keyword
Keywords pediatric electronic health re...

pediatric electronic health records

https://read.qxmd.com/read/38497983/an-interpretable-predictive-deep-learning-platform-for-pediatric-metabolic-diseases
#21
JOURNAL ARTICLE
Hamed Javidi, Arshiya Mariam, Lina Alkhaled, Kevin M Pantalone, Daniel M Rotroff
OBJECTIVES: Metabolic disease in children is increasing worldwide and predisposes a wide array of chronic comorbid conditions with severe impacts on quality of life. Tools for early detection are needed to promptly intervene to prevent or slow the development of these long-term complications. MATERIALS AND METHODS: No clinically available tools are currently in widespread use that can predict the onset of metabolic diseases in pediatric patients. Here, we use interpretable deep learning, leveraging longitudinal clinical measurements, demographical data, and diagnosis codes from electronic health record data from a large integrated health system to predict the onset of prediabetes, type 2 diabetes (T2D), and metabolic syndrome in pediatric cohorts...
March 18, 2024: Journal of the American Medical Informatics Association: JAMIA
https://read.qxmd.com/read/38494492/development-and-validation-of-predictive-models-for-myopia-onset-and-progression-using-extensive-15-year-refractive-data-in-children-and-adolescents
#22
REVIEW
Jing Zhao, Yanze Yu, Yiming Li, Feng Li, Zhe Zhang, Weijun Jian, Zhi Chen, Yang Shen, Xiaoying Wang, Zhengqiang Ye, Chencui Huang, Xingtao Zhou
BACKGROUND: Global myopia prevalence poses a substantial public health burden with vision-threatening complications, necessitating effective prevention and control strategies. Precise prediction of spherical equivalent (SE), myopia, and high myopia onset is vital for proactive clinical interventions. METHODS: We reviewed electronic medical records of pediatric and adolescent patients who underwent cycloplegic refraction measurements at the Eye & Ear, Nose, and Throat Hospital of Fudan University between January 2005 and December 2019...
March 17, 2024: Journal of Translational Medicine
https://read.qxmd.com/read/38494336/characterisation-and-validation-of-lactation-information-from-structured-electronic-health-records-for-use-in-pharmacoepidemiological-studies
#23
JOURNAL ARTICLE
Hibo H Mohamed, Kirsten Ehresmann, Elisabeth M Seburg, Gabriela Vazquez-Benitez, Ellen W Demerath, David A Fields, Kimberly K Vesco, Elyse O Kharbanda, Kristin Palmsten
BACKGROUND: Breastfeeding information stored within electronic health records (EHR) has recently been used for pharmacoepidemiological research, however the data are primarily collected for clinical care. OBJECTIVES: To characterise breastfeeding information recorded in structured fields in EHR during infant and postpartum health care visits, and to assess the validity of lactation status based on EHR data versus maternal report at research study visits. METHODS: We assessed breastfeeding information recorded in structured fields in EHR from one health system for a subset of 211 patients who were also enrolled in a study on breast milk composition between 2014 and 2017 that required participants to exclusively breastfeed their infants until at least 1 month of age...
March 17, 2024: Paediatric and Perinatal Epidemiology
https://read.qxmd.com/read/38489703/fitness-for-use-of-retrospective-multicenter-electronic-health-records-to-conduct-outcome-analysis-for-pediatric-ulcerative-colitis
#24
JOURNAL ARTICLE
Zhu Wang, Xing Song, Lemuel R Waitman, Jeffrey S Hyams, Lee A Denson
The use of electronic health records has garnered interest as an approach for conducting innovative outcome research and producing real-world evidence at a reduced cost compared to traditional clinical trials. The study aimed to evaluate the utility of deidentified EHR data from a multicenter research network to identify characteristics associated with treatment escalation (TE) in newly diagnosed pediatric ulcerative colitis patients. EHR data (01/2010-12/2021) from 13 Midwest healthcare systems (Greater Plains Collaborative) were collected for pediatric ulcerative colitis patients...
March 15, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38488719/the-relationship-between-cumulative-risk-and-health-related-quality-of-life-in-youth-with-sickle-cell-disease-moderating-effects-of-secondary-control-engagement-coping
#25
JOURNAL ARTICLE
Elise M Belkin, Natalie Koskela-Staples, Elise Turner, L Vandy Black, David A Fedele
BACKGROUND: Youth with sickle cell disease (SCD) often experience low health-related quality of life (HRQOL). Engagement in resilience-promoting processes, such as secondary control engagement (SCE) coping, or adapting to stressors, may be linked to contextual risk factors (e.g., poverty status). This study aims to illuminate relationships between a cumulative risk index (CRI), SCE coping, and HRQOL in youth with SCD and test whether SCE coping moderates the relationship between CRI and HRQOL...
