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Academic Pediatrics

Allison Kempe, Alison W Saville, Brenda Beaty, L Miriam Dickinson, Dennis Gurfinkel, Sheri Eisert, Heather Roth, Diana Herrero, Lynn Trefren, Rachel Herlihy
OBJECTIVES: We compared effectiveness and cost-effectiveness of: 1) centralized reminder/recall (C-R/R) using the Colorado Immunization Information System (CIIS) versus practice-based reminder/recall (PB-R/R) approaches to increase immunization rates; 2) different levels of C-R/R intensity; and 3) C-R/R with versus without the name of the child's provider. METHODS: We conducted 3 sequential cluster-randomized trials involving children 19-25 months in 15 Colorado counties in 3/2013 (trial 1), 10/2013 (trial 2), and 5/2014 (trial 3)...
November 29, 2016: Academic Pediatrics
Lisa E Herrmann, Jeffrey C Winer, Jeremy Kern, Susan Keller, Padmaja Pavuluri
No abstract text is available yet for this article.
November 26, 2016: Academic Pediatrics
Andrew S Garner, Amy Storfer-Isser, Moira Szilagyi, Ruth E K Stein, Cori M Green, Bonnie D Kerker, Karen G O'Connor, Kimberly E Hoagwood, Sarah McCue Horwitz
OBJECTIVE: Efforts to promote early brain and child development (EBCD) include initiatives to support healthy parent-child relationships, tools to identify family social-emotional risk factors, and referrals to community programs to address family risk factors. We sought to examine if pediatricians perceive barriers to implementing these activities, and if they utilize resources to address those barriers. METHOD: Data were analyzed from 304 non-trainee pediatricians who practice general pediatrics and completed a 2013 American Academy of Pediatrics Periodic Survey...
November 24, 2016: Academic Pediatrics
Anupam B Kharbanda, Michael C Monuteaux, Richard G Bachur, Nanette C Dudley, Lalit Bajaj, Michelle D Stevenson, Charles G Macias, Manoj K Mittal, Jonathan E Bennett, Kelly Sinclair, Peter S Dayan
OBJECTIVE: To develop a clinical score to predict appendicitis among older, male children who present to the emergency department (ED) with suspected appendicitis. METHODS: Patients with suspected appendicitis were prospectively recruited at 9 pediatric EDs. A total 2,625 patients enrolled; a subset of 961 males, age 8-18 were analyzed in this secondary analysis. Outcomes determined by pathology, operative reports and follow-up calls. Clinical and laboratory predictors with < 10% missing data and Kappa > 0...
November 24, 2016: Academic Pediatrics
Debra L Bogen, Bonny L Whalen, Laura R Kair, Mark Vining, Beth A King
OBJECTIVE: Standardized practices for the management of neonatal abstinence syndrome (NAS) are associated with shorter lengths of stay, but optimal protocols are not established. We sought to identify practice variations for newborns with in utero chronic opioid exposure among hospitals in the Better Outcomes Through Research for Newborns (BORN) network. METHODS: Nursery site leaders completed a survey about hospitals' policies and practices regarding care for infants with chronic opioid exposure (≥3 weeks)...
November 23, 2016: Academic Pediatrics
Michael B Pitt, Ronald A Furnival, Lei Zhang, Anne M Weber-Main, Nancy C Raymond, Abraham K Jacob
No abstract text is available yet for this article.
November 22, 2016: Academic Pediatrics
Margaret E Samuels-Kalow, Matthew W Bryan, Kathy N Shaw
OBJECTIVE: To derive and test a predictive model for high-frequency (>= four visits/year), low-acuity (Emergency Severity Index 4 or 5) utilization of the pediatric emergency department. METHODS: The study sample used three years of data (2012-14) from a single tertiary care children's hospital for patients <21 years of age. Utilization in 2013 defined the index visit; prior utilization was drawn from 2012; and 2014 was used for outcome measurement. Candidate predictor variables were those that would be available at the time of triage...
November 19, 2016: Academic Pediatrics
Su-Ting T Li, John G Frohna, Susan B Bostwick
No abstract text is available yet for this article.
