Publications by authors named "A H Child"
Objectives: Antiarrhythmic administration is an important treatment for out-of-hospital cardiac arrest (OHCA) with a shockable rhythm, but little is known about disparities in such antiarrhythmic practices. We sought to investigate the association between community race/ethnicity and prehospital antiarrhythmic administration for OHCA.
Methods: We conducted a retrospective study of a national prehospital database, NEMSIS, linked to Census data.
Article Synopsis
- The study investigates how changes in pediatric readiness in emergency departments (EDs) at US trauma centers from 2013 to 2021 relate to the mortality rates of injured children.
- It used the weighted Pediatric Readiness Score (wPRS) to categorize EDs into four readiness change groups, allowing for a comparison of outcomes based on their level of readiness.
- Results showed that higher ED pediatric readiness is linked to fewer pediatric deaths, emphasizing the importance of improved emergency care for children in trauma settings.
Article Synopsis
- Pectus defects, which occur in about 1 in 250 people, include conditions where the sternum either sinks in (excavatum) or protrudes out (carinatum), impacting some individuals psychologically and physiologically.
- Most cases are mild and don't hinder daily activities, but some patients experience lower self-esteem and depression, avoiding social situations due to physical appearance issues.
- Treatment options vary from supportive care and psychological support to non-surgical methods like bracing, as well as surgical options like the Nuss and Ravitch procedures for severe cases, with many patients only needing supportive care.
High emergency department (ED) pediatric readiness is associated with improved survival in children, but the cost is unknown. We evaluated the costs of emergency care for children across quartiles of ED pediatric readiness. This was a retrospective cohort study of children aged 0-17 years receiving emergency services in 747 EDs in 9 states from January 1, 2012, through December 31, 2017.
View Article and Find Full Text PDFAims: The fragmentation and loss of elastic fibre in the tunica media of the aorta are pathological hallmarks of Marfan syndrome (MFS) but the dynamics of elastin degradation and its relationship to aortic size and physiological growth remain poorly understood.
Methods And Results: In this analysis of the AIMS randomized controlled trial, the association of plasma desmosine (pDES)-a specific biomarker of mature elastin degradation-with age and aortic size was analysed in 113 patients with MFS and compared to 109 healthy controls. There was a strong association between age and pDES in both groups, with higher pDES levels in the lower age groups compared to adults.