March 15, 2024: Pediatric Blood & Cancer
https://read.qxmd.com/read/38488632/electronic-medical-record-data-missingness-and-interruption-in-antiretroviral-therapy-among-adults-and-children-living-with-hiv-in-haiti-retrospective-longitudinal-study
#26
JOURNAL ARTICLE
Andrew M Secor, Kemar Célestin, Margareth Jasmin, Jean Guy Honoré, Anjuli D Wagner, Kristin Beima-Sofie, Jillian Pintye, Nancy Puttkammer
BACKGROUND: Children (aged 0-14 years) living with HIV often experience lower rates of HIV diagnosis, treatment, and viral load suppression. In Haiti, only 63% of children living with HIV know their HIV status (compared to 85% overall), 63% are on treatment (compared to 85% overall), and 48% are virally suppressed (compared to 73% overall). Electronic medical records (EMRs) can improve HIV care and patient outcomes, but these benefits are largely dependent on providers having access to quality and nonmissing data...
March 6, 2024: JMIR Pediatrics and Parenting
https://read.qxmd.com/read/38486248/trajectories-and-correlates-of-mental-health-among-urban-school-age-children-during-the-covid-19-pandemic-a-longitudinal-study
#27
JOURNAL ARTICLE
Rachel Oblath, Rohan Dayal, J Krystel Loubeau, Julia Lejeune, Jennifer Sikov, Meera Savage, Catalina Posse, Sonal Jain, Nicole Zolli, Tithi D Baul, Valeria Ladino, Chelsea Ji, Jessica Kabrt, Lillian Sidky, Megan Rabin, Do Yoon Kim, Imme Kobayashi, J Michael Murphy, Arvin Garg, Andrea E Spencer
BACKGROUND: The COVID-19 pandemic posed numerous obstacles to psychosocial wellbeing for children. We conducted a longitudinal study to evaluate child mental health and social risks during the pandemic. METHODS: Participants were 172 caregivers of children aged 6-11 years old who attended well child visits within 6 months before pandemic onset at an urban safety net hospital in the US. Prepandemic data was extracted from the electronic medical record, and surveys were administered at three time points between August 2020 and July 2021...
March 14, 2024: Child and Adolescent Psychiatry and Mental Health
https://read.qxmd.com/read/38485802/association-of-maternal-cervical-cancer-screening-adherence-with-adolescent-hpv-vaccination-among-adolescent-mother-pairs
#28
JOURNAL ARTICLE
Adino Tesfahun Tsegaye, John Lin, Allison Cole, Adam A Szpiro, Darcy W Rao, Judd Walson, Rachel L Winer
Less than two-thirds of US adolescents are up-to-date with HPV vaccination. While mothers engaged in preventive care are more likely to seek preventive care for their children, current studies on associations between maternal cervical cancer screening (CCS) and adolescent HPV vaccination are needed. We assessed associations between maternal preventive service utilization and adolescent HPV vaccination using electronic health record data from a healthcare system in Washington State. We included adolescents (11-17 years) and their mothers with ≥ 1 primary care visit between 2018 and 2020...
March 14, 2024: Journal of Community Health
https://read.qxmd.com/read/38484167/integration-of-substance-use-screening-into-the-electronic-health-record-for-adolescent-trauma-patients-a-quality-improvement-project
#29
JOURNAL ARTICLE
Samantha Troncoso-Munoz, Khalil D Davis
BACKGROUND: Adolescent substance abuse is a well-acknowledged and increasing concern. Screening brief intervention and referral to treatment for alcohol and drug use in adolescent trauma is a requirement, but program implementation remains a challenge for many trauma centers. OBJECTIVE: This study aims to examine the effect of an integrated electronic health record screening tool and staff training on screening, brief intervention, and referral to treatment compliance in adolescent trauma...
March 2024: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/38482585/decreasing-prescribing-errors-in-antimicrobial-stewardship-program-restricted-medications
#30
JOURNAL ARTICLE
Katherine M Tang, Philip Lee, Brenda I Anosike, Kathleen Asas, Gina Cassel-Choudhury, Tanvi Devi, Lisa Gennarini, Aileen Raizner, Hai Jung H Rhim, Jacqueline Savva, Dhara Shah, Kaitlyn Philips
OBJECTIVES: Antimicrobial stewardship programs (ASPs) restrict prescribing practices to regulate antimicrobial use, increasing the risk of prescribing errors. This quality improvement project aimed to decrease the proportion of prescribing errors in ASP-restricted medications by standardizing workflow. METHODS: The study took place on all inpatient units at a tertiary care children's hospital between January 2020 and February 2022. Patients <22 years old with an order for an ASP-restricted medication course were included...
