Search Our Scientific Publications & Authors

Acad Pediatr 2022 Jun 19. Epub 2022 Jun 19.

Denver Health and Hospital, Denver, CO; University of Colorado Schol of Medicine, Department of Pediatrics, Aurora, CO.

Objectives: Oral health is a critical component of children's overall health, but past research has found that pediatricians report barriers to implementing oral health into practice. Recently, policies have further delineated the importance of oral health in primary medical care. We sought to determine how pediatricians' practices and perceived barriers related to oral health involvement have changed since 2008. Read More

Acad Pediatr 2022 Jun 19. Epub 2022 Jun 19.

Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, Harvard Medical School, Boston, Massachusetts. Electronic address:

Acad Pediatr 2022 Jun 18. Epub 2022 Jun 18.

Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, Department of Pediatrics, Emma Pendleton Bradley Hospital (Lewis-de los Angeles), Riverside, Rhode Island. Electronic address:

Objective: To understand the relationship between adverse childhood experiences (ACEs) and diet, sleep, and exercise in pre-adolescents.

Methods: Baseline and one year follow-up data from the adolescent brain and cognitive development (ABCD) study were analyzed (age 10-11, n = 11,875). ACEs were measured by parent report at baseline. Read More

Acad Pediatr 2022 Jun 18. Epub 2022 Jun 18.

Division of Hospital Medicine, Department of Pediatrics, Vanderbilt University School of Medicine and the Monroe Carell Jr. Children's Hospital at Vanderbilt, 2200 Children's Way, Suite 2404, Nashville, Tennessee 37232, USA.

Objective: Neighborhood conditions influence child health outcomes, but data examining association between local factors and hospital utilization are lacking. We determined if hospitals' mix of patients by neighborhood opportunity correlates with rehospitalization for common diagnoses at U.S. Read More

Acad Pediatr 2022 Jun 16. Epub 2022 Jun 16.

UCSF Benioff Children's Hospital Oakland, 747 52(nd) Street, Oakland, CA 94609, Department of Pediatrics and Emergency Medicine. Electronic address:

Acad Pediatr 2022 Jun 9. Epub 2022 Jun 9.

Center for Policy, Outcomes, and Prevention, Stanford University School of Medicine, Stanford, CA, USA; Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA. Electronic address:

Background: We sought to develop and validate age-specific instruments for measuring early childhood resilience at ages 3, 5 and 8 in the Taiwan Birth Cohort Study, a national longitudinal study.

Methods: Using data from 18,553 mother-infant pairs, we conducted exploratory factor analysis (EFA) on a simple random half of our sample. We then used the remaining half of these data for confirmatory factor analysis (CFA) to further assess the fit of three CFA models (i. Read More

Acad Pediatr 2022 Jun 9. Epub 2022 Jun 9.

Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States of America; Mary Ann & J. Milburn Smith Child Health Outcomes, Research, and Evaluation Center, Stanley Manne Children's Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago IL, USA.

Objective: To evaluate differences in emergency utilization (ED) utilization and subsequent admission among children by Child Opportunity Index (COI).

Methods: We performed a cross-sectional study of pediatric (<18 years) encounters to 194 EDs in Illinois from 2016-2020. Each encounter was assigned the postal code-level category from the COI 2. Read More

Acad Pediatr 2022 Jun 6. Epub 2022 Jun 6.

Child Health Evaluative Sciences, The Hospital for Sick Children, 555 University Avenue, M5G 1X8, Toronto, ON, Canada; Division of Paediatric Medicine, The Hospital for Sick Children, 555 University Avenue, M5G 1X8, Toronto, ON, Canada; Department of Paediatrics, University of Toronto, 27 King's College Cir, M5S 1A1, Toronto, ON, Canada. Electronic address:

Children with medical complexity (CMC) are a medically fragile subset of children who often rely on parental caregivers for substantial care needs. Caregivers of CMC often experience adverse health outcomes such as depression and anxiety, sleep deprivation, financial hardships, and social isolation. Caregivers of CMC are at risk of premature mortality, which is thought to be mediated by chronic and elevated stress, as well as psychiatric morbidity risk. Read More

Acad Pediatr 2022 Jun 3. Epub 2022 Jun 3.

University of Oklahoma Health Sciences Center, Department of Pediatrics, Section of General and Community Pediatrics; 1200 Children's Avenue, A1 12602, Oklahoma City, OK 73104.

Background: Reach Out and Read (ROR) is a widely implemented evidence-based Literacy Promotion (LP) intervention. Recent data has shown that there is variability in both LP training for pediatric residents and implementation of ROR. However, little is known about the perceptions regarding LP and the relationship with training. Read More

Acad Pediatr 2022 Jun 3. Epub 2022 Jun 3.

Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Chicago, IL 60611. Northwestern University Feinberg School of Medicine, 420 E Superior St, Chicago, IL 60611.

