A5059092939- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Child and Adolescent Health
- Emergency and Acute Care Studies
- Advanced Neuroimaging Techniques and Applications
- Trauma and Emergency Care Studies
- Family and Disability Support Research
- Adolescent and Pediatric Healthcare
- Meta-analysis and systematic reviews
- Viral gastroenteritis research and epidemiology
- Otolaryngology and Infectious Diseases
- Central Venous Catheters and Hemodialysis
- Injury Epidemiology and Prevention
- Resilience and Mental Health
- Advanced MRI Techniques and Applications
- Ultrasound in Clinical Applications
- Vitamin C and Antioxidants Research
- Infant Development and Preterm Care
- Functional Brain Connectivity Studies
- Respiratory viral infections research
- Migraine and Headache Studies
- Hip and Femur Fractures
- Education and Critical Thinking Development
- Family and Patient Care in Intensive Care Units
Stollery Children's Hospital
2016-2025
University of Alberta
2016-2025
Alberta Children's Hospital
2023
Georgia State University
2023
University of Calgary
2020-2023
Brooks Automation (Germany)
2022
Illinois Tool Works (France)
2022
Craig Technologies (United States)
2022
Women and Children’s Health Research Institute
2014-2020
Hospital for Sick Children
2018
<h3>Importance</h3> Approximately one-third of children experiencing acute concussion experience ongoing somatic, cognitive, and psychological or behavioral symptoms, referred to as persistent postconcussion symptoms (PPCS). However, validated pragmatic tools enabling clinicians identify patients at risk for PPCS do not exist. <h3>Objective</h3> To derive validate a clinical score among presenting the emergency department. <h3>Design, Setting, Participants</h3> Prospective, multicenter...
The natural progression of symptom change and recovery remains poorly defined in children after concussion.To describe the by age group (5-7, 8-12, 13-18 years) sex, as well to develop centile curves inform families about injury recovery.Planned secondary analysis a prospective multicenter cohort study (Predicting Persistent Postconcussive Problems Pediatrics). setting was 9 pediatric emergency departments within Pediatric Emergency Research Canada (PERC) network. Participants were aged 5 18...
Patients leaving the emergency department (ED) without being seen (LWBS) by a physician have become growing concern in overcrowded EDs. The purpose of this study was to determine acuity level, reasons, and outcomes LWBS cases.LWBS patients (or their guardians) from two linked Canadian EDs (one adult, one pediatric), identified during 11 sampling periods seven days' duration each, were contacted telephone. Descriptive statistics are provided.A total 711 (4.5%) 15,660 registered left (50%...
Importance Determining how the timing of return to school is related later symptom burden important for early postinjury management recommendations. Objective To examine typical time after a concussion and evaluate whether an earlier associated with 14 days postinjury. Design, Setting, Participants Planned secondary analysis prospective, multicenter observational cohort study from August 2013 September 2014. aged 5 18 years acute (&amp;lt;48 hours) were recruited 9 Canadian pediatric...
Pediatric concussion can disrupt functional brain network connectivity, but prospective longitudinal research is needed to clarify recovery and identify moderators of change. This study investigated connectivity (FC) up 6 months after pediatric concussion. concurrent cohort observational consecutively recruited children (aged 8 17 years) at 5 Canadian hospital emergency departments within 48 hours sustaining a or mild orthopaedic injury (OI). Children completed 3T MRI scanning postacutely (2...
The effectiveness of glucocorticoids for patients with croup is well established but it remains uncertain which glucocorticoid regimen most effective.To determine the 3 regimens in croup.Randomized controlled trial parallel design.Emergency departments 2 Canadian pediatric tertiary care hospitals.Children a clinical syndrome consistent croup, aged months to 5 years, score or greater following at least 15 minutes mist therapy.Oral dexamethasone, 0.6 mg/kg, and nebulized placebo; oral placebo...
Purpose. The purpose of this study was to determine the association between iron deficiency and febrile seizures in a large cohort children aged 6 36 months. Methods. A retrospective case control with 361 patients who presented emergency department 390 otherwise healthy controls illness were reviewed status using MCV, RDW, hemoglobin. Results. total 9% cases had (ID) 6% anemia (IDA), compared 5% 4% respectively. conditional logistic regression odds ratio for ID 1.84 (95% CI, 1.02-3.31)....
Nasopharyngeal (NP) specimens are commonly used for the detection of respiratory viruses, but throat and saliva easier to obtain. The objective this study was compare viral yield direct fluorescent antigen NP nucleic acid amplification tests (NAT) antigen-negative with NAT swab specimens.NP, swab, were obtained from children adolescents aged </=17 years. Direct testing specimen syncytial virus, influenza A B parainfluenza virus performed. If no detected, performed these 4 adenovirus, human...
