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https://www.readbyqxmd.com/read/29779843/sociodemographic-determinants-of-non-accidental-traumatic-injuries-in-children
#1
Omar Nunez Lopez, Byron D Hughes, Deepak Adhikari, Kari Williams, Ravi S Radhakrishnan, Kanika A Bowen-Jallow
BACKGROUND: Traumatic injuries account for 18% of child abuse cases and 1680 children die from abuse annually. We set out to determine the impact of sociodemographic characteristics on resource utilization and outcomes in nonaccidental trauma (NAT). METHODS: We used the Kid's Inpatient Database to identify children with two main subgroups of child abuse diagnoses: NAT and other forms of child abuse. Income was represented by quartiles. Statistical analysis included descriptive statistics and regression analyses...
May 12, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29762328/treatment-of-craniosynostosis-the-impact-of-hospital-surgical-volume-on-cost-resource-utilization-and-outcomes
#2
Anmol Chattha, Alexandra Bucknor, Daniel A Curiel, Klaas H J Ultee, Salim Afshar, Samuel J Lin
The authors aim to quantify the impact of hospital volume of craniosynostosis surgery on inpatient complications and resource utilization using national data. Children <12 months with nonsyndromic craniosynostosis who underwent surgery in 2012 at academic hospitals in the United States were identified from the Kids' Inpatient Database (KID) developed by the Healthcare Cost and Utilization Project (HCUP). Hospital craniosynostosis surgery volume was stratified into tertiles based on total annual hospital cases: low volume (LV, 1-13), intermediate volume (IV, 14-34), and high volume (HV, ā‰„35)...
May 14, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29754202/regional-differences-in-cost-and-length-of-stay-in-neonates-with-hypoplastic-left-heart-syndrome
#3
Luma Essaid, Paula D Strassle, Eric G Jernigan, Jennifer S Nelson
Hypoplastic left heart syndrome (HLHS) is a highly resource-intensive diagnosis. Geographic variation in cost and length of stay (LOS) in HLHS is not well described. Neonates diagnosed with HLHS between 2000 and 2012 were identified using the Kids' Inpatient Database. Hospitalizations were stratified into two groups: (1) birth and (2) secondary. United States regional differences in hospital charges and LOS were compared using adjusted linear regression. Of 2431 birth hospitalizations, 449 neonates (18.5%) died while inpatient and mortality rates differed by region (pā€‰=ā€‰0...
May 12, 2018: Pediatric Cardiology
https://www.readbyqxmd.com/read/29732422/developments-in-the-treatment-of-chiari-type-1-malformations-over-the-past-decade
#4
Peter G Passias, Alexandra Pyne, Samantha R Horn, Gregory W Poorman, Muhammad B Janjua, Dennis Vasquez-Montes, Cole A Bortz, Frank A Segreto, Nicholas J Frangella, Matthew Y Siow, Akhila Sure, Peter L Zhou, John Y Moon, Bassel G Diebo, Shaleen N Vira
Background: Chiari malformations type 1 (CM-1), a developmental anomaly of the posterior fossa, usually presents in adolescence or early adulthood. There are few studies on the national incidence of CM-1, taking into account outcomes based on concurrent diagnoses. To quantify trends in treatment and associated diagnoses, as retrospective review of the Kid's Inpatient Database (KID) from 2003-2012 was conducted. Methods: Patients aged 0-20 with primary diagnosis of CM-1 in the KID database were identified...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29727408/firearm-associated-fractures-in-children-and-adolescents-trends-in-the-united-states-2003-2012
#5
Todd J Blumberg, Christopher J DeFrancesco, Daniel J Miller, Nirav K Pandya, John M Flynn, Keith D Baldwin
BACKGROUND: Firearm-associated injuries are the second leading cause of death in children in the United States. Fractures are common comorbid injuries in young patients with firearm-associated injuries. The purpose of this study was to define the burden of firearm-associated fractures (FAFs) in children and adolescents in the United States. METHODS: We analyzed the 2003-2012 Kids' Inpatient Database. Patients were grouped into 4 age groups: 0 to 4, 5 to 9, 10 to 14, and 15 to 20 years old...
May 2, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29727348/a-quality-initiative-a-system-wide-reduction-in-serious-medication-events-through-targeted-simulation-training
#6
Kiran B Hebbar, Nora Colman, Lorisa Williams, Jessica Pina, Lisa Davis, James E Bost, Halli Jones, Gary Frank
INTRODUCTION: Medication administration events (MAEs) are a great concern to the healthcare industry, because they are both common and costly. Pediatric patients pose unique challenges to healthcare systems, particularly regarding the safety of medication administration. Our objectives were to improve adherence to best practices, decrease MAEs, and decrease cost related to error reduction rates by implementing a scenario-based simulation training program for frontline nursing staff in the general care units, emergency departments, and intensive care units within our institution...