March 14, 2024: Hospital Pediatrics
https://read.qxmd.com/read/38477053/parent-perspectives-on-documentation-and-sharing-of-health-related-social-needs-data
#31
JOURNAL ARTICLE
Zoe Bouchelle, Stephanie G Menko, Mishaal Yazdani, Aditi Vasan, Philip Scribano, Judy A Shea, Chén C Kenyon
OBJECTIVE: Parents of pediatric patients are key stakeholders in the design and implementation of health-related social needs (HRSN) screening programs. Yet, there is little research exploring their perspectives on the documentation and sharing of HRSN data. We aimed to examine parents' preferences regarding how HRSN data are documented and shared. METHODS: We conducted semi-structured interviews with parents of hospitalized children participating in an HRSN screening program at a quaternary care children's hospital...
March 13, 2024: Hospital Pediatrics
https://read.qxmd.com/read/38476436/post-operative-anemia-in-children-undergoing-elective-neurosurgery-an-analysis-of-incidence-risk-factors-and-outcomes
#32
JOURNAL ARTICLE
Shweta Naik, Amruta Nirale, Suparna Bharadwaj, R P Sangeetha, Dhaval Shukla, Sriganesh Kamath
OBJECTIVES: Pediatric neurosurgeries carry a considerable risk of intraoperative bleeding and, subsequently, anemia in the post-operative period. Postoperative anemia is often multifactorial with several factors contributing to its occurrence. The present study aims to quantify the incidence of postoperative anemia, identify potential risk factors, and assess the impact of post-operative anemia on clinical outcomes in the pediatric neurosurgery population. MATERIALS AND METHODS: This was a single-center and retrospective cohort study which included children <18 years of age undergoing elective neurosurgery...
2024: Journal of Neurosciences in Rural Practice
https://read.qxmd.com/read/38471751/streamlining-telecommunications-center-and-interfacility-patient-throughput-to-a-pediatric-emergency-department-by-utilizing-an-electronic-handoff-a-quality-improvement-initiative
#33
JOURNAL ARTICLE
Thomas P Wolski, Sarah Kunka, Elizabeth Smith, Robert Carter, Prabi Rajbhandari
OBJECTIVE: Effective handoffs are critical for patient safety and high-quality care. The pediatric emergency department serves as the initial reception for patients where optimal communication is crucial. The complexities of interfacility handoffs can result in information loss due to lack of standardization. The aim of our project was a 50% reduction in monthly calls routed through the communication center from 157 to 78, for interfacility transfers to the emergency department from outpatient sites within our organization over a 1-year period, through utilization of an electronic handoff activity...
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38471744/are-children-living-with-obesity-more-likely-to-experience-musculoskeletal-symptoms-during-childhood-a-linked-longitudinal-cohort-study-using-primary-care-records
#34
JOURNAL ARTICLE
Nicola Firman, Kate Homer, Gill Harper, John Robson, Carol Dezateux
OBJECTIVE: To assess whether there is a higher incidence of musculoskeletal consultations in general practice among children with obesity. DESIGN: Longitudinal SETTING: 285 north-east London general practitioners (GPs). PARTICIPANTS: 63 418 (50.9% boys) Reception and 55 364 (50.8% boys) Year 6 National Child Measurement Programme (NCMP) participants, linked to GP electronic health records (EHRs). MAIN OUTCOME MEASURE: A GP consultation with a recorded musculoskeletal symptom or diagnosis...
March 12, 2024: Archives of Disease in Childhood
https://read.qxmd.com/read/38466976/guiding-principles-for-adolescent-web-based-portal-access-policies-interviews-with-informatics-administrators
#35
JOURNAL ARTICLE
Bryan Sisk, Alison L Antes, Christine Bereitschaft, Madi Enloe, Fabienne Bourgeois, James DuBois
BACKGROUND: Web-based patient portals are tools that could support adolescents in managing their health and developing autonomy. However, informatics administrators must navigate competing interests when developing portal access policies for adolescents and their parents. OBJECTIVE: We aimed to assess the perspectives of informatics administrators on guiding principles for the development of web-based health care portal access policies in adolescent health care...
