keyword
https://read.qxmd.com/read/38134431/a-common-sense-approach-to-improving-pediatric-trauma-care-in-mixed-trauma-centers
#1
JOURNAL ARTICLE
Mary E Fallat
No abstract text is available yet for this article.
December 22, 2023: Journal of the American College of Surgeons
https://read.qxmd.com/read/38020853/disaster-planning-for-a-surgical-surge-when-mass-trauma-threatens-to-overwhelm-your-operating-rooms
#2
EDITORIAL
Katherine M Kelley, Nicole Toscano, Mark L Gestring, Jeannette Capella, Christopher Newton, Marko Bukur, David V Shatz, Robert D Winfield, Adam Fox, Mary E Fallat, Deborah A Kuhls, Galina Glinik, Jay Doucet, Jonathan Gates, Kyle N Remick
Mass casualty events particularly those requiring multiple simultaneous operating rooms are of increasing concern. Existing literature predominantly focuses on mass casualty care in the emergency department. Hospital disaster plans should include a component focused on preparing for multiple simultaneous operations. When developing this plan, representatives from all segments of the perioperative team should be included. The plan needs to address activation, communication, physical space, staffing, equipment, blood and medications, disposition offloading, special populations, and rehearsal...
2023: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38017506/relationship-between-the-covid-19-pandemic-and-structural-inequalities-within-the-pediatric-trauma-population
#3
JOURNAL ARTICLE
Christina Georgeades, Amelia T Collings, Manzur Farazi, Carisa Bergner, Mary E Fallat, Peter C Minneci, K Elizabeth Speck, Kyle J Van Arendonk, Katherine J Deans, Richard A Falcone, David S Foley, Jason D Fraser, Samir K Gadepalli, Martin S Keller, Meera Kotagal, Matthew P Landman, Charles M Leys, Troy A Markel, Nathan S Rubalcava, Shawn D St Peter, Thomas T Sato, Katherine T Flynn-O'Brien
BACKGROUND: The COVID-19 pandemic disrupted social, political, and economic life across the world, shining a light on the vulnerability of many communities. The objective of this study was to assess injury patterns before and after implementation of stay-at-home orders (SHOs) between White children and children of color and across varying levels of vulnerability based upon children's home residence. METHODS: A multi-institutional retrospective study was conducted evaluating patients < 18 years with traumatic injuries...
November 28, 2023: Injury Epidemiology
https://read.qxmd.com/read/38008283/diagnostic-performance-of-magnetic-resonance-imaging-for-pediatric-ovarian-neoplasms-a-multi-institutional-review
#4
JOURNAL ARTICLE
Katherine C Bergus, Maria E Knaus, Amanda J Onwuka, Amin Afrazi, Lesley Breech, Kristine S Corkum, Patrick A Dillon, Peter F Ehrlich, Mary E Fallat, Jason D Fraser, Samir K Gadepalli, Julia E Grabowski, S Paige Hertweck, Rashmi Kabre, Dave R Lal, Matthew P Landman, Charles M Leys, Grace Z Mak, Troy A Markel, Naila Merchant, R Elliott Overman, Brooks L Rademacher, Manish T Raiji, Beth Rymeski, Thomas T Sato, Tiffany Wright, Jennifer H Aldrink, Geri D Hewitt, Peter C Minneci, Katherine J Deans
STUDY OBJECTIVE: To assess diagnostic performance of MRI to predict ovarian malignancy alone and compared to other diagnostic studies. METHODS: Retrospective analysis of patients aged 2 to 21 years who underwent ovarian mass resection between 2009-2021 at eleven pediatric hospitals. Sociodemographic information, clinical and imaging findings, tumor markers, and operative and pathology details were collected. Diagnostic performance for detecting malignancy was assessed by calculating sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for MRI with other diagnostic modalities...
November 24, 2023: Journal of Pediatric and Adolescent Gynecology
https://read.qxmd.com/read/37962143/setting-an-agenda-for-a-national-pediatric-trauma-system-operationalization-of-the-pediatric-trauma-state-assessment-score
#5
JOURNAL ARTICLE
Caroline Q Stephens, Mary E Fallat
Pediatric trauma system development is essential to public health infrastructure and pediatric health systems. Currently, trauma systems are managed at the state level, with significant variation in consideration of pediatric needs. A recently developed Pediatric Trauma System Assessment Score (PTSAS) demonstrated that states with lower PTSAS have increased pediatric mortality from trauma. Critical gaps are identified within 6 PTSAS domains: Legislation & Funding, Access to Care, Injury Prevention and Recognition, Disaster, Quality Improvement & Trauma Registry, and Pediatric Readiness...
