Publications by authors named "B Brozanski"
Article Synopsis
- The study aimed to evaluate short-term outcomes such as mortality and length of stay for extremely low birth weight infants with spontaneous intestinal perforation, comparing three surgical approaches: peritoneal drain (PD), laparotomy after PD (PD-LAP), and straight laparotomy (LAP).
- Out of 729 identified infants, those treated with PD had lower gestational ages and higher infection rates, with PD associated with higher mortality rates compared to PD-LAP and LAP in initial analysis, but this link was not confirmed in more complex statistical models.
- Ultimately, the findings suggest that the type of initial surgical approach does not significantly affect mortality or length of stay for these infants, indicating that other factors such
Objective: Evaluate the impact of a multidisciplinary guideline standardizing antibiotic duration and enteral feeding practices following medical necrotizing enterocolitis (mNEC).
Study Design: For preterm infants with Bell Stage 2 A mNEC and negative blood culture, antibiotic treatment was standardized to 7 days. Trophic feeds of unfortified human milk began 72 h after resolution of pneumatosis.
Objectives: This quality improvement initiative aimed to decrease unrelieved postoperative pain and improve family satisfaction with pain management.
Methods: NICUs within the Children's Hospitals Neonatal Consortium that care for infants with complex surgical problems participated in this collaborative. Each of these centers formed multidisciplinary teams to develop aims, interventions, and measurement strategies to test in multiple Plan-Do-Study-Act cycles.
Unlabelled: Central Line-Associated Bloodstream Infections (CLABSI) are the largest contributor to harm across the Children's Hospital's Solutions for Patient Safety network. Pediatric hematology/oncology (PHO) patients are at increased risk for CLABSI due to multiple factors. Consequently, traditional CLABSI prevention strategies are insufficient to eliminate CLABSI in this high-risk population.
View Article and Find Full Text PDFObjectives: To evaluate variability in antibiotic duration for necrotizing enterocolitis (NEC) and associated clinical outcomes.
Study Design: Five-hundred ninety-one infants with NEC (315 medical; 276 surgical) were included from 22 centers participating in Children's Hospitals Neonatal Consortium (CHNC). Multivariable analyses were used to determine predictors of variability in time to full feeds (TFF) and length of stay (LOS).