Objectives: To describe pediatric mental health emergency department (ED) visit rates and visit characteristics before and during the COVID-19 pandemic.

Methods: We conducted a cross-sectional study of ED visits by children 5-17 years old with a primary mental health diagnosis from March 2018 to February 2021 at a 10-hospital health system and a children's hospital in the Chicago area. We compared demographic and clinical characteristics of children with mental health ED visits before and during the pandemic. Read More

Acad Pediatr 2022 May 26. Epub 2022 May 26.

Department of Pediatrics, University of Massachusetts Chan Medical School, Worcester, MA.

Objectives: To assess the association between racial discrimination, race/ethnicity, and social class with child health and unmet healthcare needs among children in the United States (US).

Methods: We used a nationally representative sample of children aged 0 to 17 from the 2018-2019 National Survey of Children's Health. Bivariate and multivariable logistic regression were used to test associations between measures of discrimination, social class (income, employment, and education), and race/ethnicity with overall child health and unmet healthcare needs controlling for covariates identified a priori. Read More

Acad Pediatr 2022 May 26. Epub 2022 May 26.

University of Florida College of Medicine - UF Health Shands Children's Hospital, Gainesville, FL.

Acad Pediatr 2022 May 26. Epub 2022 May 26.

Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.

Background And Objective: Parents of children with medical complexity (CMCs) struggle with managing their children's care needs. Health coaching provides patients with tools to take ownership of their care. We sought to assess the impact of health coaching for parents of CMCs on activation, child's health related quality of life (HRQL), and utilization. Read More

Acad Pediatr 2022 May 26. Epub 2022 May 26.

Center for Clinical Excellence Nationwide Children's Hospital 700 Children's Drive Columbus, OH 43205.

Objective: To remove inaccurate penicillin allergy labels in the general pediatric clinic setting.

Methods: From October 2017 through December 2021, this collaborative, quality improvement project used education, feedback, electronic health record alerts, and the introduction of oral amoxicillin challenges in a general pediatric clinic setting with the primary aim of decreasing the proportion of penicillin allergy labeled patients. Control charts were used to track the relationship between interventions and improvements in referral rates to allergy clinic, removal of the allergy label at clinic visits and the overall proportion of clinic patients labeled as PCN allergic. Read More

Acad Pediatr 2022 May 24. Epub 2022 May 24.

Department of Pediatrics, Stanford School of Medicine, 725 Welch Rd, G71, Palo Alto, CA 94304.

Objectives: Combined pediatrics-anesthesiology programs uniquely prepare residents to care for critically ill children, but trainees in these combined programs face challenges as residents within two specialties. Social belonging predicts motivation and achievement and protects against burnout. The objective of our study was to evaluate sense of belonging and self-identified professional identity of current combined pediatrics-anesthesiology residents. Read More

Acad Pediatr 2022 May 25. Epub 2022 May 25.

University of Rochester School of Medicine and Dentistry, Rochester, NY.

Acad Pediatr 2022 May 21. Epub 2022 May 21.

Department of Pediatrics, Division of Emergency Medicine, Boston Children's Hospital, Harvard Medical School (KC Genadry, MC Monuteaux, MI Neuman, and LK Lee), Boston, Mass.

Objective: To assess the variation in migraine management over time across US children's hospitals and to identify factors associated with disparities in management.

Methods: We conducted a retrospective study of 32 hospitals in the Pediatric Health Information System from 2009 to 2019. We included children 7 to 21 years old with primary ICD-9 or ICD-10 diagnosis codes for migraine headache. Read More

Acad Pediatr 2022 May 20. Epub 2022 May 20.

Division of Emergency and Transport Medicine, Children's Hospital Los Angeles, 4650 Sunset Blvd., MS #113, Los Angeles, CA 90027, USA; Department of Pediatrics, Keck School of Medicine, University of Southern California, 1975 Zonal Ave., Los Angeles, CA 90033, USA. Electronic address:

Objective: The emergency department (ED) is a demanding environment and critical events have been identified as contributors to stress. Debriefing is a possible intervention for staff, but there is little information regarding formulation and implementation. A needs assessment was conducted to describe the emotions of pediatric ED (PED) staff following critical events and assess opinions regarding debriefing. Read More

Acad Pediatr 2022 May 18. Epub 2022 May 18.

Johns Hopkins University School of Medicine. Electronic address:

Background And Objectives: Evidence for social needs interventions on resource linkage has grown over the past decade. Though social and economic needs predict healthcare utilization, few studies have assessed social needs interventions on these outcomes. The objective of this study was to examine the association between enrollment in a clinic-based social needs program on subsequent well child visit (WCV) attendance and emergency department (ED) use in two primary care clinics. Read More

Acad Pediatr 2022 May 16. Epub 2022 May 16.

Department of Health Care Policy (A Mehrotra), Harvard Medical School, Boston, Mass.

