News and Announcements

SECTION ON ANESTHESIOLOGY—NEW PROGRAM: The Section on Anesthesiology of the American Academy of Pediatrics is co-sponsoring two-day visits to community hospitals by one or two pediatric anesthesiologists from children's hospitals in their areas. One talk will be given each day. Suggested topics are: ventilatory care for neonates; advances in pediatric anesthesia; respiratory treatment for pediatric patients; temperature maintainance and transport of sick infants; and evaluation of new equipment. The Section on Anesthesiology will pay the honorarium and the hospital/medical society/community will be expected to pay the expenses.

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The EASE Project Revisited: Improving Safe Sleep Practices in Ohio Birthing and Children’s Hospitals

Clinical Pediatrics ◽

10.1177/0009922819850461 ◽

2019 ◽

Vol 58 (9) ◽

pp. 1000-1007 ◽

Cited By ~ 2

Author(s):

Jamie R. Macklin ◽

Michael A. Gittelman ◽

Sarah A. Denny ◽

Hayley Southworth ◽

Melissa Wervey Arnold

Keyword(s):

Quality Improvement ◽

American Academy ◽

Quality Improvement Program ◽

Improvement Program ◽

Children's Hospitals ◽

Safe Sleep ◽

American Academy Of Pediatrics ◽

Children’S Hospitals ◽

Improve Compliance ◽

Sleep Behaviors

Literature has shown hospitalized infants are not often observed in recommended safe sleep environments. Our objective was to implement a quality improvement program to improve compliance with appropriate safe sleep practices in both children’s and birthing hospitals. Hospitalists from both settings were recruited to join an Ohio American Academy of Pediatrics collaborative to increase admitted infant safe sleep behaviors. Participants used a standardized tool to audit infants’ sleep environments. Each site implemented 3 PDSA (Plan-Do-Study-Act) cycles to improve safe sleep behaviors. A total of 37.0% of infants in children’s hospitals were observed to follow the current American Academy of Pediatrics recommendations at baseline; compliance improved to 59.6% at the project’s end ( P < .01). Compliance at birthing centers was 59.3% and increased to 72.5% ( P < .01) at the collaborative’s conclusion. This study demonstrates that a quality improvement program in different hospital settings can improve safe sleep practices. Infants in birthing centers were more commonly observed in appropriate sleep environments than infants in children’s hospitals.

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GRULEE AWARD PRESENTATION

PEDIATRICS ◽

10.1542/peds.37.1.136a ◽

1966 ◽

Vol 37 (1) ◽

pp. 136-137

Keyword(s):

American Academy ◽

Medical Society ◽

State University ◽

University Of Minnesota ◽

Louisiana State University ◽

School Of Medicine ◽

American Academy Of Pediatrics ◽

National Organizations ◽

College Of Nursing ◽

The University

THE recipient of the Clifford G. Grulee Award of the American Academy of Pediatrics for 1965 is Clarence H. Webb of Shreveport, Louisiana. Born in Shreveport in 1902, Dr. Webb was graduated from Tulane University in 1923 and received his M.D. degree from the same university in 1925. Later—in 1931—he received the M.S. degree in pediatrics from the University of Chicago, where he completed a residency at the Bobs Roberts Hospital. Previously he had a year of residency at the University of Minnesota Hospital. Dr. Webb has been in the private practice of pediatrics in Shreveport since 1931. He has also been visiting lecturer at the Tulane School of Medicine since 1947 and professor of pediatrics in the Postgraduate School of the Louisiana State University School of Medicine since 1956. In addition, he finds time to lecture at the Northwestern College of Nursing in Natchitoches. He holds staff appointments at four private hospitals in the Shreveport area and is chief of pediatrics at Confederate Memorial Hospital. Dr. Webb is a member of a number of medical organizations and has served as president of the Louisiana and Shreveport Pediatric Societies, as well as president of the Shreveport Medical Society. He has been active in many local, state, and national organizations, including the Boy Scouts of America, the Louisiana Public Health Association, from which he received its annual award in 1957; the American Anthropological Association, and the Society for American Archeology. Dr. Webb served as president of the American Academy of Pediatrics in 1962-1963, previously serving as a member of the Executive Board and as chairman of District VIII. These services were outstanding and important.