April 30, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29707048/inpatient-surgical-treatment-of-paediatric-proximal-humerus-fractures-between-2000-and-2012
#7
A I Cruz, J E Kleiner, J A Gil, A D Goodman, A H Daniels, C P Eberson
Purpose: To estimate the rate of surgical treatment of paediatric proximal humerus fractures over time utilizing a large, publicly available national database. Methods: The Healthcare Cost and Utilization Project Kids' Inpatient Database was evaluated between the years 2000 and 2012. Proximal humerus fractures were identified using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9 CM) diagnosis codes. ICD-9 CM procedure codes were used to identify patients who received surgical treatment...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29706491/risk-factors-geographic-distribution-and-healthcare-burden-of-symptomatic-congenital-cytomegalovirus-infection-in-the-united-states-analysis-of-a-nationally-representative-database-2000-2012
#8
Kengo Inagaki, Chad Blackshear, April Palmer, Charlotte V Hobbs
OBJECTIVE: To assess risk factors, geographic distribution, length of stay, and total charges per case of symptomatic congenital cytomegalovirus infection (cCMV). STUDY DESIGN: We performed retrospective analyses of serial cross-sectional data using the Kids' Inpatient Database, a nationally representative sample of US pediatric hospital discharges, from 2000, 2003, 2006, 2009, and 2012. Symptomatic cCMV was identified via use of the International Classification of Diseases, Ninth Revision, Clinical Modification code 771...
April 26, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29694460/development-of-hospitalization-resource-intensity-scores-for-kids-h-risk-and-comparison-across-pediatric-populations
#9
Troy Richardson, Jonathan Rodean, Mitch Harris, Jay Berry, James C Gay, Matt Hall
BACKGROUND: In the Medicare population, measures of relative severity of illness (SOI) for hospitalized patents have been used in prospective payment models. Similar measures for pediatric populations have not been fully developed. OBJECTIVE: To develop hospitalization resource intensity scores for kids (H-RISK) using pediatric relative weights (RWs) for SOI and to compare hospital types on case-mix index (CMI). DESIGN/METHODS: Using the 2012 Kids' Inpatient Database (KID), we developed RWs for each All Patient Refined Diagnosis Related Group (APR-DRG) and SOI level...
April 25, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29676679/principles-of-system-design-not-realized-for-pediatric-craniospinal-trauma-care-in-the-united-states
#10
Joseph Piatt
OBJECTIVE An implicit expectation of the pioneers of trauma system design was that high clinical volume at select centers could lead to superior outcomes. There has been little study of the regionalization of pediatric craniospinal trauma care, and whether it continues to trend in the direction of regionalization is unknown. The motivating hypothesis for this study was that trauma system design in the United States is proceeding on a rational basis, producing hospital caseloads that are increasing over time and, because of geographic siting appropriate to the needs of catchment areas, in an increasingly uniform manner...
April 20, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29672335/the-impact-of-surgical-volume-on-outcomes-and-cost-in-cleft-repair-a-kids-inpatient-database-analysis
#11
Alexandra Bucknor, Anmol Chattha, Winona Wu, Sabine Egeler, Klaas Ultee, Salim Afshar, Samuel J Lin
BACKGROUND: Centralization of specialist services, including cleft service delivery, is occurring worldwide with the aim of improving the outcomes. This study examines the relationship between hospital surgical volume in cleft palate repair and outcomes. METHODS: A retrospective analysis of the Kids' Inpatient Database was undertaken. Children 3 years or younger undergoing cleft palate repair in 2012 were identified. Hospital volume was categorized by cases per year as low volume (LV; 0-14), intermediate volume (IV; 15-46), or high volume (HV; 47-99); differences in complications, hospital costs, and length of stay (LOS) were determined by hospital volume...
April 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29672164/trends-in-enteral-access-placement-among-patients-with-oral-clefts-evaluation-of-46-617-patient-admissions
#12
Thanapoom Boonipat, Nicholas S Adams, Allen L Shoemaker, Robert J Mann, John W Polley, John A Girotto
OBJECTIVE: It is well known that patients with oral clefts have challenges with feeding. Enteral feeding access, in the form of gastrostomy, is often utilized to supplement or replace oral intake. Although commonly performed, these procedures have reported complication rates as high as 83%. We intend to discover rates of enteral access in patients with oral clefts and report-related outcomes. DESIGN: The Healthcare Cost Utilization Project Kids' Inpatient Database from 2000 to 2012 was analyzed using patients with oral clefts and enteral access procedures...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29665342/age-at-time-of-craniosynostosis-repair-predicts-increased-complication-rate
#13
William J Bruce, Victor Chang, Cara J Joyce, Adrienne N Cobb, Uma I Maduekwe, Parit A Patel
OBJECTIVE: This study uses administrative data to assess the optimal timing for surgical repair of craniosynostosis and to identify factors associated with risk of perioperative complications. DESIGN: Statistical analysis of the Healthcare Cost and Utilization Project Kids' Inpatient Database (2006, 2009, 2012). SETTING: KID-participating hospitals in 44 states. PATIENTS: Children 0 to 3 years of age with ICD-9 codes for surgical correction of craniosynostosis (756 and 0124, 0125, 0201, 0203, 0204, or 0206)...
