Mid-term Outcomes of the Supported Ross Procedure in Children, Teenagers, and Young Adults.

The Ross procedure in children, teenagers, and young adults, especially among those with a bicuspid aortic valve with aortic regurgitation, has been associated with neoaortic root dilatation and recurrence of aortic regurgitation. We have shown that at intermediate follow-up, patients who underwent a supported Ross technique were less likely to have neoaortic root dilatation. This study summarizes our most recent outcomes.

Recognition of elevated blood pressure in an outpatient pediatric tertiary care setting.

Objective: To assess the prevalence of elevated blood pressure (BP) and its identification among outpatients at a pediatric tertiary care hospital and to assess clinician attitudes towards BP management.

Study Design: A retrospective review was undertaken of electronic medical record data of visits over the course of 1 year to 10 subspecialty divisions and 3 primary care services at an urban tertiary care hospital. Interviews of division/service representatives and a clinician survey on perceived role on BP care, practices, and protocols related to BP management were conducted.

Initial steps for quality improvement of obesity care across divisions at a tertiary care pediatric hospital.

Background: Pediatric subspecialists can participate in the care of obese children.

Objective: To describe steps to help subspecialty providers initiate quality improvement efforts in obesity care.

Methods: An anonymous patient data download, provider surveys and interviews assessed subspecialty providers' identification and perspectives of childhood obesity and gathered information on perceived roles and care strategies.

Screening for elevated risk of liver disease in preschool children (aged 2-5 years) being seen for obesity management.

Objectives: Elevated alanine aminotransferase can heighten concern for the presence of nonalcoholic fatty liver disease in obese children. Guidelines recommend alanine aminotransferase screening of obese children start at the age of 10 years. We examined alanine aminotransferase values routinely obtained for tertiary obesity care among preschool (2-5 years) and school-age children.