Brett Burstein
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View article: Operational Impact of Redirection From the Pediatric Emergency Department: A Matched Cross‐Sectional Study
Operational Impact of Redirection From the Pediatric Emergency Department: A Matched Cross‐Sectional Study Open
Background Programs redirecting patients with non‐urgent presentations from Emergency Departments (EDs) to the community (ED2C), by providing them a booked community appointment in lieu of waiting for ED care, may reduce ED crowding. We so…
View article: Evaluation of a pediatric post-acute sequelae of SARS-CoV-2 index score
Evaluation of a pediatric post-acute sequelae of SARS-CoV-2 index score Open
Objective This study aims to assess the performance of the Researching COVID-19 to Enhance Recovery (RECOVER) initiative's proposed post-acute sequelae of COVID-19 (PASC) index in a cohort of children evaluated for SARS-CoV-2 infection, 6–…
View article: Pediatric SARS-CoV-2 infection and development of anxiety and depression
Pediatric SARS-CoV-2 infection and development of anxiety and depression Open
Objective It remains unclear whether emerging mental health concerns in children infected with SARS-CoV-2 are a direct result of the infection or due to the indirect effects of the pandemic. Therefore, we sought to assess the frequency of …
View article: Outcomes Following a Mental Health Care Intervention for Children in the Emergency Department
Outcomes Following a Mental Health Care Intervention for Children in the Emergency Department Open
Importance The emergency department (ED) is an important safety net for children experiencing mental and behavioral health crises and can serve as a navigational hub for families seeking support for these concerns. Objectives To evaluate t…
View article: Social Behaviors Associated with SARS-CoV-2 Test Positivity Among Children Evaluated in Canadian Emergency Departments, 2020 to 2022: A Cross-Sectional Survey Study
Social Behaviors Associated with SARS-CoV-2 Test Positivity Among Children Evaluated in Canadian Emergency Departments, 2020 to 2022: A Cross-Sectional Survey Study Open
Attending social gatherings increased the risk of SARS-CoV-2 test positivity in 5-<12-year-old children, but in-person daycare/school was associated with a reduced odds of testing positive across all ages. Settings with high public health …
View article: Mental Health Hospitalizations in Canadian Children, Adolescents, and Young Adults Over the COVID-19 Pandemic
Mental Health Hospitalizations in Canadian Children, Adolescents, and Young Adults Over the COVID-19 Pandemic Open
Importance The COVID-19 pandemic resulted in multiple socially restrictive public health measures and reported negative mental health impacts in youths. Few studies have evaluated incidence rates by sex, region, and social determinants acr…
View article: Pandemic Stringency Measures and Hospital Admissions for Eating Disorders
Pandemic Stringency Measures and Hospital Admissions for Eating Disorders Open
Importance Hospitalizations for eating disorders rose dramatically during the COVID-19 pandemic. Public health restrictions, or stringency, are believed to have played a role in exacerbating eating disorders. Few studies of eating disorder…
View article: Postconcussive Symptoms After Early Childhood Concussion
Postconcussive Symptoms After Early Childhood Concussion Open
Importance Research on postconcussive symptoms (PCS) following early childhood concussion has been hindered by a lack of measures suitable for this age group, resulting in a limited understanding of their evolution in young children. Objec…
View article: Developmental Approach to Identifying Post-Concussive Symptoms in Early Childhood Concussion
Developmental Approach to Identifying Post-Concussive Symptoms in Early Childhood Concussion Open
International audience