November 13, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37787794/reducing-unnecessary-oophorectomies-for-benign-ovarian-neoplasms-in-pediatric-patients
#6
JOURNAL ARTICLE
Peter C Minneci, Katherine C Bergus, Carley Lutz, Jennifer Aldrink, Christina Bence, Lesley Breech, Patrick A Dillon, Cynthia Downard, Peter F Ehrlich, Mary Fallat, Jason D Fraser, Julia Grabowski, Michael Helmrath, Paige Hertweck, Geri Hewitt, Ronald B Hirschl, Rashmi Kabre, Dave R Lal, Matthew Landman, Charles Leys, Grace Mak, Troy Markel, Joseph Pressey, Manish Raiji, Beth Rymeski, Jacqueline Saito, Thomas T Sato, Shawn D St Peter, Jennifer Cooper, Katherine Deans
IMPORTANCE: Although most ovarian masses in children and adolescents are benign, many are managed with oophorectomy, which may be unnecessary and can have lifelong negative effects on health. OBJECTIVE: To evaluate the ability of a consensus-based preoperative risk stratification algorithm to discriminate between benign and malignant ovarian pathology and decrease unnecessary oophorectomies. DESIGN, SETTING, AND PARTICIPANTS: Pre/post interventional study of a risk stratification algorithm in patients aged 6 to 21 years undergoing surgery for an ovarian mass in an inpatient setting in 11 children's hospitals in the United States between August 2018 and January 2021, with 1-year follow-up...
October 3, 2023: JAMA
https://read.qxmd.com/read/37703025/pediatric-cervical-spine-injury-following-blunt-trauma-in-children-younger-than-3-years-the-pedspine-ii-study
#7
JOURNAL ARTICLE
Casey M Luckhurst, Holly M Wiberg, Rebeccah L Brown, Steven W Bruch, Nicole M Chandler, Paul D Danielson, John M Draus, Mary E Fallat, Barbara A Gaines, Jeffrey H Haynes, Kenji Inaba, Saleem Islam, Stephen S Kaminski, Hae Sung Kang, Vashisht V Madabhushi, Jason Murray, Michael L Nance, Faisal G Qureshi, Jeanne Rubsam, Steven Stylianos, Dimitris J Bertsimas, Peter T Masiakos
IMPORTANCE: There is variability in practice and imaging usage to diagnose cervical spine injury (CSI) following blunt trauma in pediatric patients. OBJECTIVE: To develop a prediction model to guide imaging usage and to identify trends in imaging and to evaluate the PEDSPINE model. DESIGN, SETTING, AND PARTICIPANTS: This cohort study included pediatric patients (<3 years years) following blunt trauma between January 2007 and July 2017. Of 22 centers in PEDSPINE, 15 centers, comprising level 1 and 2 stand-alone pediatric hospitals, level 1 and 2 pediatric hospitals within an adult hospital, and level 1 adult hospitals, were included...
November 1, 2023: JAMA Surgery
https://read.qxmd.com/read/37564125/are-trauma-surgeons-prepared-a-survey-of-trauma-surgeons-disaster-preparedness-before-and-during-the-covid-19-pandemic
#8
JOURNAL ARTICLE
Jay Doucet, David V Shatz, Lewis J Kaplan, Eileen M Bulger, Jeannette Capella, Deborah A Kuhls, Mary Fallat, Kyle N Remick, Christopher Newton, Adam Fox, Randeep Jawa, John A Harvin, David P Blake, Marko Bukur, Jonathan Gates, James Ficke, Mark L Gestring
OBJECTIVE: US trauma centers (TCs) must remain prepared for mass casualty incidents (MCIs). However, trauma surgeons may lack formal MCI training. The recent COVID-19 pandemic drove multiple patient surges, overloaded Emergency Medical Services (EMS) agencies, and stressed TCs. This survey assessed trauma surgeons' MCI training, experience, and system and personal preparedness before the pandemic compared with the pandemic's third year. METHODS: Survey invitations were emailed to all 1544 members of the American Association for the Surgery of Trauma in 2019, and then resent in 2022 to 1575 members with additional questions regarding the pandemic...
