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Gupta,punkaj

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https://www.readbyqxmd.com/read/28917160/is-magnet%C3%A2-recognition-associated-with-improved-outcomes-among-critically-ill-children-treated-at-freestanding-children-s-hospitals
#1
Mallikarjuna Rettiganti, Kavisha M Shah, Jeffrey M Gossett, Joshua A Daily, Paul M Seib, Punkaj Gupta
PURPOSE: With increasing emphasis on high-quality care, we designed this study to evaluate the relationship between Magnet® recognition and patient outcomes in pediatric critical care. MATERIALS AND METHODS: Post hoc analysis of data from an existing administrative national database. We used inverse probability of treatment weighting and multivariate models to compare outcomes between two study groups after adjusting for confounding variables. RESULTS: A total of 823,634 pediatric patients from 41 centers were included...
September 5, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/28696880/performance-of-pediatric-risk-of-mortality-score-among-critically-ill-children-with-heart-disease
#2
Rebecca A Russell, Mallikarjuna Rettiganti, Nancy Brundage, Howard E Jeffries, Punkaj Gupta
OBJECTIVE: To evaluate the performance of the Pediatric Risk of Mortality 3 (PRISM-3) score in critically ill children with heart disease. METHODS: Patients <18 years of age admitted with cardiac diagnoses (cardiac medical and cardiac surgical) to one of the participating pediatric intensive care units in the Virtual Pediatric Systems, LLC, database were included. Performance of PRISM-3 was evaluated with discrimination and calibration measures among both cardiac surgical and cardiac medical patients...
July 2017: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/28419060/relationship-of-hospital-costs-with-mortality-in-pediatric-critical-care-a-multi-institutional-analysis
#3
Punkaj Gupta, Mallikarjuna Rettiganti
OBJECTIVE: With increasing emphasis on high "value" care, we designed this study to evaluate the relationship between hospital costs and patient outcomes in pediatric critical care. DESIGN: Post hoc analysis of data from an existing administrative national database, Pediatric Health Information Systems. Multivariable mixed effects logistic regression models were fitted to evaluate association of hospital cost tertiles with odds of mortality after adjusting for patient and center characteristics...
June 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28006885/epidemiology-and-outcomes-of-cardiac-arrest-among-children-with-down-syndrome-a-multicenter-analysis
#4
Asif Padiyath, Mallikarjuna Rettiganti, Jeffrey M Gossett, Sachin D Tadphale, Xiomara Garcia, Paul M Seib, Punkaj Gupta
BACKGROUND: With the increasing prevalence of Down syndrome, it is unknown if children with Down syndrome are associated with increased incidence of cardiac arrest and poor outcomes after cardiac arrest. The objective of this study was to evaluate the epidemiology of cardiac arrest and mortality after cardiac arrest among critically ill children with and without Down syndrome. METHODS: Patients ≤ 18 years admitted at a Pediatric Health Information Systems (PHIS) participating Intensive Care Unit were included (2004-2014)...
December 22, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27909838/erratum-to-impact-of-varied-center-volume-categories-on-volume-outcome-relationship-in-children-receiving-ecmo-for-heart-operations
#5
Mallikarjuna Rettiganti, Paul M Seib, Michael J Robertson, Andrew Wilcox, Punkaj Gupta
No abstract text is available yet for this article.
December 1, 2016: Journal of Artificial Organs: the Official Journal of the Japanese Society for Artificial Organs
https://www.readbyqxmd.com/read/27866783/characterizing-cardiac-arrest-in-children-undergoing-cardiac-surgery-a-single-center-study
#6
Punkaj Gupta, Andrew Wilcox, Tommy R Noel, Jeffrey M Gossett, Stephanie R Rockett, Brian K Eble, Mallikarjuna Rettiganti
OBJECTIVES: To characterize cardiac arrest in children undergoing cardiac surgery using single-center data from the Society of Thoracic Surgeons and Pediatric Advanced Life Support Utstein-Style Guidelines. METHODS: Patients aged 18 years or less having a cardiac arrest for 1 minute or more during the same hospital stay as heart operation qualified for inclusion (2002-2014). Patients having a cardiac arrest both before or after heart operation were included. Heart operations were classified on the basis of the first cardiovascular operation of each hospital admission (the index operation)...