May 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29626244/weekend-vs-weekday-appendectomy-for-complicated-appendicitis-effects-on-outcomes-and-operative-approach
#14
Rebecca S Lane, Jun Tashiro, Brandon W Burroway, Eduardo A Perez, Juan E Sola
PURPOSE: We hypothesized that laparoscopic (LA) or open appendectomy (OA) outcomes in complicated appendicitis are associated with weekend vs. weekday procedure date. METHODS: We queried the Kids' Inpatient Database (1997-2012) for complicated (540.0, 540.1) appendicitis treated with LA or OA. Propensity score (PS)-matched analysis compared outcomes associated with weekend vs. weekday LA and OA. RESULTS: Overall, 103,501 cases of complicated appendicitis were identified...
April 6, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29605269/is-isomerism-a-risk-factor-for-intestinal-volvulus
#15
Rachel M Landisch, Rohit S Loomba, Jose H Salazar, Matthew W Buelow, Michele Frommelt, Robert H Anderson, Amy J Wagner
INTRODUCTION: Isomerism, or heterotaxy syndrome, affects many organ systems anatomically and functionally. Intestinal malrotation is common in patients with isomerism. Despite a low reported risk of volvulus, some physicians perform routine screening and prophylactic Ladd procedures on asymptomatic patients with isomerism who are found to have intestinal malrotation. The primary aim of this study was to determine if isomerism is an independent risk factor for volvulus. METHODS: Kid's Inpatient Database data from 1997 to 2012 was utilized for this study...
March 6, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29570380/neonatal-macroglossia-demographics-cost-of-care-and-associated-comorbidities
#16
Jonathan C Simmonds, Anju K Patel, Nicholas R Mildenhall, Nicholas S Mader, Andrew R Scott
OBJECTIVES: To examine the birth prevalence of congenital macroglossia and identify demographic variables and comorbidities that may influence length of stay and cost of care. STUDY DESIGN: Retrospective cross-sectional study using the Kids' Inpatient Database 2003, 2006, 2009, and 2012. METHODS: Demographics were analyzed. Linear regression modeling and multivariate analyses were performed. RESULTS: The birth prevalence of congenital macroglossia was 4...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29543970/analysis-of-vocal-fold-motion-impairment-in-neonates-undergoing-congenital-heart-surgery
#17
Stephanie Elyse Ambrose, Julina Ongkasuwan, Kavita Dedhia, Gillian Ruth Diercks, Samantha Anne, Subhadra Shashidharan, Nikhila Raol
Importance: Vocal fold motion impairment (VFMI) is a known risk factor following congenital heart surgery (CHS). The impact of this diagnosis on utilization and outcomes is unknown. Objective: To evaluate the cost, postprocedure length of stay (PPLOS), and outcomes for neonates with VFMI after CHS. Design, Setting, and Participants: A cross-sectional analysis of the 2012 Kids' Inpatient Database (KID) of neonates who underwent CHS was carried out...
March 15, 2018: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29533850/epidemiology-and-short-term-surgical-outcomes-of-children-presenting-with-cerebellar-tumors
#18
Balagangadhar R Totapally, Ashish H Shah, Toba Niazi
OBJECTIVE: Posterior fossa tumor surgery in children poses a significant morbidity and mortality. Large multi-institutional datasets characterizing the epidemiology and morbidity of children undergoing posterior fossa tumor surgery are lacking. The objective of this study is to describe the epidemiology and short term surgical outcomes of children presenting with cerebellar tumors. PATIENTS AND METHODS: A retrospective review of the Kids Inpatient Database (KID) for all hospital discharges in 2012 with a diagnosis of cerebellar tumor (ICD-9 diagnosis code 191...
May 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29464395/temporal-trends-of-pediatric-dysphagia-in-hospitalized-patients
#19
Joshua Horton, Carlyn Atwood, Sharon Gnagi, Ronald Teufel, Clarice Clemmens
The objective of this study was to determine temporal trends of dysphagia diagnoses in hospitalized children. This is a retrospective observational study from the 1997-2012 Kids' Inpatient Database (KID) conducted in the setting of weighted hospitalizations in a KID participating center. More than 6 million pediatric admissions were captured in each triennial KID report. Main outcomes included triennial rates of dysphagia diagnosis in hospitalized pediatric patients, and secondary outcomes included rates of dysphagia in premature and low-birthweight infants...
February 20, 2018: Dysphagia
https://www.readbyqxmd.com/read/29462119/comparison-of-methicillin-resistant-versus-susceptible-staphylococcus-aureus-pediatric-osteomyelitis
#20
William T Davis, Shawn R Gilbert
BACKGROUND: The incidence of methicillin-resistant Staphylococcus aureus (MRSA) pediatric osteomyelitis has risen and been associated with a more severe clinical course than methicillin-susceptible Staphylococcus aureus (MSSA) infections. National databases have been underutilized to describe these trends. We compared demographics, clinical course, and outcomes for patients with MRSA versus MSSA osteomyelitis. METHODS: We queried the 2009 and 2012 Healthcare Cost and Utilization Project Kids Inpatient Database for discharge records with diagnosis codes for osteomyelitis and S...
May 2018: Journal of Pediatric Orthopedics
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