2023: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/37556154/association-of-transport-time-proximity-and-emergency-department-pediatric-readiness-with-pediatric-survival-at-us-trauma-centers
#9
JOURNAL ARTICLE
Nina E Glass, Apoorva Salvi, Ran Wei, Amber Lin, Susan Malveau, Jennifer N B Cook, N Clay Mann, Randall S Burd, Peter C Jenkins, Matthew Hansen, Nicholas M Mohr, Caroline Stephens, Mary E Fallat, E Brooke Lerner, Brendan G Carr, Stephen P Wall, Craig D Newgard
IMPORTANCE: Emergency department (ED) pediatric readiness is associated with improved survival among children. However, the association between geographic access to high-readiness EDs in US trauma centers and mortality is unclear. OBJECTIVE: To evaluate the association between the proximity of injury location to receiving trauma centers, including the level of ED pediatric readiness, and mortality among injured children. DESIGN, SETTING, AND PARTICIPANTS: This retrospective cohort study used a standardized risk-adjustment model to evaluate the association between trauma center proximity, ED pediatric readiness, and in-hospital survival...
August 9, 2023: JAMA Surgery
https://read.qxmd.com/read/37164817/children-s-surgery-verification-and-value-based-care-in-pediatric-surgery
#10
JOURNAL ARTICLE
Anne K Mackow, Charles G Macias, Shawn J Rangel, Mary E Fallat
With the prevailing focus on increasing value in healthcare, understanding the different components of the value equation is of primary importance. Michael E. Porter's writings on the value agenda and the use of integrated practice units (IPUs) have provided easy correlation to adult disease entities with large populations sharing common pathways and providers in the diagnosis and care of these patients. In pediatric surgery, with smaller populations and larger numbers of rare or unique conditions and anatomic challenges, utilizing the concept of an IPU is more challenging...
April 20, 2023: Seminars in Pediatric Surgery
https://read.qxmd.com/read/37150635/evolution-of-the-american-college-of-surgeons-children-s-surgery-verification-program-implications-for-optimizing-multidisciplinary-surgical-care-of-the-pediatric-patient
#11
JOURNAL ARTICLE
Douglas C Barnhart, Mary E Fallat, Catherine A Grant, Constance S Houck, Jayant K Deshpande, Lynn Haas, Clifford Y Ko, Keith T Oldham
The Children's Surgery Verification Program of the American College of Surgeons began in 2016 based on the standards created by the Task Force for Children's Surgery. This program seeks to improve the surgical care of children by assuring the appropriate resources and robust performance improvement programs at participating centers. Three levels of centers with defined scopes of practice and matching resources are defined. Since its inception more than 50 center have been verified. A specialty hospital program was launched in 2019...
April 11, 2023: Seminars in Pediatric Surgery
https://read.qxmd.com/read/37125944/prehospital-and-emergency-department-pediatric-readiness-for-injured-children-a-statement-from-the-american-college-of-surgeons-committee-on-trauma-emergency-medical-services-committee
#12
JOURNAL ARTICLE
Samuel Wade Ross, Eric Campion, Aaron R Jensen, Lisa Gray, Toni Gross, Nicholas Namias, Jeffrey M Goodloe, Eileen M Bulger, Peter E Fischer, Mary E Fallat
Injury is the leading cause of death in children older than 1 year, and children make up 22% of the population. Pediatric readiness (PR) of the nation's emergency departments and state trauma and emergency medical services (EMS) systems is conceptually important and vital to mitigate mortality and morbidity in this population. The extension of PR to the trauma community has become a focused area for training, staffing, education, and equipment at all levels of trauma center designation, and there is evidence that a higher level of emergency department PR is independently associated with long-term survival among injured children...