October 24, 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27850943/1307-impact-of-dialysis-on-outcomes-in-children-receiving-ecmo-for-respiratory-or-cardiac-failure
#7
Ahmed Asfari, Mallikarjuna Rao Rettiganti, Punkaj Gupta
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850743/1106-impact-of-hospital-costs-on-outcomes-among-children-with-critical-illness
#8
Punkaj Gupta, Mallikarjuna Rao Rettiganti
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850726/1089-variation-in-nitric-oxide-utilization-after-cardiac-surgery-among-centers-of-varying-volume
#9
Punkaj Gupta, Mallikarjuna Rao Rettiganti
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27850569/931-is-use-of-hfov-associated-with-improved-outcomes-among-children-receiving-ecmo
#10
Punkaj Gupta, Mallikarjuna Rao Rettiganti, Tom Rice, Randall Wetzel
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849967/326-characterizing-cardiac-arrest-in-pediatric-cardiac-surgery-using-sts-chsd-and-utstein-guidelines
#11
Punkaj Gupta, Andrew Wilcox, Jeffrey Gossett, Mallikarjuna Rao Rettiganti
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849902/260-epidemiology-and-outcomes-of-cardiac-arrest-among-children-with-down-syndrome
#12
Asif Padiyath, Mallikarjuna Rao Rettiganti, Jeffrey Gossett, Paul Seib, Punkaj Gupta
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849838/195-epidemiology-of-reintubation-among-children-undergoing-heart-operations-of-varying-complexity
#13
Punkaj Gupta, Mallikarjuna Rao Rettiganti, Howard Jeffries, Tom Rice, Randall Wetzel
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849805/162-performance-of-pediatric-risk-of-mortality-score-among-critically-ill-children-with-heart-disease
#14
Rebecca Russell, Mallikarjuna Rao Rettiganti, Howard Jeffries, Punkaj Gupta
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849792/149-factors-associated-with-early-extubation-in-children-undergoing-superior-cavopulmonary-connection
#15
Punkaj Gupta, Mallikarjuna Rao Rettiganti, Jeffrey Gossett, Dala Zakaria
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27849681/1-impact-of-icu-attending-physician-training-background-on-outcomes-after-pediatric-cardiac-surgery
#16
Priya Bhaskar, Mallikarjuna Rao Rettiganti, Jeffrey Gossett, Punkaj Gupta
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27632059/is-administration-of-nitric-oxide-during-extracorporeal-membrane-oxygenation-associated-with-improved-patient-survival
#17
Sachin D Tadphale, Mallikarjuna Rettiganti, Jeffrey M Gossett, Brandon W Beam, Asif Padiyath, Michael L Schmitz, Punkaj Gupta
OBJECTIVE: To evaluate the outcomes associated with the use of inhaled nitric oxide during extracorporeal membrane oxygenation. DESIGN: Post hoc analysis of data from an existing administrative national database, Pediatric Health Information system (2004-2014). Multivariable logistic regression models were fitted to study the effect of inhaled nitric oxide during extracorporeal membrane oxygenation on study outcomes. SETTING: Forty-two children's hospitals across the United States...
November 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27513535/association-of-freestanding-children-s-hospitals-with-outcomes-in-children-with-critical-illness
#18
Punkaj Gupta, Mallikarjuna Rettiganti, Paige L Fisher, Anthony C Chang, Tom B Rice, Randall C Wetzel
OBJECTIVES: Little is known about the relationship between freestanding children's hospitals and outcomes in children with critical illness. The purpose of this study was to evaluate the association of freestanding children's hospitals with outcomes in children with critical illness. DESIGN: Propensity score matching was performed to adjust for potential confounding variables between patients cared for in freestanding or nonfreestanding children's hospitals. We tested the sensitivity of our findings by repeating the primary analyses using inverse probability of treatment weighting method and regression adjustment using the propensity score...
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27367580/impact-of-24-7-in-hospital-intensivist-coverage-on-outcomes-in-pediatric-intensive-care-a-multicenter-study
#19
MULTICENTER STUDY
Punkaj Gupta, Mallikarjuna Rettiganti, Tom B Rice, Randall C Wetzel
RATIONALE: The around-the-clock presence of an in-house attending critical care physician (24/7 coverage) is purported to be associated with improved outcomes among high-risk children with critical illness. OBJECTIVES: To evaluate the association of 24/7 in-house coverage with outcomes in children with critical illness. METHODS: Patients younger than 18 years of age in the Virtual Pediatric Systems Database (2009-2014) were included. The main analysis was performed using generalized linear mixed effects multivariable regression models...
December 15, 2016: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/27362856/temporal-trends-of-respiratory-syncytial-virus-associated-hospital-and-icu-admissions-across-the-united-states
#20
Punkaj Gupta, Brandon W Beam, Mallikarjuna Rettiganti
OBJECTIVES: To describe the regionality and seasonality of respiratory syncytial virus-associated hospital and ICU admissions for 10 consecutive years using a national database. DESIGN: Post hoc analysis of data from an existing national database, Pediatric Health Information System. We modeled the adjusted odds of hospital and ICU admissions for varied seasons (fall, winter, spring, and summer) and regions (Northeast, South, Midwest, and West) using a mixed-effects logistic regression model after adjusting for several patient and center characteristics...
August 2016: Pediatric Critical Care Medicine
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