journal
https://read.qxmd.com/read/36929378/physician-management-companies-and-neonatology-prices-utilization-and-clinical-outcomes
#1
JOURNAL ARTICLE
Jiani Yu, Robert Tyler Braun, Amelia S Bond, Ambar M La Forgia, Arindam RoyChoudhury, Manyao Zhang, Jin Kim, Lawrence P Casalino
BACKGROUND AND OBJECTIVES: Physician management companies (PMCs) acquire physician practices and contract with hospitals to provide physician management services. We evaluated the association between PMC-NICU affiliations and prices, spending, utilization, and clinical outcomes. METHODS: We linked commercial claims to PMC-NICU affiliations and conducted difference- in-differences analyses comparing changes in prices paid for physician services per critical or intensive care NICU day, length of the NICU stay, physician spending (total paid amount for physician services during stay), spending on hospital services (total paid amount for hospital services during stay), and clinical outcomes in PMC-affiliated versus non-PMC-affiliated NICUs...
March 17, 2023: Pediatrics
https://read.qxmd.com/read/36929012/profits-providers-and-private-companies-what-happens-when-wall-street-owns-your-neonatal-care
#2
JOURNAL ARTICLE
Scott A Lorch
No abstract text is available yet for this article.
March 17, 2023: Pediatrics
https://read.qxmd.com/read/36924134/one-year-follow-up-after-a-pregnancy-prevention-intervention-for-lgb-teens-an-rct
#3
JOURNAL ARTICLE
Michele Ybarra, Margaret Rosario, Elizabeth Saewyc, Carol Goodenow, Shira Dunsiger
BACKGROUND: Lesbian, gay, bisexual, and other sexual minority (LGB+) girls are more likely than heterosexual girls to be pregnant during adolescence. Nonetheless, LGB+ inclusive pregnancy prevention programming is lacking. METHODS: Between January 2017 and January 2018, 948, 14 to 18 year-old cisgender LGB+ girls were enrolled in a national randomized controlled trial. Girls were assigned either to Girl2Girl or an attention-matched control group. They were recruited via social media and enrolled over the telephone...
March 16, 2023: Pediatrics
https://read.qxmd.com/read/36919445/implementing-social-risk-screening-and-referral-to-resources-in-the-nicu
#4
JOURNAL ARTICLE
Erika G Cordova-Ramos, Chandni Jain, Vanessa Torrice, Maggie McGean, Pablo Buitron de la Vega, Judith Burke, Donna Stickney, Robert J Vinci, Mari-Lynn Drainoni, Margaret G Parker
OBJECTIVE: Social risk screening is recommended by the American Academy of Pediatrics, but this practice is underutilized in NICUs. To address this gap in social care, we aimed to increase rates of: (1) systematic social risk screening and (2) connection with community resources, each to ≥50% over a 14-month period. METHODS: We conducted a quality improvement initiative from November 2020 to January 2022. We adapted a screening tool and used Plan-Do-Study-Act cycles to integrate screening and referral to resources into clinical workflow...
March 15, 2023: Pediatrics
https://read.qxmd.com/read/36919442/intraventricular-hemorrhage-in-very-preterm-children-mortality-and-neurodevelopment-at-age-5
#5
JOURNAL ARTICLE
Ludovic Tréluyer, Marie Chevallier, Pierre-Henri Jarreau, Olivier Baud, Valérie Benhammou, Catherine Gire, Laetitia Marchand-Martin, Stéphane Marret, Véronique Pierrat, Pierre-Yves Ancel, Héloïse Torchin
OBJECTIVES: The objectives were to describe mortality and causes of death in children with intraventricular hemorrhage (IVH) and to study neurodevelopmental outcomes. METHODS: The study was a secondary analysis of the French national prospective and population-based cohort EPIPAGE-2. Children were recruited in 2011. A standardized assessment was conducted at age 5. Children born before 32 weeks' gestation and admitted to a NICU were eligible. Exposure was IVH defined by the Papile classification...
March 15, 2023: Pediatrics
https://read.qxmd.com/read/36916198/doing-the-work-to-improve-diversity-in-pediatric-clinical-trials
#6
JOURNAL ARTICLE
Cassie Kline, Angela M Ellison
No abstract text is available yet for this article.