August 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37086597/evaluating-the-regional-differences-in-pediatric-injury-patterns-during-the-covid-19-pandemic
#13
JOURNAL ARTICLE
Amelia T Collings, Manzur Farazi, Kyle J Van Arendonk, Mary E Fallat, Peter C Minneci, Thomas T Sato, K Elizabeth Speck, Samir Gadepalli, Katherine J Deans, Richard A Falcone, David S Foley, Jason D Fraser, Martin S Keller, Meera Kotagal, Matthew P Landman, Charles M Leys, Troy Markel, Nathan Rubalcava, Shawn D St Peter, Katherine T Flynn-O'Brien
INTRODUCTION: Reports of pediatric injury patterns during the COVID-19 pandemic are conflicting and lack the granularity to explore differences across regions. We hypothesized there would be considerable variation in injury patterns across pediatric trauma centers in the United States. MATERIALS AND METHODS: A multicenter, retrospective study evaluating patients <18 y old with traumatic injuries meeting National Trauma Data Bank criteria was performed. Patients injured after stay-at-home orders through September 2020 ("COVID" cohort) were compared to "Historical" controls from an averaged period of equivalent dates in 2016-2019...
March 23, 2023: Journal of Surgical Research
https://read.qxmd.com/read/37079803/prehospital-guidelines-for-the-management-of-traumatic-brain-injury-3rd-edition
#14
JOURNAL ARTICLE
Al Lulla, Angela Lumba-Brown, Annette M Totten, Patrick J Maher, Neeraj Badjatia, Randy Bell, Christina T J Donayri, Mary E Fallat, Gregory W J Hawryluk, Scott A Goldberg, Halim M A Hennes, Steven P Ignell, Jamshid Ghajar, Brian P Krzyzaniak, E Brooke Lerner, Daniel Nishijima, Charles Schleien, Stacy Shackelford, Erik Swartz, David W Wright, Rachel Zhang, Andy Jagoda, Bentley J Bobrow
No abstract text is available yet for this article.
2023: Prehospital Emergency Care
https://read.qxmd.com/read/36538639/emergency-department-pediatric-readiness-among-us-trauma-centers-a-machine-learning-analysis-of-components-associated-with-survival
#15
JOURNAL ARTICLE
Craig D Newgard, Sean R Babcock, Xubo Song, Katherine E Remick, Marianne Gausche-Hill, Amber Lin, Susan Malveau, N Clay Mann, Avery B Nathens, Jennifer N B Cook, Peter C Jenkins, Randall S Burd, Hilary A Hewes, Nina E Glass, Aaron R Jensen, Mary E Fallat, Stefanie G Ames, Apoorva Salvi, K John McConnell, Rachel Ford, Marc Auerbach, Jessica Bailey, Tyne A Riddick, Haichang Xin, Nathan Kuppermann
OBJECTIVE: We used machine learning to identify the highest impact components of emergency department (ED) pediatric readiness for predicting in-hospital survival among children cared for in US trauma centers. SUMMARY BACKGROUND DATA: Emergency department (ED) pediatric readiness is associated with improved short- and long-term survival among injured children and part of the national verification criteria for US trauma centers. However, the components of ED pediatric readiness most predictive of survival are unknown...
November 1, 2022: Annals of Surgery
https://read.qxmd.com/read/36307301/natural-history-and-consequence-of-patent-processus-vaginalis-an-interim-analysis-from-a-multi-institutional-prospective-observational-study
#16
MULTICENTER STUDY
Jason D Fraser, Yara K Duran, Katherine J Deans, Cynthia D Downard, Mary E Fallat, Samir K Gadepalli, Ronald B Hirschl, Dave R Lal, Matthew P Landman, Charles M Leys, Grace Z Mak, Troy A Markel, Peter C Minneci, Thomas T Sato, Shawn D St Peter
BACKGROUND: The prevalence and natural history of patent processus vaginalis (PPV) are unknown. An interim analysis was performed of a multi-institutional, prospective, observational study in neonates undergoing laparoscopic pyloromyotomy during which bilateral inguinal canals were evaluated. METHODS: Infants under 4 months undergoing laparoscopic pyloromyotomy were enrolled at 8 children's hospitals. The presence of a PPV was evaluated and measurements recorded...
