Publications by authors named "D B Clayton"
Aim: To assess the clinical outcomes of patients with out-of-hospital cardiac arrest attended by prehospital critical care teams compared to non-critical care teams.
Methods: This review was prospectively registered with PROSPERO and the eligibility criteria followed a PICOST framework for ILCOR systematic reviews. Prehospital critical care was defined as any provider with enhanced clinical competencies beyond standard advanced life support algorithms and dedicated dispatch to critically ill patients.
Height-adjustable workstations offer a practical strategy to reduce sedentary behaviour in student populations, but the effect of standing intervals on young adults' metabolic health remains uncertain. This study investigated the acute impact of breaking up sitting time with intermittent standing on postprandial metabolic responses in university students. Using a randomised, cross-over design, 23 participants (13 females, 10 males; age, 24 ± 5 years; BMI, 23.
View Article and Find Full Text PDFPurpose: Renal ultrasounds are performed in patients with myelomeningocele to screen for markers of kidney health, including hydronephrosis. We evaluated the diagnostic accuracy of hydronephrosis to screen for low kidney function defined by estimated glomerular filtration rate (eGFR).
Materials And Methods: We performed a retrospective cross-sectional study using data from 2 cohorts of children and youth with myelomeningocele.
Article Synopsis
- The ileovesicostomy (IV) is a surgical option for children with bladder dysfunction who can't manage other treatments, but long-term outcomes weren't well studied before this research.
- A retrospective review of patient records at a children's hospital showed a low rate of complications (0.11 per year) over an average follow-up of 6.4 years, with most complications occurring much later (average 84 months).
- The study concludes that IV not only presents a low risk of surgical issues but also helps preserve kidney function, although it has limitations like a small sample size and being retrospective.
Article Synopsis
- The study focused on the impact of race and insurance status on high-grade renal trauma (HGRT) among children, analyzing data from a large trauma registry between 2007 and 2020.
- Out of 341 initially identified pediatric patients with HGRT, differences were observed in the mechanism of injury and presentation age based on race, with African American (AA) patients experiencing more penetrating trauma and younger age at presentation.
- Insurance status affected the rates of bowel injuries and blood transfusions, and private insurance patients had higher rates of follow-up care, but neither race nor insurance status impacted overall surgical intervention outcomes, post-injury complications, or mortality rates.