Explanipedia

Risk Factors for Postoperative Pulmonary Compromise in a Pediatric Population: A Retrospective Review of a Single Institution Cohort Open

Alison Robles, Mehul V. Raval, Chun-Yi Wu, Heather A. Ballard, Mitchell Phillips , et al. · 2025

Background/Objectives: Pediatric postoperative pulmonary complication is a major event associated with increased in-hospital morbidity and mortality. However, data is limited regarding the specific timing and spectrum of postoperative pulm…

Systems-Based Care of the Injured Child: Policy Statement Open

Katherine T. Flynn‐O’Brien, Vijay Srinivasan, Mary E. Fallat, Toni Gross, Kerry Caperell , et al. · 2025

Injury is the leading cause of death and a frequent cause of disability in children and negatively affects physical health, mental health, and quality of life in both the short- and long-term. The goal of a pediatric trauma system is to op…

Systems-Based Care of the Injured Child: Technical Report Open

Katherine T. Flynn‐O’Brien, Vijay Srinivasan, Mary E. Fallat, Toni Gross, Kerry Caperell , et al. · 2025

Injury is the leading cause of death and a cause of disability in children and negatively affects physical health, mental health, and quality of life in both the short- and long-term. The goal of a pediatric trauma system is to optimize th…

Enhanced Recovery After Surgery (ERAS) consensus recommendations for non-pharmacological perioperative neonatal pain management Open

Brandon Pentz, Kristin Short, Mercedes Pilkington, Tyara Marchand, Saffa Aziz , et al. · 2025

Enhanced Recovery After Surgery (ERAS) recommendations for multi-modal, opioid-limiting analgesia have been shown to be effective in paediatric patients. However, neonatal-specific protocols are limited, and protocols that address non-phar…

Trends in Preventable Hospitalization Rates for Children With or Without Observation Stay Data Open

Yao Tian, Michelle L. Macy, Jason M. Hockenberry, Jane L. Holl, Amber K. Sabbatini , et al. · 2025

Importance Potentially preventable hospitalization rates are widely endorsed quality indicators that have been used to evaluate the impact of policies on access to high-quality primary and ambulatory care for children. Although potentially…

Enhanced Recovery After Surgery (ERAS) consensus recommendations for opioid-minimising pharmacological neonatal pain management Open

Mercedes Pilkington, Brandon Pentz, Kristin Short, Tyara Marchand, Saffa Aziz , et al. · 2024

Objective Enhanced recovery after surgery (ERAS) guidelines have been successfully applied to children and neonates. There is a need to provide evidence-based consensus recommendations to manage neonatal pain perioperatively to ensure adeq…

Fidelity of Enhanced Recovery Protocol Implementation With Assessment of Hospital-Specific Materials Open

Charesa J. Smith, Willemijn L.A. Schäfer, Max Wilberding, Audra J. Reiter, Gwyneth A. Sullivan , et al. · 2024

Use of biobehavioral interventions in children undergoing surgery and associated patient-reported outcomes Open

Gwyneth A. Sullivan, Yao Tian, Willemijn L.A. Schäfer, Kayla Giger, Maxwell Joseph Willberding , et al. · 2024

Use of a biobehavioral intervention(s) may stabilize postoperative nervousness of children undergoing surgery. There is a need for redesign of clinical workflows and clinician training to facilitate integration of biobehavioral interventio…

Change in Patient Enrollment After Site Principal Investigator Turnover in Surgical Clinical Trials Open

Yao Tian, Charesa J. Smith, Salva Balbale, Willemijn L.A. Schäfer, Jane L. Holl , et al. · 2024

This cohort study examines the association of principal investigator (PI) turnover with patient enrollment in surgical clinical trials.