March 14, 2023: Pediatrics
https://read.qxmd.com/read/36916197/race-and-ethnicity-reporting-and-representation-in-pediatric-clinical-trials
#7
JOURNAL ARTICLE
Ryan C L Brewster, Jecca R Steinberg, Christopher J Magnani, Jasmyne Jackson, Bonnie O Wong, Nishma Valikodath, Justin MacDonald, Anna Li, Paula Marsland, Steven N Goodman, Alan Schroeder, Brandon Turner
BACKGROUND AND OBJECTIVES: Representative enrollment of racial and ethnic minoritized populations in biomedical research ensures the generalizability of results and equitable access to novel therapies. Previous studies on pediatric clinical trial diversity are limited to subsets of journals or disciplines. We aimed to evaluate race and ethnicity reporting and representation in all US pediatric clinical trials on ClinicalTrials.gov. METHODS: We performed a cross-sectional study of US-based clinical trials registered on ClinicalTrials...
March 14, 2023: Pediatrics
https://read.qxmd.com/read/36911921/increasing-disparities-in-sudden-unexpected-infant-deaths-reflect-societal-failures
#8
JOURNAL ARTICLE
Rebecca F Carlin, Fern R Hauck, Rachel Y Moon
No abstract text is available yet for this article.
March 13, 2023: Pediatrics
https://read.qxmd.com/read/36911916/sudden-unexpected-infant-deaths-2015-2020
#9
JOURNAL ARTICLE
Carrie K Shapiro-Mendoza, Kate R Woodworth, Carri R Cottengim, Alexa B Erck Lambert, Elizabeth M Harvey, Michael Monsour, Sharyn E Parks, Wanda D Barfield
OBJECTIVE: Although the US infant mortality rate reached a record low in 2020, the sudden infant death syndrome (SIDS) rate increased from 2019. To understand if the increase was related to changing death certification practices or the coronavirus disease 2019 (COVID-19) pandemic, we examined sudden unexpected infant death (SUID) rates as a group, by cause, and by race and ethnicity. METHODS: We estimated SUID rates during 2015 to 2020 using US period-linked birth and death data...
March 13, 2023: Pediatrics
https://read.qxmd.com/read/36896572/incidence-and-mortality-of-children-receiving-home-mechanical-ventilation
#10
JOURNAL ARTICLE
Reshma Amin, Rahul Verma, Yu Qing Bai, Eyal Cohen, Astrid Guttmann, Andrea S Gershon, Sherri Lynne Katz, Audrey Lim, Louise Rose
OBJECTIVES: The incidence, as well as the predictors of mortality, for children receiving home mechanical ventilation (HMV) using population-based data in Canada is a current knowledge gap. Our objectives were to describe HMV incidence and mortality rates, and associations of demographic and clinical variables on mortality. METHODS: Using Ontario health and demographic administrative databases, we conducted a retrospective cohort study (April 1, 2003-March 31, 2017) of children aged 0 to 17 years receiving HMV via invasive mechanical ventilation and noninvasive ventilation...
March 10, 2023: Pediatrics
https://read.qxmd.com/read/36896569/improving-home-caregiver-independence-with-central-line-care-for-pediatric-cancer-patients
#11
JOURNAL ARTICLE
Chris I Wong, Marie D Desrochers, Margaret Conway, Sherri O Stuver, Riley M Mahan, Amy L Billett
OBJECTIVE: Home caregivers (eg parents) of pediatric patients with cancer with external central lines (CL) must carefully maintain this device to prevent complications. No guidelines exist to support caregiver skill development, assess CL competency, follow-up after initial CL teaching, and support progress over time. We aimed to achieve >90% caregiver independence with CL care within 1 year through a family-centered quality improvement intervention. METHODS: Drivers to achieve CL care independence were identified using surveys and interviews of patient or caregivers, a multidisciplinary team with patient or family representatives, and piloting clinic return demonstrations (teach-backs)...
March 10, 2023: Pediatrics
https://read.qxmd.com/read/36893342/dating-violence-prevention-for-juvenile-justice-involved-females-a-hybrid-trial
#12
JOURNAL ARTICLE
Christie J Rizzo, Charlene Collibee, David Barker, Christopher Houck, Kathleen Kemp, Marina Tolou-Shams, Caron Zlotnick, Larry K Brown
OBJECTIVE: The primary objective of this hybrid I clinical trial of Date SMART (Date Skills to Manage Aggression in Relationships for Teens) was to reduce adolescent dating violence (ADV) among juvenile-justice involved females over 1 year. Secondary objectives were to determine if the intervention reduced sexual risk behavior and delinquency. Last, we evaluate system buy-in vis à vis mandated referrals to the program. METHODS: Participants were females, ages 14 to 18 (N = 240), involved in a family court in the Northeast United States...