Objective: In March 2020, regulatory and payment changes allowed "brick and mortar" pediatric practices to offer practice-based telemedicine for the first time, joining direct-to-consumer (DTC) telemedicine vendors in the ability to offer visits for common acute pediatric concerns via telemedicine. We sought to characterize the relative contribution of practice-based telemedicine versus commercial DTC telemedicine models in provision of children's telemedicine from 2018 through 2021.

Methods: Using January 2018 to September 2021 data from Optum's de-identified Clinformatics® Data Mart Database, we identified telemedicine visits by children ≤17, excluding preventive visits and visits to specialists, emergency departments, and urgent care. Read More

Acad Pediatr 2022 May 14. Epub 2022 May 14.

Acad Pediatr 2022 May 13. Epub 2022 May 13.

Division of General Academic Pediatrics, Department of Pediatrics (KA Egan and EM Taveras), MassGeneral Hospital for Children, Boston, Mass; Department of Nutrition (EM Taveras), Harvard T.H. Chan School of Public Health, Boston, Mass.

Objectives: To examine associations of maternal consumption of 100% juice and sugar-sweetened beverages (SSBs) in the third trimester of pregnancy with infant weight status at 6 and 12 months.

Methods: We studied 379 mother-infant dyads from Rise & SHINE, a prospective cohort study. Exposures were maternal consumption of 100% juice and SSBs in the third trimester. Read More

Acad Pediatr 2022 May 13. Epub 2022 May 13.

Department of Pediatrics, Robert Larner College of Medicine at the University of Vermont; University of Vermont Children's Hospital, 89 Beaumont Ave, Burlington, Vermont, 05405. Electronic address:

Objective: To determine whether participation in a pediatric boot camp during medical school was associated with higher intern performance. Secondary objectives were to determine whether participation in general boot camps, pediatric sub-internships or pediatric electives was associated with higher performance.

Methods: Intern surveys and faculty performance assessments during early internship were collected from a convenience sample of pediatric residency programs. Read More

Acad Pediatr 2022 May 13. Epub 2022 May 13.

Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States of America; Mary Ann & J. Milburn Smith Child Health Outcomes, Research, and Evaluation Center, Stanley Manne Children's Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, United States of America.

Background: Family engagement is critical in the implementation of artificial intelligence (AI)-based clinical decision support tools, which will play an increasing role in healthcare in the future. We sought to understand parental perceptions of computer-assisted health care of children in the emergency department (ED).

Methods: We conducted a population-weighted household panel survey of parents with minor children in their home in a large US city to evaluate perceptions of the use of computer programs for the care of children with respiratory illness. Read More

Acad Pediatr 2022 May 13. Epub 2022 May 13.

Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC; Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC. Electronic address:

Background: Food insecurity affects 13.7 million U.S. Read More

Acad Pediatr 2022 May 13. Epub 2022 May 13.

Seattle Children's Hospital Research Institute, 4800 Sand Point Way NE, RB.2.401, Seattle, WA 98105.

Objective: Mobile health technology offers promise for reducing disparities in pediatric asthma care and outcomes by helping parents more effectively communicate with their children's primary care providers and manage their children's asthma. This study tested the impact of a text messaging program on emergency department utilization and asthma morbidity.

Methods: A randomized controlled trial enrolled 221 parents of Medicaid-insured children visiting the emergency departments of two urban Children's Hospitals in the Pacific Northwest for an asthma-related concern between September 2015 and February 2019. Read More

Acad Pediatr 2022 May 7. Epub 2022 May 7.

University of Utah, Department of Pediatrics, Division of Pediatric Emergency Medicine, Salt Lake City, UT, USA; Intermountain Primary Children's Hospital, Salt Lake City, UT, USA.

Objective: To determine the prevalence of unmet social needs (USN) in a pediatric emergency department (PED) patient population and examine disparities in USN by self-selected language and patient demographics.

Methods: We surveyed a convenience sample of English- and Spanish-speaking caregivers of patients <18-years-old presenting to a free-standing children's hospital in Salt Lake City, Utah. In the caregiver's self-selected language, the pediatric version of the Screener for Intensifying Community Referrals for Health (p-SINCERE) assessed patient demographics and 10 areas of social needs. Read More

Acad Pediatr 2022 May 7. Epub 2022 May 7.

Stanford University School of Medicine, Department of Pediatrics; University of California San Francisco, Philip R. Lee Institute for Health Policy Studies. Electronic address:

Objective: To examine students' experiences of water security at school and how experiences relate to intake of water from different sources of water at school.

Design/methods: In this cross-sectional study, 651 students in grades 3-5 in 12 low-income public elementary schools in the San Francisco area completed surveys about their daily intake of water from different sources of water at school, experiences of water security including safety, cleanliness, and taste of water at school, and their demographics. Multivariable linear regressions examined associations between students' water security experiences at school and reported intake from different sources of water at school. Read More