View article: La prise en charge des nourrissons de 90 jours ou moins, fiévreux mais dans un bon état général
La prise en charge des nourrissons de 90 jours ou moins, fiévreux mais dans un bon état général Open
RÉsumÉ On constate des pratiques très variées en matière d’évaluation et de prise en charge des jeunes nourrissons fiévreux. Bien que la plupart des jeunes nourrissons fiévreux mais dans un bon état général soient atteints d’une maladie vi…
View article: Management of well-appearing febrile young infants aged ≤90 days
Management of well-appearing febrile young infants aged ≤90 days Open
The evaluation and management of young infants presenting with fever remains an area of significant practice variation. While most well-appearing febrile young infants have a viral illness, identifying those at risk for invasive bacterial …
View article: Post–COVID-19 Condition in Children 6 and 12 Months After Infection
Post–COVID-19 Condition in Children 6 and 12 Months After Infection Open
Importance There is a need to understand the long-term outcomes among children infected with SARS-CoV-2. Objective To quantify the prevalence of post–COVID-19 condition (PCC) among children tested for SARS-CoV-2 infection in pediatric emer…
View article: Urinary Tract Infection, Bacteremia, and Meningitis Among Febrile Young Infants With SARS-CoV-2 and Non–SARS-CoV-2 Viral Infections
Urinary Tract Infection, Bacteremia, and Meningitis Among Febrile Young Infants With SARS-CoV-2 and Non–SARS-CoV-2 Viral Infections Open
This cohort study assesses the prevalence of urinary tract infections (UTIs), bacteremia, and bacterial meningitis among infants systematically tested for SARS-CoV-2 and non–SARS-CoV-2 viruses, with a focus on invasive bacterial infections.
View article: Comparison of Symptoms Associated With SARS-CoV-2 Variants Among Children in Canada
Comparison of Symptoms Associated With SARS-CoV-2 Variants Among Children in Canada Open
Importance Clinical manifestations of SARS-CoV-2 variants have not been systematically compared in children. Objective To compare symptoms, emergency department (ED) chest radiography, treatments, and outcomes among children with different…
View article: Perceived barriers to the provision of adolescent confidential care in a tertiary care setting
Perceived barriers to the provision of adolescent confidential care in a tertiary care setting Open
Objective Adolescents are more likely to seek care and disclose sensitive health information if confidentiality is assured. Little is known regarding the provision of confidential care to adolescents in the hospital setting. We sought to u…
View article: Cost modelling incorporating procalcitonin for the risk stratification of febrile infants ≤60 days old
Cost modelling incorporating procalcitonin for the risk stratification of febrile infants ≤60 days old Open
Objectives Procalcitonin testing is recommended to discriminate febrile young infants at risk of serious bacterial infections (SBI). However, this test is not available in many clinical settings, limited largely by cost. This study sought …
View article: Urban air pollution and emergency department visits related to central nervous system diseases
Urban air pollution and emergency department visits related to central nervous system diseases Open
Ambient air pollution has been associated with adverse neurological health outcomes. Ambient pollutants are thought to trigger oxidative stress and inflammation to which vulnerable populations, such as elderly may be particularly susceptib…
View article: Trends in Management of Children With Acute Gastroenteritis in US Emergency Departments
Trends in Management of Children With Acute Gastroenteritis in US Emergency Departments Open
This repeated cross-sectional analysis examines national trends in emergency department (ED) treatment of children with acute gastroenteritis.