March 11, 2024: JMIR Pediatrics and Parenting
https://read.qxmd.com/read/38465952/biomarker-assessment-of-a-high-risk-data-driven-pediatric-sepsis-phenotype-characterized-by-persistent-hypoxemia-encephalopathy-and-shock
#36
JOURNAL ARTICLE
Mihir R Atreya, Tellen D Bennett, Alon Geva, E Vincent S Faustino, Colin M Rogerson, Riad Lutfi, Natalie Z Cvijanovich, Michael T Bigham, Jeffrey Nowak, Adam J Schwarz, Torrey Baines, Bereketeab Haileselassie, Neal J Thomas, Yuan Luo, L Nelson Sanchez-Pinto
OBJECTIVES: Identification of children with sepsis-associated multiple organ dysfunction syndrome (MODS) at risk for poor outcomes remains a challenge. We sought to the determine reproducibility of the data-driven "persistent hypoxemia, encephalopathy, and shock" (PHES) phenotype and determine its association with inflammatory and endothelial biomarkers, as well as biomarker-based pediatric risk strata. DESIGN: We retrained and validated a random forest classifier using organ dysfunction subscores in the 2012-2018 electronic health record (EHR) dataset used to derive the PHES phenotype...
March 11, 2024: Pediatric Critical Care Medicine
https://read.qxmd.com/read/38458489/on-and-off-label-atypical-antipsychotic-prescription-trends-across-a-nine-year-period-among-adolescents-pre-to-post-covid-19
#37
JOURNAL ARTICLE
Brianna Costales, Natalie E Slama, Robert B Penfold, Joshua R Nugent, Scott R Spalding, Stacy A Sterling, Esti Iturralde
OBJECTIVE: This study examined atypical antipsychotic prescribing by FDA approved-use (on-label) status for adolescents before and during the Covid-19 pandemic. METHODS: Retrospective data were collected from electronic health records (EHRs) of adolescents aged 10-17 years in Kaiser Permanente Northern California. New outpatient atypical antipsychotic prescription orders during 2013-2021 were evaluated. Prescriptions were categorized as on-label if linked in EHRs to autism, psychosis, bipolar disorder, or Tourette's diagnoses; otherwise, they were potentially off-label (herein, off-label)...
March 6, 2024: Academic Pediatrics
https://read.qxmd.com/read/38458233/clinician-needs-for-ehr-pediatric-and-adolescent-weight-management-tools-a-mixed-methods-study
#38
JOURNAL ARTICLE
Amy S Braddock, Taylor Bosworth, Parijat Ghosh, Rachel Proffitt, Lauren Flowers, Emma Montgomery, Gwendolyn Wilson, Aneesh Tosh, Richelle J Koopman
BACKGROUND: Clinicians play an important role in addressing pediatric and adolescent obesity, but their effectiveness is restricted by time constraints, competing clinical demands, and the lack of effective electronic health record (EHR) tools. EHR tools are rarely developed with provider input. OBJECTIVES: We conducted a mixed method study of clinicians who provide weight management care to children and adolescents to determine current barriers for effective care and explore the role of EHR weight management tools to overcome these barriers...
March 8, 2024: Applied Clinical Informatics
https://read.qxmd.com/read/38456232/the-finnegan-score-for-neonatal-opioid-withdrawal-revisited-with-routine-electronic-data-retrospective-study
#39
JOURNAL ARTICLE
Till Rech, Kerstin Rubarth, Christoph Bührer, Felix Balzer, Christof Dame
BACKGROUND: The severity of neonatal abstinence syndrome (NAS) may be assessed with the Finnegan score (FS). Since the FS is laborious and subjective, alternative ways of assessment may improve quality of care. OBJECTIVE: In this pilot study, we examined associations between the FS and routine monitoring data obtained from the electronic health record system. METHODS: The study included 205 neonates with NAS after intrauterine (n=23) or postnatal opioid exposure (n=182)...
February 28, 2024: JMIR Pediatrics and Parenting
https://read.qxmd.com/read/38441085/advances-in-pediatric-perioperative-care-using-artificial-intelligence
#40
JOURNAL ARTICLE
Dominique Dundaru-Bandi, Ryan Antel, Pablo Ingelmo
PURPOSE OF THIS REVIEW: This article explores how artificial intelligence (AI) can be used to evaluate risks in pediatric perioperative care. It will also describe potential future applications of AI, such as models for airway device selection, controlling anesthetic depth and nociception during surgery, and contributing to the training of pediatric anesthesia providers. RECENT FINDINGS: The use of AI in healthcare has increased in recent years, largely due to the accessibility of large datasets, such as those gathered from electronic health records...
February 27, 2024: Current Opinion in Anaesthesiology
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