A5080617075- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Trauma and Emergency Care Studies
- Healthcare Systems and Technology
- Telemedicine and Telehealth Implementation
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Asthma and respiratory diseases
- Child and Adolescent Health
- Influenza Virus Research Studies
- Patient Satisfaction in Healthcare
- COVID-19 Clinical Research Studies
- Respiratory viral infections research
- Injury Epidemiology and Prevention
- Chronic Disease Management Strategies
- Hospital Admissions and Outcomes
- Traffic and Road Safety
- Respiratory Support and Mechanisms
- Ultrasound in Clinical Applications
- Dental Trauma and Treatments
- HIV/AIDS oral health manifestations
- Respiratory and Cough-Related Research
- Sepsis Diagnosis and Treatment
- Cystic Fibrosis Research Advances
- Mobile Health and mHealth Applications
- Pneumonia and Respiratory Infections
University of California, Davis
2016-2021
University of California Davis Medical Center
2021
Health Resources and Services Administration
2019
Community Health Center
2019
Pediatrics and Genetics
2019
Shasta College
2019
UC Davis Children's Hospital
2018
Rajasthan Dental College and Hospital
2018
Creative Commons
2018
Apollo Hospitals
2018
Objectives: To compare the severity of illness and outcomes among children admitted to a children’s hospital PICU from referring emergency departments with without access pediatric critical care telemedicine program. Design: Retrospective cohort study. Setting: Tertiary academic PICU. Patients: Pediatric patients directly between 2010 2014. Interventions: None. Measurements: Demographic factors, illness, clinical receiving in telemedicine, as well subcohort before after implementation...
Background: Cystic fibrosis (CF) is a rare disease characterized by mutations in the Fibrosis Transmembrane Receptor (CFTR) gene resulting missing or malfunctioning CFTR activity and impaired lung clearance. modulators are standard of care for CF patients; however, they not indicated approximately 10% patients due to their mutation type. By potentiating calcium-activated chloride channel TMEM16A, GDC-6988 expected compensate restore mucus hydration mucociliary clearance irrespective...
<h3>Importance</h3> Telemedicine is increasingly used to provide outpatient pediatric neurology consultations in underserved communities. Although telemedicine clinics have been shown improve access, little known about how they alter patients' utilization of hospital services. <h3>Objective</h3> To evaluate the association between access and among children with neurologic conditions. <h3>Design, Setting, Participants</h3> This retrospective cross-sectional study included 4169 patients who...
To determine whether telemedicine improves access to outpatient neurology care for underserved patients, we compared appointment completion between urban, in-person clinics and held in rural communities where consultations are provided remotely.In this retrospective study, identified patients scheduled from UCDH pediatric neurologists January 1, 2009, July 31, 2017, person by telemedicine. Demographic clinical variables were abstracted electronic medical records. We evaluated the association...
Importance Pediatric referral centers are increasingly using telemedicine to provide consultations help care for acutely ill children presenting rural and community emergency departments (EDs). These pediatric may improve physician decision-making reduce the frequency of overtriage interfacility transfers. Objective To examine use critical vs telephone associated with risk-adjusted transfer rates from EDs. Design, Setting, Participants A cluster-randomized crossover trial was conducted...
Abstract Background Tryptase, a mast cell protease, has been identified as potential therapeutic target in managing patients with refractory asthma. We assessed the efficacy, safety, pharmacokinetics, and pharmacodynamics of MTPS9579A, an anti‐tryptase antibody, phase 2a randomized trial for uncontrolled asthma 1c to understand activity within lower respiratory tract. Methods Phase ( n = 134) received 1800 mg MTPS9579A or placebo intravenously every 4 weeks 48 weeks. The primary endpoint was...
Background Children in rural communities often lack access to subspecialty medical care. Telemedicine has the potential improve these services but its effectiveness not been rigorously evaluated for paediatric patients with endocrine conditions besides diabetes. Introduction The purpose of this study was assess association between telemedicine and visit attendance among who received care from endocrinologists at an academic centre northern California 2009–2017. Methods We abstracted...
To determine if injured children presenting to nondesignated trauma centers are more or less likely be transferred relative being admitted based on insurance status.We conducted a cross-sectional study by using the Healthcare Cost and Utilization Project Nationwide Emergency Department Sample. Pediatric patients receiving care in emergency departments (EDs) at nontrauma who were either locally another hospital included. We performed logistic regression analysis adjusting for injury severity...
Abstract Purpose Pediatric readiness scores may be a useful measure of hospital's preparedness to care for children. However, there is limited evidence linking these with patient outcomes or other metrics, including the need interfacility transfer. This study aims determine association pediatric odds transfer among cohort noninjured children (< 18 years old) presenting emergency departments (EDs) in small rural hospitals state California. Methods Data from National Readiness Project...