Advancing Randomized Clinical Trials in Surgery: Role of Exception From Informed Consent, Central Institutional Review Board, and Bayesian Approaches Open

Amelia W. Maiga, Rebecca A. Snyder, Lillian S. Kao, Mehul V. Raval, Mayur B. Patel , et al. · 2024

Designing and completing randomized clinical trials (RCTs) in surgery is especially challenging due to unique barriers in study design, patient recruitment, and the administrative logistics of multicenter collaborative studies. 1 Diener M.…

538 Life Cycle Analysis of a Single Use Laryngoscope – A Target to Reduce Operating Room Environmental Impact Open

Alison Lehane, Gwyneth A. Sullivan, Jennifer B. Dunn, Mallory Perez, Charesa Smith , et al. · 2024

OBJECTIVES/GOALS: Health care accounts for an estimated 10% of U.S. greenhouse gas (GHG) emissions. Concerted efforts to decrease waste are needed including critical appraisal of single use items. The purpose of this study was to conduct l…

Association of social determinants of health‐related diagnosis codes with postoperative outcomes Open

Gwyneth A. Sullivan, Vaishnavi Krishnan, Casey M. Silver, Charesa Smith, Mehul V. Raval , et al. · 2024

Background The association of an individual's social determinants of health‐related problems with surgical outcomes has not been well‐characterized. The objective of this study was to determine whether documentation of social determinants …

DEVELOPING A SCORING SYSTEM TO PREDICT CHRONIC OPIOID USE AMONG ADOLESCENTS AND YOUNG ADULTS WITH INFLAMMATORY BOWEL DISEASE Open

Salva Balbale, Lynn Huang, Mehul V. Raval · 2024

BACKGROUND Chronic, or long-term, opioid use is associated with higher risk of addiction and death as well as poor inflammatory bowel disease (IBD) outcomes. Recent data estimate that up to 20% of adolescents and young adults (AYA) with IB…

Reducing Unnecessary Oophorectomies for Benign Ovarian Neoplasms in Pediatric Patients Open

Peter C. Minneci, Katherine Bergus, Carley Lutz, Jennifer H. Aldrink, Christina M. Bence , et al. · 2023

Importance Although most ovarian masses in children and adolescents are benign, many are managed with oophorectomy, which may be unnecessary and can have lifelong negative effects on health. Objective To evaluate the ability of a consensus…

SAT522 Validating Molecular Testing As An Adjunct To Fine Needle Aspiration In Pediatric Thyroid Malignancy Open

Apoorva Aekka, Nicoleta C. Arva, Mehul V. Raval, Jeffrey C. Rastatter, Sydney Finkelstein , et al. · 2023

Disclosure: A. Aekka: None. N. Arva: None. M. Raval: None. J. Rastatter: None. S.D. Finkelstein: Employee; Self; Interpace Biosciences. J. Levine: Employee; Self; Interpace Biosciences. J. Josefson: None. The standard diagnostic approach f…

National Trends in Interventions for Pediatric Gallstone Pancreatitis Open

Audra J. Reiter, Lynn Y.L. Huang, Yao Tian, Gwyneth A. Sullivan, Andrew Hu , et al. · 2023

Introduction: Laparoscopic cholecystectomy (LC) during index hospitalization for gallstone pancreatitis is standard in adult populations. The objective of this study was to evaluate trends in use of LC and endoscopic retrogra…

Does Trauma Center Volume Account for the Association Between Trauma Center Verification Level and In-Hospital Mortality among Children Injured by Firearms in California? Open

Gwyneth A. Sullivan, Susheel Reddy, Audra J. Reiter, Suhail Zeineddin, Michael Visenio , et al. · 2023

BACKGROUND: Heterogeneity in trauma center designation and injury volume offer possible explanations for inconsistencies in pediatric trauma center designation’s association with lower mortality among children. We hypothesized that rigorou…

A mixed-method approach to generate and deliver rapid-cycle evaluation feedback: lessons learned from a multicenter implementation trial in pediatric surgery Open

Salva Balbale, Willemijn L.A. Schäfer, Teaniese L. Davis, Sarah Blake, Sharron Close , et al. · 2023

