A5011415895- Gun Ownership and Violence Research
- Adolescent Sexual and Reproductive Health
- Suicide and Self-Harm Studies
- Emergency and Acute Care Studies
- Reproductive tract infections research
- Injury Epidemiology and Prevention
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- HIV/AIDS Research and Interventions
- Food Security and Health in Diverse Populations
- Reproductive Health and Contraception
- Traumatic Ocular and Foreign Body Injuries
- Healthcare Policy and Management
- Syphilis Diagnosis and Treatment
- Ethics and Legal Issues in Pediatric Healthcare
- Intimate Partner and Family Violence
- Maternal Mental Health During Pregnancy and Postpartum
- Ultrasound in Clinical Applications
- Homelessness and Social Issues
- Infant Development and Preterm Care
- Pediatric Pain Management Techniques
- Cardiac Arrest and Resuscitation
- Child Abuse and Trauma
- Trauma and Emergency Care Studies
- Appendicitis Diagnosis and Management
Children's National
2016-2025
George Washington University
2016-2025
George Washington University Hospital
2020-2024
National Hospital
2021-2024
General Department of Preventive Medicine
2021
San Francisco General Hospital
2021
University of California, Berkeley
2021
Stanford University
2021
Ethics and Public Policy Center
2021
Emery Oleochemicals (Malaysia)
2021
Racial disparities in use of analgesia emergency departments have been previously documented. Further work to understand the causes these must be undertaken, which can then help inform development interventions reduce and eradicate racial health care provision.To evaluate differences administration, particularly opioid among children diagnosed as having appendicitis.Repeated cross-sectional study patients aged 21 years or younger evaluated department who had an International Classification...
BACKGROUND AND OBJECTIVES: The impact of the coronavirus disease 2019 (COVID-19) pandemic on pediatric emergency department (ED) visits is not well characterized. We aimed to describe epidemiology ED and resource use during pandemic. METHODS: conducted a cross-sectional study using Pediatric Health Information System for 27 US children’s hospitals COVID-19 period (March 15, 2020, August 31, 2020) 3-year comparator 15 2017–2019). visit rates, patient characteristics, use, charges were...
To evaluate racial and/or ethnic and socioeconomic differences in rates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among children.
In the primary care setting, there are racial and ethnic differences in antibiotic prescribing for acute respiratory tract infections (ARTIs). Viral ARTIs commonly diagnosed pediatric emergency department (PED), which have not been previously reported. We sought to investigate whether patient race ethnicity was associated with viral PED.
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)...
Firearms are the second leading cause of pediatric death in United States. There is significant variation firearm legislation at state level. Recently, 3 laws were associated with a reduction overall deaths from firearms: universal background checks for purchases, ammunition and identification requirement firearms. We sought to determine if stricter level lower firearm-related mortality.This was cross-sectional study which we used 2011-2015 Web-based Injury Statistics Query Reporting System...
<h3>Importance</h3> Firearm injuries are the second leading cause of death among US children and adolescents. Because lack resources allocated to firearm injury prevention during past 25 years, research has lagged behind other areas prevention. Identifying timely important questions regarding is a critical step for reducing pediatric mortality. <h3>Objective</h3> The Safety Among Children Teens (FACTS) Consortium, National Institute Child Health Human Development–funded group scientists...
OBJECTIVES Increased rates of firearm ownership, school closures, and a suspected decrease in supervision during the coronavirus disease 2019 (COVID-19) pandemic place young children at increased risk injuries. We measured trends injuries inflicted by discharging correlated these changes with rise acquisition. METHODS In this cross-sectional study an interrupted time series analysis, we used multiyear data from Gun Violence Archive. compared (1) younger than 12 years old (2) pre-COVID-19...
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...
Firearms are the leading cause of death in children and youth 0 to 24 years age United States. In 2020, firearms resulted 10,197 deaths (fatality rate 9.91/100,000 0-24 old). mechanism pediatric suicides homicides. Increased access is associated with increased rates firearm deaths. Substantial disparities injuries exist by age, gender, race, ethnicity, sexual orientation gender identity for related legal intervention. Barriers can decrease risk suicide, homicide, or unintentional shooting...