To determine the association between potentially avoidable transfers (PATs) and emergency department (ED) pediatric readiness scores score's associated components.This cross-sectional study linked 2012 National Pediatric Readiness Project assessment with individual encounter data from California's statewide ED inpatient databases during years 2011-2013. A probabilistic linkage, followed by deterministic heuristics, pretransfer, post-transfer encounters. Applying previously published...
Objective The aim of this study was to compare demographic and clinical features children (0–14 years old) who arrived at general emergency departments (EDs) by medical services (EMS) those private vehicles other means in a rural, 3-county region northern California. Methods We reviewed 507 ED records EDs EMS 2013. also analyzed prehospital procedures performed on all transported an area hospital EMS. Results Children arriving were older (9.0 vs 6.0 years; P < 0.001), more ill (mean...
To compare nurse preparedness and quality of patient handoff during interfacility transfers from a pretransfer emergency department to PICU when conducted over telemedicine versus telephone.Cross-sectional survey linked with electronic medical record data using multivariable, multilevel analysis.Tertiary within an academic children's hospital.PICU nurses who received between October 2017 July 2018.None.Among 239 eligible transfers, 106 surveys were completed by 55 (44% response rate)....
Quality of care delivered to adult patients in the emergency department (ED) is often associated with demographic and clinical factors such as a patient's race/ethnicity insurance status. We sought determine whether quality children ED was variety patient-level factors.This retrospective, observational cohort study. Pediatric (<18 years) who received between January 2011 December at one 12 EDs participating Emergency Care Applied Research Network (PECARN) were included. analyzed (including...
Many asthma patients remain uncontrolled on inhaled corticosteroids (ICS) and long-acting beta agonists (LABAs), but guidance for selecting add-on therapies, including muscarinic antagonists (LAMAs) or biologics, is limited. We describe how prescribing practices LAMA biologic therapy have changed with increased treatment options revised guidelines. further identify differences in initiation discontinuation rates by patient characteristics, concomitant COPD.This retrospective cohort study...
Background:Patients with limited English proficiency experience disparities in health care access, quality, costs, and outcomes. Providing qualified medical interpreting services (MIS) the setting can reduce these disparities. Unfortunately, organizations face logistical financial difficulties meeting need for interpreters. Introduction:This descriptive review evaluated travel, time, cost savings associated video compared to traditional in-person services. Materials Methods:We conducted a...
Risk of dental injury from contact sports can be prevented by the use mouthguards. Dentists provide excellent information regarding Thus, aim was to assess awareness among dentists same, level training in fabricating a mouthguard and whether they regularly recommend one for their athletically active patients.This institutional cross-sectional survey conducted Department Orthodontics, Government Dental College, Kottayam, Kerala, India. An online form sent out 1500 offices departments...
Objective The use of emergency medical services (EMS) can be lifesaving for critically ill children and should defined by the child's clinical need. Our objective was to determine whether nonclinical demographic factors insurance status are associated with EMS among presenting department (ED). Methods In this cross-sectional study using National Hospital Ambulatory Medical Care Survey, we included EDs from 2009 2014. We evaluated association between patients' multivariable logistic...
To compare patient factors and outcomes among children admitted to PICUs from referring versus children's hospital emergency departments (EDs).Pediatric patients (<19 years old) EDs July 1, 2011 June 30, 2013. We compared demographic clinical factors, including severity of illness as measured by a recalibrated Pediatric Index Mortality, version 2 score.Of 80 045 109 PICUs, 35.6% were 64.4% EDs. Children had higher (Pediatric 2-predicted risk mortality, 3.1% vs 2.2%, P < .001), more likely be...
Objectives This study sought to investigate the association between a patient's insurance coverage and hospital's decision admit or transfer pediatric patients presenting emergency department (ED) with mental health disorder. Methods is cross-sectional of ED admission events using Healthcare Cost Utilization Project 2014 Nationwide Emergency Department Sample. Children an primary disorder who were either admitted locally transferred another hospital included. Multivariable logistic...
Study objective: Among children requiring hospital admission or transfer, we seek to determine whether insurance is associated with the decision either admit locally transfer another hospital.Methods: This cross-sectional study used Healthcare Cost and Utilization Project 2012 Nationwide Emergency Department Sample.Pediatric patients receiving care in emergency departments (EDs) who were admitted transferred included.Clinical Classifications Software was categorize into noninjury diagnostic...
OBJECTIVES/SPECIFIC AIMS: As pediatric care becomes more concentrated in large urban hospitals, smaller rural hospitals with reduced capacity may opt to transfer patients higher levels of even if the patient has a condition that is manageable general ED. Up 20-40% transfers are considered avoidable, placing burden on patient, their family and health system. The aim this study determine association between readiness (as measured by National Pediatric Readiness Project score) risk...