Elizabeth R. Alpern

Jan 17, 2025 | onlinelibrary.wiley.com | Samaa Kemal |Rebecca E. Cash |Kenneth A Michelson |Elizabeth R. Alpern

INTRODUCTION Firearms are the leading cause of death among youth in the United States.1 Nonfatal morbidities also have devastating impacts on youth, their families, their communities, and the health care system that cares for them.2-5 Firearm injuries are associated with physical and mental sequelae among youth including subsequent violent injuries, posttraumatic stress disorder, and substance abuse.6-10 These youth are also more likely to have increased health care utilization after their...

Aug 15, 2024 | jamanetwork.com | Rebecca E. Cash |Jennifer Hoffmann |Kenneth A Michelson |Elizabeth R. Alpern

Introduction Suicide is a leading pediatric preventable cause of death, and self-inflicted intentional injuries (hereafter, self-inflicted injuries) are associated with elevated suicide risk.1 Initiating prevention efforts in the emergency department (ED) is critical.

Jul 15, 2024 | jamanetwork.com | Kenneth A Michelson |Elizabeth R. Alpern |Katherine Remick |Rebecca E. Cash

Key PointsQuestion  How can hospitals be sorted by level of pediatric capabilities? Findings  This cross-sectional study of hospitals from 10 US states found that hospitals could be sorted into 4 levels of pediatric capability based on the extent of services provided. Meaning  This study suggests that researchers and policymakers can compare outcomes and evaluate care delivery using this set of pediatric hospital capability levels.

Feb 22, 2024 | onlinelibrary.wiley.com | Daniel Shapiro |Matt Hall |Sriram Ramgopal |Elizabeth R. Alpern

Background Although characteristics of preventable hospitalizations for ambulatory care–sensitive conditions (ACSCs) have been described, less is known about patterns of emergency and other acute care utilization for ACSCs among children who are not hospitalized. We sought to describe patterns of utilization for ACSCs according to the initial site of care and to determine characteristics associated with seeking initial care in an acute care setting rather than in an office.

Feb 21, 2023 | onlinelibrary.wiley.com | Sriram Ramgopal |Jonathan Rodean |Elizabeth R. Alpern |Matt Hall

Eligibility criteria We included ED encounters for children discharged from the ED. For multiple encounters clustered within a 7-day period, we included the first encounter as the index visit and all subsequent encounters were considered secondary outcomes. We additionally excluded ED encounters resulting in hospitalization (including those defined as observation status7) or transfer to another institution and those for whom no index visit discharge diagnosis code was provided.