View article: Trends in the Incidence of New-Onset Anorexia Nervosa and Atypical Anorexia Nervosa Among Youth During the COVID-19 Pandemic in Canada
Trends in the Incidence of New-Onset Anorexia Nervosa and Atypical Anorexia Nervosa Among Youth During the COVID-19 Pandemic in Canada Open
This cross-sectional study found a higher number of new diagnoses of and hospitalizations for anorexia nervosa or atypical anorexia nervosa in children and adolescents during the first wave of the COVID-19 pandemic in Canada. Research is n…
View article: 104 New Presentations of Anorexia Nervosa and Atypical Anorexia Nervosa In Adolescents During the COVID-19 Pandemic
104 New Presentations of Anorexia Nervosa and Atypical Anorexia Nervosa In Adolescents During the COVID-19 Pandemic Open
Primary Subject area Adolescent Medicine Background The coronavirus (COVID-19) pandemic has had profound effects on adolescent mental health. Beginning in mid-March 2020, public health measures were implemented throughout the province of Q…
View article: 105 Cost Analysis for the Risk-Stratification of Febrile Infants ≤ 60 Days Old
105 Cost Analysis for the Risk-Stratification of Febrile Infants ≤ 60 Days Old Open
Primary Subject area Emergency Medicine - Paediatric Background Fever in the first months of life is among the most common clinical problems in pediatric healthcare. Nearly 2% of all infants will be evaluated for fever in an Emergency Depa…
View article: 101 National Trends in Emergency Department Ondansetron Use and Clinical Outcomes Among Children with Acute Gastroenteritis
101 National Trends in Emergency Department Ondansetron Use and Clinical Outcomes Among Children with Acute Gastroenteritis Open
Primary Subject area Emergency Medicine - Paediatric Background Acute gastroenteritis (AGE) is among the most common illnesses for which children are evaluated in the Emergency Department (ED). Among children with AGE, ondansetron has been…
View article: Exposure to urban air pollution and emergency department visits for diseases of the ear and mastoid processes
Exposure to urban air pollution and emergency department visits for diseases of the ear and mastoid processes Open
Exposure to ambient air pollutants may cause adverse health effects. This study sought to assess the association of five major air pollutants concentration levels and number of Emergency Department (ED) visits for ear and mastoid pathology…
View article: Prevalence of Serious Bacterial Infections Among Febrile Infants 90 Days or Younger in a Canadian Urban Pediatric Emergency Department During the COVID-19 Pandemic
Prevalence of Serious Bacterial Infections Among Febrile Infants 90 Days or Younger in a Canadian Urban Pediatric Emergency Department During the COVID-19 Pandemic Open
This cross-sectional study compares the prevalence of severe bacterial infections in febrile neonates and infants before vs during the COVID-19 pandemic in Montreal, Quebec, Canada.
View article: Time to study time: informing the future of anaphylaxis observation duration
Time to study time: informing the future of anaphylaxis observation duration Open
View article: Prevalence of Bacterial Meningitis Among Febrile Infants Aged 29-60 Days With Positive Urinalysis Results
Prevalence of Bacterial Meningitis Among Febrile Infants Aged 29-60 Days With Positive Urinalysis Results Open
In this systematic review and meta-analysis, the prevalence of bacterial meningitis in well-appearing febrile infants 29 to 60 days of age with positive urinalysis results ranged from 0.25% to 0.44% and was not higher than that in infants …
View article: Erratum to: Clinical utility of correction factors for febrile young infants with traumatic lumbar punctures
Erratum to: Clinical utility of correction factors for febrile young infants with traumatic lumbar punctures Open
[This corrects the article DOI: 10.1093/pch/pxaa114.].
View article: Clinical utility of correction factors for febrile young infants with traumatic lumbar punctures
Clinical utility of correction factors for febrile young infants with traumatic lumbar punctures Open
Objectives Correction factors have been proposed for traumatic lumbar punctures (LPs) in febrile young infants. However, no studies have assessed their diagnostic utility. We sought to determine the proportion of traumatic LPs safely recla…
View article: Childhood Maltreatment and Suicidality
Childhood Maltreatment and Suicidality Open
JAMA Network Open, Angelakis et al 1 have conducted an important exploration of adverse childhood experiences (ACEs) and their association with suicide in the pediatric age group.The authors have undertaken a meta-analysis to quantify the …
View article: 74 MULTICENTER VALIDATION OF CORRECTION FACTORS FOR CEREBROSPINAL FLUID LABORATORY VALUES IN YOUNG INFANTS WITH A TRAUMATIC LUMBAR PUNCTURE
74 MULTICENTER VALIDATION OF CORRECTION FACTORS FOR CEREBROSPINAL FLUID LABORATORY VALUES IN YOUNG INFANTS WITH A TRAUMATIC LUMBAR PUNCTURE Open
Background The evaluation of fever among infants in the first months of life remains one of the most common problems in pediatric healthcare. Approximately 10% harbor potentially life-threatening infections including bacterial meningitis, …