March 9, 2023: Pediatrics
https://read.qxmd.com/read/36893339/safety-of-tocilizumab-and-remdesivir-in-treating-covid-19-pneumonia-in-premature-twins
#13
JOURNAL ARTICLE
Dustin Bihm, Jane Huang, Belina Yi, Leila Posch, Diane Brown, Kuan-Chi Lai
No abstract text is available yet for this article.
March 9, 2023: Pediatrics
https://read.qxmd.com/read/36897244/characteristics-of-fatal-poisonings-among-infants-and-young-children-in-the-united-states
#14
JOURNAL ARTICLE
Christopher E Gaw, Allison E Curry, Kevin C Osterhoudt, Joanne N Wood, Daniel J Corwin
BACKGROUND AND OBJECTIVES: Fatal poisoning is a preventable cause of death among young children. Understanding factors surrounding these deaths will inform future prevention efforts. Our objective was to describe the characteristics of fatal pediatric poisonings using child death review data. METHODS: We acquired data from 40 states participating in the National Fatality Review-Case Reporting System on deaths attributed to poisonings among children aged ≤5 years from 2005 to 2018...
March 8, 2023: Pediatrics
https://read.qxmd.com/read/36897227/requests-for-directed-blood-donations
#15
JOURNAL ARTICLE
Meaghann S Weaver, Marianne E M Yee, Courtney E Lawrence, Armand H Matheny Antommaria, Ross M Fasano
This Ethics Rounds presents a request for directed blood donation. Two parents feel helpless in the setting of their daughter's new leukemia diagnosis and want to directly help their child by providing their own blood for a transfusion. They express hesitancy about trusting the safety of a stranger's blood. Commentators assess this case in the setting of blood as a scarce community resource during a national blood shortage. Commentators review the child's best interest, future risks, and harm-benefit considerations...
March 8, 2023: Pediatrics
https://read.qxmd.com/read/36880208/the-nurturing-care-framework-and-children-with-developmental-disabilities-in-lmics
#16
JOURNAL ARTICLE
Bolajoko O Olusanya, Sheffali Gulati, Charles R J Newton
No abstract text is available yet for this article.
March 7, 2023: Pediatrics
https://read.qxmd.com/read/36880204/trends-in-the-antibiotic-treatment-of-acute-sinusitis-2003-2020
#17
JOURNAL ARTICLE
Timothy J Savage, Matthew P Kronman, Sushama Kattinakere Sreedhara, Massimiliano Russo, Su Been Lee, Theresa Oduol, Krista F Huybrechts
No abstract text is available yet for this article.
March 7, 2023: Pediatrics
https://read.qxmd.com/read/36872287/a-timely-assessment-of-pediatric-surge-capacity-and-capability
#18
JOURNAL ARTICLE
Cullen Clark, Julie C Leonard
No abstract text is available yet for this article.
March 6, 2023: Pediatrics
https://read.qxmd.com/read/36872285/a-statewide-assessment-of-pediatric-emergency-care-surge-capabilities
#19
JOURNAL ARTICLE
Joyce Li, Arianne L Baker, Gabrielle D'Ambrosi, Michael C Monuteaux, Sarita Chung
BACKGROUND: Pediatric surge planning is critical in the setting of decreasing pediatric inpatient capacity. We describe a statewide assessment of pediatric inpatient bed capacity, clinical care therapies, and subspecialty availability during standard and disaster operations in Massachusetts. METHODS: To assess pediatric (<18 years old) inpatient bed capacity during standard operations, we used Massachusetts Department of Public Health data from May 2021. To assess pediatric disaster capacity, therapies, and subspecialty availability in standard and disaster operations, we performed a state-wide survey of Massachusetts hospital emergency management directors from May to August 2021...
March 6, 2023: Pediatrics
https://read.qxmd.com/read/36866465/navigating-uncertainty-in-medicine-with-our-families
#20
JOURNAL ARTICLE
Carolena Trocchia, Priya Singh, Christopher Inglese, Deborah Goding, Elias Matta, Robert Dudas
No abstract text is available yet for this article.
March 3, 2023: Pediatrics
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