevention
- Ultrasound in Clinical Applications
The University of Texas at Austin
2022-2024
Importance Emergency departments (EDs) with high pediatric readiness (coordination, personnel, quality improvement, safety, policies, and equipment) are associated lower mortality among children critical illness those admitted to trauma centers, but the benefit more diverse clinical conditions is unknown. Objective To evaluate association between ED readiness, in-hospital mortality, 1-year injured medically ill receiving emergency care in 11 states. Design, Setting, Participants This a...
Abstract Objective We estimate annual hospital expenditures to achieve high emergency department (ED) pediatric readiness (HPR), that is, weighted Pediatric Readiness Score (wPRS) ≥ 88 (0–100 scale) across EDs with different volumes of children, overall and after accounting for current levels readiness. Methods calculated the costs HPR based on two components: (1) ED equipment supplies (2) labor required a Emergency Care Coordinator (PECC) perform tasks. Data sources generate cost estimates...
Importance Presentation to emergency departments (EDs) with high levels of pediatric readiness is associated improved survival. However, it unclear whether children all races and ethnicities benefit equitably from increased such readiness. Objective To evaluate the association ED in-hospital mortality among different traumatic injuries or acute medical emergencies. Design, Setting, Participants This cohort study requiring care in 586 EDs across 11 states was conducted January 1, 2012,...
Abstract Background and Objective High ED pediatric readiness is associated with improved survival in children, but the cost unknown. We evaluated costs of emergency care for children across quartiles readiness. Methods This was a retrospective cohort study 0 to 17 years receiving services 747 EDs 9 states from 1/1/2012 through 12/31/2017. measured using weighted Pediatric Readiness Score (wPRS, range 0-100). The primary outcome total acute (ED inpatient) 2022 dollars, adjusted case mix...
Whether ambulance transport patterns are optimized to match children high-readiness emergency departments (EDs) and the resulting effect on survival unknown. We quantified number of transported by 9-1-1 medical services (EMS) EDs, additional within 30 minutes a ED, estimated survival.