-
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...
-
Dec 9, 2024 | 
onlinelibrary.wiley.com | Sriram Ramgopal MD |Kenneth A Michelson
Respiratory pathogen testing can establish precise diagnoses in children with respiratory infections. Prior work has suggested that pathogen testing can improve clinical decision making in some contexts.1, 2 However, pathogen testing is costly and causes discomfort to children.
-
Nov 1, 2024 | 
jamanetwork.com | Laura G. Burke |Jeanette Beaute |Kenneth A Michelson
While political consensus is difficult to achieve, all can agree that preventing child mortality is important.
-
Oct 14, 2024 | 
jamanetwork.com | Michael S. Toce |Kenneth A Michelson |Scott Hadland
Naloxone Access Laws and Opioid-Related Overdose Deaths in Youths Expanding access to naloxone through naloxone access laws (NALs) has emerged as a key strategy in combating opioid-related overdose deaths.1 While evidence shows that certain NALs are associated with reduced opioid-related overdose deaths across all populations, this association in youths is unknown.2,3 The objective of this study was to examine the association of state-level NALs with youth opioid-related overdose deaths....
-
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.
-
May 2, 2024 | 
onlinelibrary.wiley.com | Hannah Crook |Manuel Horta |Kenneth A Michelson |John Graves
What is known on this topic Health care service area (HCSA) definitions are important for a variety of regulatory, policy, and research purposes. Many different HCSA definitions are available, with each capturing a different population and subset of clinical utilization. What this study adds This study finds that different HCSA definitions capture a wide range of inpatient discharges, with Metropolitan Statistical Areas capturing the largest proportion (93%–97%).
-
Apr 24, 2024 | 
qualitysafety.bmj.com | Kenneth A Michelson |Emma Patterson |Margaret E. Samuels-Kalow |Mark L Waltzman
AbstractObjective To evaluate rates, risk factors and outcomes of delayed diagnosis of seven serious paediatric conditions. Methods This was a retrospective, cross-sectional study of children under 21 years old visiting 13 community and tertiary emergency departments (EDs) with appendicitis, bacterial meningitis, intussusception, mastoiditis, ovarian torsion, sepsis or testicular torsion.
-
Feb 12, 2024 | 
jamanetwork.com | Kenneth A Michelson |Chris Rees |Todd A Florin |Richard G. Bachur
Emergency Department Volume and Delayed Diagnosis of Serious Pediatric Conditions Key PointsQuestion Is pediatric volume in the emergency department associated with possible delayed diagnosis in serious conditions? Findings In this cohort study including 58 998 children with a wide range of conditions, possible delayed diagnosis occurred in 15.8% of children. Delay was 26.7% less common with each 2-fold increase in volume, a statistically significant association.
-
Jul 12, 2023 | 
jamanetwork.com | Lindsay Nicole Overhage |Ruth A. Hailu |Kenneth A Michelson |Haiden Huskamp
Key PointsQuestion
How did utilization of acute mental health care change during the second year of the COVID-19 pandemic for youth aged 5 to 17 years? Findings
In this cross-sectional study comparing pandemic year 2 with a baseline year, the fraction of youth with mental health emergency department visits increased 7%, the percentage of emergency department visits that resulted in inpatient psychiatric admission increased 8%, and the mean length of inpatient psychiatric stay increased 4%.
