Publications by authors named "Autumn Rohan"
Background: There is wide variation in opioid prescribing after appendectomy in children and adolescents, with recent increases noted in opioid-related pediatric deaths from prescription and illicit opioids. The goal of this project was to minimize opioid prescribing at the time of discharge for children undergoing appendectomy by using Quality Improvement (QI) methodology.
Study Design: Children (18 years of age or less) who underwent appendectomy were evaluated from January to December 2019 using NSQIP-Pediatric at 10 children's hospitals within the Western Pediatric Surgery Research Consortium.
Background: Economic, social, and psychologic stressors are associated with an increased risk for abusive injuries in children. Prolonged physical proximity between adults and children under conditions of severe external stress, such as witnessed during the COVID-19 pandemic with "shelter-in-place orders", may be associated with additional increased risk for child physical abuse. We hypothesized that child physical abuse rates and associated severity of injury would increase during the early months of the pandemic as compared to the prior benchmark period.
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- The study analyzes the effects of the shelter-in-place orders during COVID-19 on pediatric trauma cases in the US from January to June in the years 2017-2020.
- A total of 8,772 pediatric trauma cases were assessed, showing a 13% reduction in trauma volume in 2020, particularly peaking 16 days after shelter-in-place orders were enacted.
- Despite the decrease in overall cases, the severity of injuries increased, with notable rises in nonmotorized vehicle accidents and gunshot wounds, suggesting a need for improved injury prevention strategies in future crises.
Article Synopsis
- Almost 30% of children transferred for trauma could have stayed at their original hospital because their injuries weren't severe enough.
- Researchers looked at 3212 cases of injured kids transferred to a hospital between 2014 and 2019 to see how many actually needed support services.
- They found that many of these potentially preventable transfers still received valuable care, especially if their injuries were more serious.