Quality Improvement Initiative For Anaphylaxis Treatment In A Pediatric Emergency Department, 2024 St. Christopher's Hospital for Children
Quality Improvement Initiative For Anaphylaxis Treatment In A Pediatric Emergency Department, Kaitlyn Leahey, Jack Becker, Angela Kim
St. Chris Research Day
No abstract provided.
Using Autorefraction Data To Predict Strabismus With Deep Learning Technology, 2024 Nazreth Hospital
Using Autorefraction Data To Predict Strabismus With Deep Learning Technology, Ibrahim Chaudhry, Aaila I Chaudhry Dr
St. Chris Research Day
No abstract provided.
Early Cholestasis And Vitamin K Deficiency Secondary To Biliary Atresia Presenting As Coagulopathy And Thymic Hemorrhage, 2024 Children's Mercy Kansas City
Early Cholestasis And Vitamin K Deficiency Secondary To Biliary Atresia Presenting As Coagulopathy And Thymic Hemorrhage, Abbey Elsbernd, Lauren Amos Md
Research Days
Background
Bleeding and progressive coagulopathy are established symptoms of early cholestasis, including extrahepatic biliary atresia. We present a patient with bleeding secondary to vitamin K deficiency and cholestasis-induced fat malabsorption with unusual presentation of mediastinal mass.
Objective
Describe a case of late-onset vitamin K deficiency and cholestasis presenting as jaundice and coagulopathy with associated bleeding into thymic structures Design/Method
Case report
Results
A 4-week-old term male infant was brought to the ED with fussiness and bruising. Prior to presentation, he was afebrile and followed regularly with his primary care provider for jaundice below phototherapy thresholds. Infant received vitamin K at …
Pain Outcomes In Adolescents With Surgically Confirmed Endometriosis: A Single Site Retrospective Cohort Analysis, 2024 Children's Mercy Kansas City
Pain Outcomes In Adolescents With Surgically Confirmed Endometriosis: A Single Site Retrospective Cohort Analysis, Madeline Ross, Samantha Janssen, Priya Suvarna, Adam Booser, Ashli Lawson
Research Days
Background: In adolescents with significant dysmenorrhea, empiric therapy via analgesics and hormonal medications is considered gold standard. However, those with refractory pain may have endometriosis. Thus, it is recommended to engage in shared medical decision making with these patients regarding diagnostic laparoscopy. If endometriosis is detected intraoperatively, these lesions are often fulgurated or excised. There currently is a paucity of data regarding the benefits of diagnostic laparoscopy and destruction of lesions in the adolescent population.
Objectives/Goal: To evaluate long-term pain management outcomes and care patterns in adolescent patients undergoing surgical evaluation for endometriosis.
Methods/Design: This was a single-site, retrospective cohort …
Association Of Respiratory Viral Testing And Antibiotic Use For Pediatric Patients Admitted For Acute Respiratory Illness Between 2017-2021 At Children’S Mercy-Kansas City, 2024 Children's Mercy Kansas City
Association Of Respiratory Viral Testing And Antibiotic Use For Pediatric Patients Admitted For Acute Respiratory Illness Between 2017-2021 At Children’S Mercy-Kansas City, Edward Lyon, Brian Lee, Rangaraj Selvarangan, Jennifer Schuster
Research Days
Retrospective comparison of hospitalized pediatric patients who did or did not have clinical viral respiratory testing performed to understand if antibiotics were used differently between these groups.
Transition Skills Lab: A Telehealth Intervention For Improving Healthcare Transition In Youth With Special Health Care Needs, 2024 Children's Mercy Kansas City
Transition Skills Lab: A Telehealth Intervention For Improving Healthcare Transition In Youth With Special Health Care Needs, Angela Combs, Alaina Linafelter, Jordan Sevart, Michele H. Maddux
Research Days
The goal of this abstract is to evaluate youth skill-building and confidence across health care tasks through the virtual Transition Skills Lab.
