Medicine and Health Sciences Commons^™

Conceptualization Of Intervention In Pediatrics Systematic Review, Kaitlyn Hansen, Mark C. Navin, Jason Wasserman, Stephanie Swanberg

Posters

Navigating when to intervene against parents’ wishes is a difficult task in pediatrics. Different frameworks have been proposed, but disagreements remain. One problem debated about in pediatric intervention principles often refer to different kinds of interventions (e.g. calling Child Protective Services, consulting the Ethics Committee). This project reports results of a critical scoping review of recent bioethics literature about the concept of pediatric intervention principles.

Clearance Of The Cervical Spine In Obtunded Pediatric Blunt Trauma Patients: Quality Assessment Of An Existing Clearance Pathway, Rachel Kalthoff, Elizabeth Boudiab, Diane Studzinski, Nathan Novotny, Pavan Brahmamdam, Begum Akay

Posters

INTRODUCTION
Obtunded patients following blunt trauma need clearance of the cervical spine (c-spine) that cannot depend on a clinical exam. Our center’s current pediatric c-spine evaluation pathway includes both Computed Tomography (CT) and Magnetic Resonance Imaging (MRI). The objective of this study was to review our use of both CT and MRI for obtunded pediatric trauma patients to assess the quality of our pathway and utility of MRI.

Imaging For Suspected Pediatric Appendicitis: Can Ultrasound Alone Be Trusted?, Ryan Nierstedt, Nafisa Bhuiyan, Michelle Jankowski, Lauren Desantis, Aveh Bastani, Shanna Jones

Posters

INTRODUCTION
Diagnosis of pediatric appendicitis relies on a combination of laboratory results, diagnostic imaging, and clinician judgement. However, the necessity of CT imaging has been questioned given radiation exposure. Therefore, ultrasound imaging has become a useful diagnostic tool, yet its sensitivity in identifying appendicitis is often lower in comparison to CT. This study aims to determine the sensitivity of US imaging for pediatric appendicitis and if differences exist in the diagnosis of appendicitis utilizing both CT and ultrasound or ultrasound alone.

Differences Within A Health System: Imaging Use For Suspected Pediatric Appendicitis, Nafisa Bhuiyan, Ryan Nierstedt, Michelle Jankowski, Shanna Jones, Aveh Bastani

Posters

INTRODUCTION
Ultrasound (US) is the first line imaging used for suspected pediatric appendicitis. However, following equivocal US findings and its lower negative predictive value for ruling out appendicitis, Computed Tomography (CT) imaging is often performed in children. This study investigates the differences in imaging utilization between a community hospital (Beaumont Troy) and a children’s ED hospital (Beaumont Royal Oak), making it the first study to evaluate suspected pediatric appendicitis in Beaumont Health System. It also aims to further characterize differences in patient outcomes such as surgery, length of hospital stay, complications of appendicitis, and highlight the need to reduce unnecessary …

Current State Of Pediatric Obesity: Management Trends In An Outpatient Pediatric Clinic, Susan Edlibi, Ryan Rogers, Dina Abdo, Charity Owusu-Asare, Reem Wassef, Mary Coffey, Lihua Qu, Aimee Pollak, Stacey Shubeck, Kerry Mychaliska

Conference Presentation Abstracts

Background: The prevalence of pediatric obesity has increased over the last 30 years resulting inan earlier onset of obesity-related comorbidities. The greatest acceleration of Body Mass Index(BMI) in children has been reported to occur between the ages of 2 and 6 and is associated with anincreased risk of sustained obesity in adulthood. Objectives: The purpose of this study is to assess the characteristics of overweight (BMI at orabove 85th percentile) pediatric patients and current management trends in a single academicoutpatient clinic setting. Design/Methods: This IRB approved retrospective study conducted a chart review of pediatricpatients that presented to an outpatient clinic …

Esophageal Magnamosis For The Treatment Of Type-B Esophageal Atresia In A Child With Prohibitive Operative Risk: A Novel Device And Indication., Irving J. Zamora, Muhammad Oa Ghani, Lauren L. Evans, Nathan M. Novotny, Lyndy J. Wilcox, Harold N. Lovvorn, Kristina A. Betters, Mohammad Sahlabadi, Matthew R. Lucas, Jeffrey S. Upperman, Oliver J. Muensterer, Michael R. Harrison

Conference Presentation Abstracts

No abstract provided.

The Evolving Effectiveness Of Biologics In Avoiding Surgery In Children With Ulcerative Colitis., Mohineesh Kumar, Samuel K. Osei, Ayesha Fatima, Rachel N. Harvey, Alexander Menning, Anthony Stallion, Nathan Novotny

Conference Presentation Abstracts

Purpose

Pediatric ulcerative colitis (UC) treatment has changed dramatically with the introduction of multiple biologics in recent years. The purpose of this study was to assess effectiveness of biologic agents in achieving remission and incidence of surgery.

Methods

We retrospectively analyzed UC patients that were seen at gastroenterology clinic between January 2012-August 2020. We analyzed demographic characteristics, colonoscopy, clinic and hospital records. Patients were divided into four groups: 1) patients treated medically without biologics or surgery; 2) patients treated with one biologic; 3) patients treated with multiple biologics; and 4) patients that underwent colectomy. Pearson Chi-square test was used to …