November 19, 2016: Academic Pediatrics
Shannon Flood, Karin Asplund, Benjamin Hoffman, Allison Nye, Katharine Zuckerman
BACKGROUND: To prevent early childhood caries, the American Dental Association recommends oral fluoride supplementation for children in communities lacking water fluoridation who are at high caries risk. However, patient adherence to oral fluoride supplementation has not been studied in this population. This study assessed adherence to oral fluoride and barriers to adherence in a community lacking water fluoridation. METHODS: A self-administered survey was completed in a systematic sample of 209 parents of children ages 6 months to 4 years, during a primary care visit in an urban academic medical center...
November 19, 2016: Academic Pediatrics
Helen K Hughes, Elizabeth C Matsui, Megan M Tschudy, Craig E Pollack, Corinne A Keet
OBJECTIVES: We sought to determine if racial disparities in pediatric asthma are explained by material hardship and home ownership. METHODS: We performed a secondary analysis of the 2011 American Housing Survey. 33,201 households with children age 6-17 years were surveyed regarding childhood asthma diagnosis and ED visits for asthma (for the youngest child with asthma in the household). Material hardship included poor housing quality, housing crowding, lack of amenities, and no vehicle access...
November 19, 2016: Academic Pediatrics
Andrew R Riley, David V Wagner, Megan E Tudor, Katharine E Zuckerman, Kurt A Freeman
OBJECTIVE: To assess parents' perceptions and utilization of Time-out (TO) in contrast to empirical indications and examine the relationship between reported implementation procedures and perceived effectiveness. METHODS: We surveyed parents of preschool and school-aged children (N=401, aged 15 months-10 years) at well-child visits with regards to their awareness, perception, and usage of TO. Parents were specifically surveyed regarding TO components that have been empirically evaluated or pertain directly to its underlying behavioral principles...
November 14, 2016: Academic Pediatrics
(no author information available yet)
No abstract text is available yet for this article.
November 9, 2016: Academic Pediatrics
Tiffani J Johnson, Daniel G Winger, Robert W Hickey, Galen E Switzer, Elizabeth Miller, Margaret B Nguyen, Richard A Saladino, Leslie R M Hausmann
BACKGROUND AND OBJECTIVES: The general population and most physicians have implicit racial bias against black adults. Pediatricians also have implicit bias against black adults, albeit less than other specialties. There is no published research on the implicit racial attitudes of pediatricians or other physicians toward children. Our objectives were to compare implicit racial bias toward adults versus children among resident physicians working in a pediatric emergency department, and to assess whether bias varied by specialty (pediatrics, emergency medicine, or other), gender, race, age, and year of training...
September 13, 2016: Academic Pediatrics
Arvin Garg, Sarah Toy, Yorghos Tripodis, John Cook, Nick Cordella
No abstract text is available yet for this article.
November 2016: Academic Pediatrics
Evan S Fieldston, Jessica Hart
No abstract text is available yet for this article.
November 2016: Academic Pediatrics
Danny Castro, M Hossein Tcharmtchi, Satid Thammasitboon
No abstract text is available yet for this article.
November 2016: Academic Pediatrics
Cynthia S Minkovitz
No abstract text is available yet for this article.
November 2016: Academic Pediatrics
Moira Szilagyi
No abstract text is available yet for this article.
November 2016: Academic Pediatrics
Arti D Desai, Q Burkhart, Layla Parast, Tamara D Simon, Carolyn Allshouse, Maria T Britto, JoAnna K Leyenaar, Courtney A Gidengil, Sara L Toomey, Marc N Elliott, Eric C Schneider, Rita Mangione-Smith
BACKGROUND: Few measures exist to assess pediatric transition quality between care settings. The study objective was to develop and pilot test caregiver-reported quality measures for pediatric hospital and emergency department (ED) to home transitions. METHODS: On the basis of an evidence review, we developed draft caregiver-reported quality measures for transitions between sites of care. Using the RAND-UCLA Modified Delphi method, a multistakeholder panel endorsed measures for further development...
November 2016: Academic Pediatrics
Joseph S Zickafoose, Henry T Ireys, Adam Swinburn, Lisa A Simpson
OBJECTIVE: To assess primary care providers' experiences with and attitudes toward pediatric-focused quality reports and identify key associated physician/practice characteristics. METHODS: We performed a cross-sectional survey of pediatricians and family physicians providing primary care to publicly insured children in 3 states (North Carolina, Ohio, Pennsylvania). The survey included questions about receipt of pediatric quality reports, use of reports for quality improvement (QI), and beliefs about the effectiveness of reports for QI...
November 2016: Academic Pediatrics
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