Exploring The Role Of Pain On Physical Activity Among Youth With Acute Lymphoblastic Leukemia Using The Biopsychosocial Model, 2024 Children's Mercy Kansas City
Exploring The Role Of Pain On Physical Activity Among Youth With Acute Lymphoblastic Leukemia Using The Biopsychosocial Model, Anna E. Van Asselt, Renee Gilbert, Meghan Tokala, Jacee Weber, Meredith L. Dreyer Gillette, Robert C. Gibler, Carolyn R. Bates, Keith August
Research Days
The Role of Pain on Physical Activity in Pediatric ALL
Keywords: Biopsychosocial model, pediatric Acute Lymphoblastic Leukemia, pain, physical activity
Introduction: Engaging in physical activity (PA) during cancer treatment benefits a child’s physical and mental well-being (McLaughlin et al., 2021). However, engaging in PA may be challenging due to treatment and disease-related pain (Uhl et al., 2020). Pediatric cancer research has primarily focused on management of procedural and chronic pain, with fewer studies examining how pain may interfere with PA during treatment (Clews et al., 2022). The current study qualitatively investigated the impact of pain on PA using a …
Long-Term Physical And Emotional Functioning In Children Following Intensive Interdisciplinary Pain Treatment For Amplified Pain Syndrome, 2024 Children's Mercy Kansas City
Long-Term Physical And Emotional Functioning In Children Following Intensive Interdisciplinary Pain Treatment For Amplified Pain Syndrome, Sabrina Ung, Jacqueline Pabis Phd, Jenny Scheurich Phd, Dustin Wallace Phd
Research Days
The current study aimed to examine the efficacy of pediatric interdisciplinary pain treatment (IIPT) several years after treatment completion by exploring mean-level changes of physical and mental health functioning pre-intervention, post-intervention, and at follow-up 2 to 6 years after IIPT completion.
Delirium On Admission To The Cicu, 2024 Chidlren's Mercy Kansas City
Delirium On Admission To The Cicu, Spencer Wittmeyer, Jaime Silva-Gburek, Kelly S. Tieves
Research Days
Background: Delirium is increasingly recognized in the pediatric cardiac intensive care unit (CICU) with an incidence up to 67% and is associated with worse outcomes including increased mortality, prolonged hospitalization, and increased rates of intubation and mechanical circulatory support. The Cornell Assessment for Pediatric Delirium (CAPD) is the only validated tool for the diagnosis of delirium in the pediatric population. The CAPD may be limited in children with developmental disabilities as it does not account for baseline ability in scoring. Prior work has identified low specificity for the CAPD in children with developmental disabilities and those requiring mechanical ventilation. This …
Reducing Sharps Disposal In The Operating Room, 2024 Children's Mercy Kansas City
Reducing Sharps Disposal In The Operating Room, Kasey Brooks, Brandon Layton
Research Days
Used an education program to reduce the amount of sharps waste in the operating room within the anesthesia department.
Double Aortic Arch With Atresia Of The Left Aortic Arch Proximal To The Left Common Carotid Artery In A Patient With Phace Syndrome – A Management Conundrum, 2024 Children's Mercy Kansas City
Double Aortic Arch With Atresia Of The Left Aortic Arch Proximal To The Left Common Carotid Artery In A Patient With Phace Syndrome – A Management Conundrum, Mohamed Aashiq Abdul Ghayum, Anmol Goyal, Aliessa P. Barnes, Sanket Shah
Research Days
Background Cardiac anomalies in PHACE syndrome (P: posterior fossa anomalies, H: hemangiomas, A: arterial lesions, C: cardiac abnormalities, E: abnormalities of the eye) often consists of complex aortic arch anomalies with double aortic arch (DAA) being an uncommon association. Atresia of the proximal segment of the left arch in DAA is extremely rare and can pose a diagnostic and management conundrum due to formation of a loose vascular ring and asymptomatic nature as seen in our case.
Case Description A 5-year-old male, diagnosed with PHACE syndrome, at a different center was noted to have an incidental finding on head imaging …
Rare Complications Associated With Use Of Bovine Pericardium, 2024 Children's Mercy Kansas City
Rare Complications Associated With Use Of Bovine Pericardium, Mohamed Aashiq Abdul Ghayum, Nitin Madan, William J. Gibson, Sanket Shah
Research Days
Background
Bovine Pericardium (BP), with numerous and improving preparation techniques, has been used extensively for over 50 years in repair of simple and complex congenital heart defects. It has several advantages over other surgical materials. However, there is a paucity of data in the pediatric population regarding complications associated with BP. Herein, we report two rare complications noted with BP use.
