A5064867340- Emergency and Acute Care Studies
- Healthcare Policy and Management
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- Healthcare cost, quality, practices
- Primary Care and Health Outcomes
- Child and Adolescent Psychosocial and Emotional Development
- Dialysis and Renal Disease Management
- Opioid Use Disorder Treatment
- Pneumonia and Respiratory Infections
- Ultrasound in Clinical Applications
- Prenatal Substance Exposure Effects
- Central Venous Catheters and Hemodialysis
- Appendicitis Diagnosis and Management
- Health Systems, Economic Evaluations, Quality of Life
- Trauma and Emergency Care Studies
- Gastroesophageal reflux and treatments
- Acute Kidney Injury Research
- Clinical practice guidelines implementation
- COVID-19 and healthcare impacts
- Gastrointestinal motility and disorders
- Substance Abuse Treatment and Outcomes
- Radiation Dose and Imaging
- COVID-19 and Mental Health
- Family and Patient Care in Intensive Care Units
Children's Hospital Association
2016-2024
University of California, Los Angeles
2022
Cornell University
2022
Children's Mercy Hospital
2021
RELX Group (Netherlands)
2017
Research Network (United States)
2017
United States Census Bureau
2013
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...
Retention in addiction treatment is associated with reduced mortality for individuals opioid use disorder (OUD). Although clinical trials support of OUD medications among youths (adolescents and young adults), data on timely receipt buprenorphine hydrochloride, naltrexone methadone hydrochloride its association retention care real-world settings are lacking.
To describe recent, 10-year trends in pediatric hospital resource use with and without a psychiatric diagnosis examine how these vary by type of medical cooccurrence.A retrospective, longitudinal cohort analysis using discharge data from 33 tertiary care US children's hospitals patients ages 3 to 17 years January 1, 2005 through December 31, 2014. The discharges, days, total aggregate costs for each comorbid group were assessed multivariate generalized estimating equations.From 2014, the...
<h3>Importance</h3> Diagnostic imaging is frequently performed as part of the emergency department (ED) evaluation children. Whether patterns differ by race and ethnicity unknown. <h3>Objective</h3> To evaluate racial ethnic differences in performance common ED studies to examine across diagnoses. <h3>Design, Setting, Participants</h3> This cross-sectional study evaluated visits patients younger than 18 years 44 US children’s hospital EDs from January 1, 2016, through December 31, 2019....
BACKGROUND In the Medicare population, measures of relative severity illness (SOI) for hospitalized patents have been used in prospective payment models. Similar pediatric populations not fully developed. OBJECTIVE To develop hospitalization resource intensity scores kids (H‐RISK) using weights (RWs) SOI and to compare hospital types on case‐mix index (CMI). DESIGN/METHODS Using 2012 Kids' Inpatient Database (KID), we developed RWs each All Patient Refined Diagnosis Related Group (APR‐DRG)...
Nonfatal opioid overdose may be a critical touch point when youths who have never received diagnosis of use disorder can engaged in treatment. However, the extent to which (adolescents and young adults) receive timely evidence-based treatment following is unknown.
This study examines how much the Child and Adolescent Mental Health Disorders Classification System of diagnosis overlaps with diagnoses in Clinical Software ICD-9-CM ICD-10-CM.
Urgent care (UC) is one of the fastest growing venues health delivery. We compared clinical and cost attributes pediatric UC emergency department (ED) visits that did not result in admission.Our study examined 5 925 568 ED children under 19 years old 2010 through 2012 Marketscan Medicaid Multi-State Database. Basic demographics, diagnoses, severity, payments were compared. Between visits, χ(2) tests used for proportions Wilcoxon rank-sum continuous variables.The had same most common...
Children with medical complexity (CMC) comprise only 6% of the pediatric population, account for ∼40% health care spending, and provide an important opportunity cost saving. Savings in this group can have impact on costs. The objective study was to assess a multicenter management program spending use CMC.We conducted prospective cohort analysis population 4530 CMC enrolled learning collaborative designed improve ages 0 21 years identified using 3M Clinical Risk Group categories 5b through 9....
Identifying high priority pediatric conditions is important for setting a research agenda in hospital pediatrics that will benefit families, clinicians, and the health care system. However, last such prioritization study was conducted more than decade ago used International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes.To identify should be prioritized comparative effectiveness based on prevalence, cost, variation cost hospitalizations using contemporary...
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OBJECTIVES To examine how outpatient mental health (MH) follow-up after a pediatric MH emergency department (ED) discharge varies by patient characteristics and to evaluate the association between timely return encounters. METHODS We conducted retrospective study of 28 551 children aged 6 17 years with ED discharges from January 2018 June 2019, using IBM Watson MarketScan Medicaid database. Odds nonemergent follow-up, adjusted for sociodemographic clinical characteristics, were estimated...
There is increased awareness of radiation risks from computed tomography (CT) in pediatric patients. In emergency departments (EDs), evidence-based guidelines, improvements imaging technology, and availability nonradiating modalities have potentially reduced CT use.To evaluate changes over time hospital variation advanced use.This cross-sectional study assessed 26 082 062 ED visits by children younger than 18 years the Pediatric Health Information System administrative database January 1,...
This cross-sectional study assesses the specificity of Pediatric Clinical Classification System and Healthcare Cost Utilization Project diagnosis categories for clinical classification in pediatric inpatient settings.
Background Craniosynostosis is treated with endoscopic, open, and/or distraction surgical techniques. We assessed institutional variation in the use these techniques for craniosynostosis and compared hospital resource use. Methods Retrospective analysis of 5249 infants age <18 months old undergoing procedures all types 2016–2020 39 freestanding children's hospitals Pediatric Health Information System (PHIS) database. Endoscopic vs. open cranial vault surgery (with without osteogenesis)...
BACKGROUND AND OBJECTIVES: General pediatricians and hospitalists are increasingly summoned to optimize the comorbid conditions of children with medical complexity (CMC) undergoing major surgery. We assessed relationship between specific chronic CMC hospital resource use spinal fusion for scoliosis, an operation high cost morbidity. METHODS: Retrospective analysis 7252 age ≥5 years underlying complex condition January 1, 2010 through December 31, 2014 in 41 children’s hospitals. Hospital...
Diagnostic imaging overuse in children evaluated emergency departments (EDs) is a potential target for reducing low-value care. Variation practice patterns across Canada and the United States stemming from organization of care, payment structures, medicolegal environments may lead to differences between countries.
costs for patients who were AMAB at our clinic are relatively affordable (testicular biopsy is free, semen analysis approximately $66 [AU $100], and annual sperm storage $132 $200]).Consistent with this, a recent Dutch study in which FP also largely covered by insurance observed that 12 of 32 transgender individuals (38%) froze prior to starting hormones. 6 Notably, this rate was still considerably lower than ours.One likely reason testicular biopsy, be less dysphoria-inducing masturbation...
After statewide COVID-19–related school closures in 2020, suicide or self-injury and depressive disorders were the primary drivers of acute mental health encounters a sample 44 U.S. children’s hospitals. In fall hospitalizations for rose by 41.7%, compared with 2019.