Firearms are the leading cause of death in children and youth 0 to 24 years age United States. They also an important injury with long-term physical mental health consequences. A multipronged approach layers protection focused on harm reduction, which has been successful decreasing motor vehicle-related injuries, is essential decrease firearm injuries deaths youth. Interventions should be individual, household, community, policy level. Strategies for reduction pediatric include providing...
BACKGROUND AND OBJECTIVES Health care disparities are pervasive, but little is known about in pediatric safety. We analyzed a national sample of hospitalizations to identify safety events. METHODS In this population-based, retrospective cohort study the 2019 Kids’ Inpatient Database, independent variables were race, ethnicity, and payer. Outcomes Agency for Healthcare Research Quality indicators (PDIs). Risk-adjusted odds ratios calculated using white private payer reference groups....
* Abbreviations: COVID-19 — : coronavirus disease 2019 CPA child physical abuse ED emergency department H-RISK hospitalization resource intensity scores for kids PHIS Pediatric Health Information System Economic recession and natural disasters have been associated with increases in abuse (CPA).1,2 Our objectives were to compare the volume severity of encounters children’s hospitals during 2019 (COVID-19) pandemic that previous years. We conducted a retrospective cohort study...
Objectives: The coronavirus disease 2019 (COVID-19) pandemic has presented extreme challenges for health care workers. This study sought to characterize faced by physician mothers, compare differences in home and work characteristics, elicit specific needs potential solutions.
Firearm injuries are a leading and preventable cause of morbidity mortality among youth. We sought to explore differences in sociodemographic factors youth firearm injury outcomes by intent (unintentional, assault, self-harm).We conducted repeated cross-sectional analysis emergency department (ED) visits aged 21 younger presenting an ED with between 2009 2016 using the Nationwide Emergency Department Sample. performed multivariable logistic regression measure strength association (1)...
This cohort study compares rates of delayed diagnosis and complications appendicitis by race ethnicity Child Opportunity Index among children in 8 states.
Pediatric acute care utilization decreased dramatically during the coronavirus disease 2019 (COVID-19) pandemic. This study examined association between Child Opportunity Index (COI), a multidimensional neighborhood measure of childhood opportunity, and changes in at US pediatric hospitals COVID-19 pandemic compared with previous 3 years.This observational used administrative data across 41 US-based hospitals. Children aged 0 to 17 years emergency department (ED) encounters period were...
Limited research has been conducted on the state-level factors that may be associated with intentional school shootings. We obtained shooting data from Washington Post identified any act of interpersonal gunfire in a K-12 over course two decades. also compiled new active shootings during same twenty-year time period, which attempted mass incident school. time-series analysis to measure association permissiveness state firearm laws and gun ownership More permissive higher rates were both...
Undertriage, the underestimation of acuity, can result in delayed care and potential morbidity emergency department (ED). Although inequities ED based on language preference have been noted, little is known about its association with undertriage. We evaluated for differences undertriage caregiver preference.This was a retrospective cross-sectional study patients aged younger than 21 years, triaged as Emergency Severity Index (ESI) level 4 or 5 (nonurgent), to pediatric from January 1, 2019,...
Importance Suicide is a leading cause of death among US youths, and mental health disorders are known factor associated with increased suicide risk. Knowledge about potential sociodemographic differences in documented diagnoses may guide prevention efforts. Objective To examine the association diagnosis (1) clinical characteristics, (2) precipitating circumstances, (3) mechanism youth decedents. Design, Setting, Participants This retrospective, cross-sectional study decedents aged 10 to 24...
Introduction: Community-associated methicillin resistant Staphylococcus aureus (CA-MRSA) has emerged as the most common cause of skin and soft-tissue infections (SSTI) in United States. A nearly three-fold increase SSTI visit rates had been documented nation's emergency departments (ED). The objective this study was to determine characteristics associated with ED performance incision drainage (I+D) use adjuvant antibiotics management soft tissue (SSTI). Methods: Cross-sectional National...