Paediatric mild traumatic brain injury (mTBI) is a public health burden. Clinicians urgently need evidence-based guidance to manage mTBI, but gold standards for diagnosing and predicting the outcomes of mTBI are lacking. The objective Advancing Concussion Assessment in Pediatrics (A-CAP) study assess broad pool neurobiological psychosocial markers examine associations with postinjury large sample children either or orthopaedic (OI), goal improving diagnosis prognostication paediatric...
<h3>Background:</h3> Peripheral intravenous catheterization in children is challenging, and success rates vary greatly. We conducted a pragmatic randomized controlled trial to determine whether the use of ultrasound or near-infrared vascular imaging guide would be more effective than standard approach achieving successful catheter placement on first attempt. <h3>Methods:</h3> enrolled convenience sample 418 pediatric emergency department who required peripheral between June 2010 August 2012....
Care for children with autism spectrum disorder (ASD) in the emergency department (ED) is increasingly recognized as difficult. Communication, sensory and behavioral challenges a high intensity environment pose risks negative experiences outcomes. Through semi-structured interviews, parents (n = 31) their 4) ASD shared perspectives on ED care. Participants identified issues that negatively affected care experiences, including processes, communication issues, insufficient staff knowledge...
BACKGROUND: Emergency department (ED) care processes and environments impose unique challenges for children with autism spectrum disorder (ASD). The implementation of patient- family-centered (PFCC) emerges as a priority optimizing ED care. In this article, part larger study, we explore PFCC in the context ASD. Our aims were to examine how elements experienced applied relative METHODS: Qualitative interviews conducted parents service providers, drawing on grounded theory approach. Interviews...
The study sought to present normative and psychometric data reliable change formulas for the Health Behavior Inventory (HBI), a postconcussive symptom rating scale embedded in Child Sport Concussion Assessment Tool 5th edition (Child SCAT5).Prospective cohort with longitudinal follow-up.Pediatric emergency departments (EDs).As part of 3 studies conducted United States Canada between 2001 2019, 450 children aged 8 16 years mild orthopedic injuries were recruited during ED visits assessed...
Abstract In the largest sample studied to date, white matter microstructural trajectories and their relation persistent symptoms were examined after pediatric mild traumatic brain injury (mTBI). This prospective, longitudinal cohort study recruited children aged 8–16.99 years with mTBI or orthopedic (OI) from five emergency departments. Children's pre‐injury 1‐month post‐injury symptom ratings used classify without symptoms. Children completed diffusion‐weighted imaging at post‐acute (2–33...
Publication bias toward studies that favor new therapies has been known to occur for the past 40 years, yet its implications are not well studied in child health. The increased interest meta-analyses highlighted need identify totality of evidence when addressing treatment questions.To measure percentage randomized controlled trials (RCTs) presented at a major pediatric scientific meeting were subsequently published as full-length articles, investigate factors associated with publication, and...
Objectives: Patients leaving the emergency department (ED) without being seen (LWBS) by a physician have become growing concern in overcrowded EDs. The purpose of this study was to determine acuity level, reasons, and outcomes LWBS cases. Methods: patients (or their guardians) from two linked Canadian EDs (one adult, one pediatric), identified during 11 sampling periods seven days' duration each, were contacted telephone. Descriptive statistics are provided. Results: A total 711 (4.5%)...
BACKGROUND AND OBJECTIVE: There is increasing recognition that children with autism spectrum disorder (ASD) experience challenges in busy clinical environments such as the emergency department (ED). ASD may heighten adverse responses to sensory input or transitions, which can impose greater difficulty for a child cope situational demands. These problems be amplified ED because of its and unpredictable nature, wait times, bodily care. little literature documenting ED-based needs inform...
Background Antibiotics are frequently used to treat wheezing children. Macrolides may be effective in treating bronchiolitis and asthma. Method We completed a prospective, double-blinded, randomized placebo-control trial of azithromycin among pre-school children (12 60 months age) presenting the emergency department with wheeze. Patients were receive either five days or placebo. Primary outcome was time resolution respiratory symptoms after treatment initiation. Secondary outcomes included...
A significant proportion of children and adolescents report psychological distress following concussion, but little is known about the predictors these problems. The purpose this study was to examine predictive factors pediatric concussion. It hypothesized that presence pre-injury would be strongest predictor post-concussion, with other demographic acute injury adding incrementally prediction. This a prospective, multi-center cohort. Children (6–17 years old; n = 311) who sustained...
Many children requiring acute care receive suboptimal analgesia.To describe paediatric pain management practices and policies in emergency departments (EDs) Alberta.A descriptive survey was distributed to each of the EDs response rate 67% (72 108) obtained. Seventy-one percent (42 59) reported use a tool, 29.3% (17 58) mandatory documentation 16.7% (10 60) had nurse-initiated protocols. Topical anesthetics were be used for intravenous line insertion by 70.4% respondents (38 54) lumbar...