January 2023: Journal of Pediatric Surgery
https://read.qxmd.com/read/36283849/thoracoscopy-versus-thoracotomy-for-esophageal-atresia-and-tracheoesophageal-fistula-outcomes-from-the-midwest-pediatric-surgery-consortium
#17
JOURNAL ARTICLE
John P Marquart, Alexis N Bowder, Christina M Bence, Shawn D St Peter, Samir K Gadepalli, Thomas T Sato, Aniko Szabo, Peter C Minneci, Ronald B Hirschl, Beth A Rymeski, Cynthia D Downard, Troy A Markel, Katherine J Deans, Mary E Fallat, Jason D Fraser, Julia E Grabowski, Michael A Helmrath, Rashmi D Kabre, Jonathan E Kohler, Matthew P Landman, Amy E Lawrence, Charles M Leys, Grace Z Mak, Elissa Port, Jacqueline Saito, Jared Silverberg, Mark B Slidell, Tiffany N Wright, Dave R Lal
BACKGROUND/PURPOSE: Controversy persists regarding the ideal surgical approach for repair of esophageal atresia with tracheoesophageal fistula (EA/TEF). We examined complications and outcomes of infants undergoing thoracoscopy and thoracotomy for repair of Type C EA/TEF using propensity score-based overlap weights to minimize the effects of selection bias. METHODS: Secondary analysis of two databases from multicenter retrospective and prospective studies examining outcomes of infants with proximal EA and distal TEF who underwent repair at 11 institutions was performed based on surgical approach...
September 24, 2022: Journal of Pediatric Surgery
https://read.qxmd.com/read/36209999/use-and-accuracy-of-intraoperative-frozen-section-analysis-for-ovarian-masses-in-children-and-adolescents
#18
JOURNAL ARTICLE
Lindsay A Gil, Carley M Lutz, Patrick A Dillon, Cynthia D Downard, Peter F Ehrlich, Mary E Fallat, Jason D Fraser, Julia E Grabowski, Michael A Helmrath, S Paige Hertweck, Ronald B Hirschl, Rashmi Kabre, Dave R Lal, Matthew P Landman, Amy E Lawrence, Charles M Leys, Grace Z Mak, Troy A Markel, Manish T Raiji, Beth Rymeski, Jacqueline M Saito, Thomas T Sato, Shawn D St Peter, Linda M Cherney Stafford, Katherine J Deans, Peter C Minneci, Geri D Hewitt, Jennifer H Aldrink
STUDY OBJECTIVE: Describe current practice patterns and diagnostic accuracy of frozen section (FS) pathology for children and adolescents with ovarian masses. DESIGN: Prospective cohort study from 2018 to 2021 SETTING: 11 children's hospitals PARTICIPANTS: Females age 6-21 years undergoing surgical management of an ovarian mass INTERVENTIONS: Obtaining intraoperative FS pathology MAIN OUTCOME MEASURE(S): Diagnostic accuracy of FS pathology RESULTS: Of 691 patients undergoing surgical management of an ovarian mass, FS was performed in 27 (3...
October 6, 2022: Journal of Pediatric and Adolescent Gynecology
https://read.qxmd.com/read/36193652/atypical-pulmonary-carcinoid-tumor-encapsulated-by-a-staphylococcus-aureus-infection
#19
JOURNAL ARTICLE
Stanley A Lee, Jessica L Hata, Matthew P Thompson, Mary E Fallat, Kevin M Riggle, Scott G Bickel
We present a 13-year-old boy with mild persistent asthma and obstructive sleep apnea who initially presented with fever, dyspnea, cough, night sweats and myalgia for 4 days This article is protected by copyright. All rights reserved.
October 4, 2022: Pediatric Pulmonology
https://read.qxmd.com/read/36155270/pediatric-injury-transfer-patterns-during-the-covid-19-pandemic-an-interrupted-time-series-analysis
#20
JOURNAL ARTICLE
Katherine T Flynn-O'Brien, Amelia T Collings, Manzur Farazi, Mary E Fallat, Peter C Minneci, K Elizabeth Speck, Kyle Van Arendonk, Katherine J Deans, Richard A Falcone, David S Foley, Jason D Fraser, Samir Gadepalli, Martin S Keller, Meera Kotagal, Matthew P Landman, Charles M Leys, Troy A Markel, Nathan Rubalcava, Shawn D St Peter, Thomas T Sato
INTRODUCTION: With the expected surge of adult patients with COVID-19, the Children's Hospital Association recommended a tiered approach to divert children to pediatric centers. Our objective was understanding changes in interfacility transfer to Pediatric Trauma Centers (PTCs) during the first 6 mo of the pandemic. METHODS: Children aged < 18 y injured between January 1, 2016 and September 30, 2020, who met National Trauma Databank inclusion criteria from 9 PTCs were included...
August 30, 2022: Journal of Surgical Research
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