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Peanut-containing Products in Children's Hospitals: Putting Pediatric Patients at Risk

10.1542/peds.141.1_meetingabstract.74 ◽

2018 ◽

Author(s):

Laura Fletcher ◽

Tammy Pham ◽

Maguire Herriman ◽

Bridget Kiely ◽

Ruth Milanaik

Keyword(s):

At Risk ◽

Pediatric Patients ◽

Children's Hospitals ◽

Children’S Hospitals ◽

Patients At Risk

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Epidemiology of Polypharmacy and Potential Drug–Drug Interactions Among Pediatric Patients in ICUs of U.S. Children’s Hospitals*

Pediatric Critical Care Medicine ◽

10.1097/pcc.0000000000000684 ◽

2016 ◽

Vol 17 (5) ◽

pp. e218-e228 ◽

Cited By ~ 39

Author(s):

Dingwei Dai ◽

James A. Feinstein ◽

Wynne Morrison ◽

Athena F. Zuppa ◽

Chris Feudtner

Keyword(s):

Drug Interactions ◽

Pediatric Patients ◽

Potential Drug ◽

Children's Hospitals ◽

Children’S Hospitals

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MENISCUS REPAIR VERSUS DEBRIDEMENT FOR MENISCAL TEARS IN PEDIATRIC PATIENTS – PREDICTORS FOR TREATMENT BASED ON DEMOGRAPHICS

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119s00169 ◽

2019 ◽

Vol 7 (3_suppl) ◽

pp. 2325967119S0016

Author(s):

Lauren Agatstein ◽

Alton W. Skaggs ◽

Matthew J. Brown ◽

Nicole Friel ◽

Brian Haus

Keyword(s):

Pediatric Patients ◽

Private Insurance ◽

Meniscal Repair ◽

Meniscus Repair ◽

Meniscus Tear ◽

Children's Hospitals ◽

Children's Hospital ◽

Children’S Hospitals ◽

Meniscus Tears ◽

Children’S Hospital

BACKGROUND: Pediatric and adolescent patients with meniscus tears have a relatively high rate of healing after meniscus repair – up to greater than 80% in the literature. Despite this fact, many patients undergo meniscus debridement for treatment of their meniscus tears. In this study, we investigated the demographic factors predictive of whether a pediatric patient would receive a meniscal repair or a meniscal debridement for their meniscal tear. METHODS: The California statewide ambulatory surgery database (OSHPD) was queried for all patients under 18 years old who underwent meniscus debridement or meniscus repair from 2008-2016. The effect of age, hospital setting (adult versus pediatric hospital), injury chronicity, gender, insurance type, race, and year of service was assessed using logistic regression. RESULTS: A total of 13,906 pediatric patients had meniscal surgery during the timeframe. 83% (11,561/13,906) underwent meniscal debridement and 17% (2,345/13,906) underwent meniscal repair. Age, hospital type, nature of injury, gender, private insurance, being Hispanic, and year of service were statistically significant in predicting the odds of having meniscus repair versus meniscus debridement. Surgery at a children’s hospital increases the odds of having meniscus repair (p < 0.001). Of the 82.6% of pediatric patients (11,491/13,906) treated at non-children’s hospitals, 16% (1839) had repair and 84% underwent debridement (9,652). Of the 17.4% (2,415) treated at children’s hospitals, 21% (506) had repair and 79% (1,909) underwent debridement. As patients age, the odds of receiving a meniscus repair decrease (p < 0.001). Acute meniscus injury (p < 0.001) or private insurance (p < 0.05) increase the odds of having meniscus repair. However, females (p < 0.05) and Hispanics (p < 0.01) had decreased odds of having meniscus repair. As time between injury and surgery progressed, the odds of having meniscus repair versus meniscus debridement increased (p < 0.001). CONCLUSIONS: There is increasing evidence that pediatric patients have successful outcomes after meniscal repair surgery. The results of this study demonstrate that the majority of pediatric patients with meniscus tears undergo a meniscal debridement rather than a repair. Treatment at a children’s hospital, private insurance, and a short time frame between injury and surgery were positive predictors of meniscus repair over debridement. The results of the study may help inform patients, families, and referring physicians about what type of treatment a patient may receive for a meniscus tear, based on their demographic profile.

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