Case Description
Case 1. A 14-month-old male, with trisomy 21 and complete Atrioventricular canal defect, repaired using BP. A routine surveillance echocardiogram showed a mass attached to the atrial septum and atrial aspect of the left atrioventricular valve (Figure …
Comparing Bilateral And Unilateral Metal Stabilizers: Incision Complications In Pectus Repair, 2024 Children's Mercy Kansas City
Comparing Bilateral And Unilateral Metal Stabilizers: Incision Complications In Pectus Repair, Seth Saylors, Shawn D. St Peter, Tolulope A. Oyetunji Md Mph, Nelimar Cruz-Centeno, Nitin Nadella
Research Days
Introduction: The use of metal stabilizers in minimally invasive pectus excavatum repair (MIPER) has been previously associated with multiple postoperative complications. We aimed to identify if bilateral metal stabilizers increase the risk of incision complications when compared to unilateral stabilizers.
Methods: Institutional Review Board approval was obtained. Patients that underwent MIPER with metal stabilizers from 2019 to 2022 and currently had the bar in place, at a single tertiary care pediatric center, were included. A telephone survey evaluated if they had incision-associated symptoms, and if the location was congruent with the stabilizer site. A retrospective chart review was performed to …
Pain Management In Perforated Appendicitis: Transitioning To A Minimal Narcotic Strategy, 2024 Children's Mercy Kansas City
Pain Management In Perforated Appendicitis: Transitioning To A Minimal Narcotic Strategy, Seth Saylors, Meredith Elman, Pablo Aguayo, Rebecca M. Rentea, Richard J. Hendrickson, David Juang, Charles L. Snyder, Jason D. Fraser, Tolulope A. Oyetunji Md Mph, Shawn D. St Peter, Nelimar Cruz-Centeno, Charles Marchese
Research Days
Introduction: Patient controlled analgesia (PCA) was previously standard for postoperative pain control in children with perforated appendicitis at our institution. We previously reported the equivocal outcome of intravenous (IV) acetaminophen as a pain control adjunct used to transition from PCA to oral narcotics. We have since transitioned to a PCA-free, multi-modal pain control regimen postoperatively in perforated appendicitis. Through observational study, we aim to describe the impact of our new pain control regimen on postoperative narcotic use.
Methods: Children– June 2020 at a single freestanding children’s hospital were reviewed. Details of their hospitalization, including demographic, operative, anesthesia, pain management, and …
Health Disparities In Pediatric Patients With Autism Spectrum Disorder And Covid-19, 2024 Temple University
Health Disparities In Pediatric Patients With Autism Spectrum Disorder And Covid-19, Janet Lee, Priya Nigam, Philip Mccallion Phd, Lisa Ferretti
St. Chris Research Day
No abstract provided.
Medical-Legal Partnerships: Clinician And Lawyer Collaboration To Address The Social Determinants Of Health, 2024 Legal Clinic for the Disabled
Medical-Legal Partnerships: Clinician And Lawyer Collaboration To Address The Social Determinants Of Health, Anne Mcdermott, Theresa C. Brabson, Daniel Taylor, Kelly Courts, Noah Buboltz, Hans Kersten
St. Chris Research Day
No abstract provided.
Piecing Together The Puzzle: Hepatic Abscess In A 16-Year-Old Female, 2024 Tower Health
Piecing Together The Puzzle: Hepatic Abscess In A 16-Year-Old Female, Danielle Statman
St. Chris Research Day
No abstract provided.
Receipt Of Services For Transition From Pediatric To Adult Health Care Among Youth With Chronic Medical Conditions: A Cross-Sectional Analysis Of The 2022 National Survey Of Children’S Health, 2024 Dornsife School of Public Health, Drexel University
Receipt Of Services For Transition From Pediatric To Adult Health Care Among Youth With Chronic Medical Conditions: A Cross-Sectional Analysis Of The 2022 National Survey Of Children’S Health, Mekhala Santebennur, Zekarias Berhane, Jennifer Griffin, Renee Turchi
St. Chris Research Day
No abstract provided.
Investigating Markers For Intracranial Hemorrhage Severity: Insights From Cbc Changes And Beyond, 2024 Drexel University College of Medicine
Investigating Markers For Intracranial Hemorrhage Severity: Insights From Cbc Changes And Beyond, Mckenzie Locker, Kasey Chelemedos, Nataly Apollonsky
St. Chris Research Day
No abstract provided.
Evaluating Vital Sign Frequency In A Pediatric Hospital: A Retrospective Chart Review To Evaluate Variation And Significance Of Vital Signs During Night Shift, 2024 St. Christopher's Hospital for Children
Evaluating Vital Sign Frequency In A Pediatric Hospital: A Retrospective Chart Review To Evaluate Variation And Significance Of Vital Signs During Night Shift, Gina Pelullo
St. Chris Research Day
No abstract provided.