Publications by authors named "C Koebnick"
Article Synopsis
- Firearm injuries are a significant public health issue, though they are infrequent occurrences in healthcare settings.
- The study created a predictive model using electronic health records from Kaiser Permanente Southern California to identify adults at high risk for firearm injury, analyzing over 170 factors related to demographics and socioeconomic status.
- The model demonstrated a sensitivity of 0.83 but a lower specificity of 0.56, allowing for more focused screening efforts by identifying a high-risk group that could streamline prevention initiatives.
Background And Objectives: The American Academy of Pediatrics endorses metabolic and bariatric surgery (MBS) as a safe and effective treatment of severe obesity in children with class 3 obesity or with class 2 obesity and qualifying comorbidities. The study objective was to determine eligibility and characteristics of adolescents who qualify for MBS based on American Academy of Pediatrics guidelines.
Methods: This retrospective cohort study analyzed electronic health record data of 603 051 adolescents aged 13 to 17 years between January 1, 2018, and December 31, 2021.
Background: Firearm injury is a significant public health concern in the United States.
Methods: Data on fatal and nonfatal firearm injuries were obtained from a cohort of N = 7,473,650 members of Kaiser Permanente Southern California, a large integrated healthcare system between 2010 and 2020. Age-adjusted rates of combined fatal and nonfatal firearm injury per 100,000 members were calculated by year, with the 2010 US census as the reference population.
Background: Electronic health records and many legacy systems contain rich longitudinal data that can be used for research; however, they typically are not readily available.
Materials And Methods: At Kaiser Permanente Southern California (KPSC), a research data warehouse (RDW) has been developed and maintained since the late 1990s and widely extended in 2006, aggregating and standardizing data collected from internal and a few external sources. This article provides a high-level overview of the RDW and discusses challenges common to data warehouses or repositories for research use.
Exposure to intrapartum antibiotic prophylaxis to reduce perinatal group B streptococcal disease was associated with increased childhood body mass index (BMI) persisting to age 10 years compared to no exposure (Δ BMI at 10 years: vaginal delivery 0.14 kg/m , caesarean 0.40 kg/m ).
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