Background Rapid-cycle feedback loops provide timely information and actionable feedback to healthcare organizations to accelerate implementation of interventions. We aimed to (1) describe a mixed-method approach for generating and deliver…

Price spillovers and specialization in health care: The case of children's hospitals Open

Ian McCarthy, Mehul V. Raval · 2023

Specialty hospitals tend to negotiate higher commercial insurance payments, even for relatively routine procedures with comparable clinical quality across hospital types. How specialty hospitals can maintain such a price premium remains an…

Disparities in Delivery of Ambulatory Surgical Care for Children Open

Yao Tian, Lindsay Allen, Martha-Conley E. Ingram, Mehul V. Raval · 2023

This cross-sectional study characterizes the delivery of ambulatory surgical care for children across freestanding ambulatory surgery centers and hospital-based outpatient centers and tests for differences in patient characteristics and fe…

Timing of pediatric pyloromyotomy on hospital length of stay Open

Faraz Longi, Audra J. Reiter, Shiv Patel, Grant Zhao, Charesa J. Smith , et al. · 2023

For infants with hypertrophic pyloric stenosis who present with normal electrolytes, it is safe to offer operation same-day or following a night of hydration. There was no evidence of improved hospital utilization for patients undergoing p…

Key Strategies for Optimizing Pediatric Perioperative Nutrition—Insight from a Multidisciplinary Expert Panel Open

Mehul V. Raval, Megan A. Brockel, Sanja Kolaček, Kathleen E. Simpson, Elizabeth Spoede , et al. · 2023

Adequate nutrition is an essential factor in healing and immune support in pediatric patients undergoing surgery, but its importance in this setting is not consistently recognized. Standardized institutional nutrition protocols are rarely …

Association of Multimodal Pain Control with Patient-Reported Outcomes in Children Undergoing Surgery Open

Gwyneth A. Sullivan, Lynn Huang, Willemijn L.A. Schäfer, Yao Tian, Audra J. Reiter , et al. · 2023

Table of Contents Open

Samuel M. Vanderhoek, Laura Prichett, Hannah Hardeo, Emily F. Boss, Risa M. Wolf , et al. · 2023

A DEEP LEARNING MODEL FOR ATMOSPHERIC CORRECTION OF SATELLITE IMAGES Open

Maitrik Shah, Mehul V. Raval · 2022

Satellite images captured by the sensor do not contain the reflectance values returned from the earth due to absorption and scattering caused by the atmospheric elements. Atmospheric correction (AC) retrieves the actual reflectance values,…

A DEEP LEARNING MODEL FOR ATMOSPHERIC CORRECTION OF SATELLITE IMAGES Open

Maitrik Shah, Mehul V. Raval · 2022

Satellite images captured by the sensor do not contain the reflectance values returned from the earth due to absorption and scattering caused by the atmospheric elements. Atmospheric correction (AC) retrieves the actual reflectance values,…

Implementation of Enhanced Recovery Protocols for Gastrointestinal Surgery in Children: Practical Tools From Key Stakeholders Open

Sharron Close, Sarah Blake, Teaniese “Tina” Davis, Salva Balbale, Joseph Perry , et al. · 2022

Short-Term Complications After Total Thyroidectomy in Children Open

Audra J. Reiter, Andrew Hu, Gwyneth A. Sullivan, Eli Stein, Jill Samis , et al. · 2022

Postoperative Respiratory Complications in SARS-CoV-2 Positive Pediatric Patients Across 20 United States Hospitals: A Cohort Study Open

Audra J. Reiter, Martha-Conley E. Ingram, Mehul V. Raval, Elisa I. Garcia, Madelyn Hill , et al. · 2022

Iii, Respiratory complications.

Pediatric Patient and Caregiver Agreement on Perioperative Expectations and Self-Reported Outcomes Open

Audra J. Reiter, Gwyneth A. Sullivan, Andrew Hu, Yao Tian, Martha-Conley E. Ingram , et al. · 2022

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