Racial Disparities in Mental Health Disorders in Youth with Chronic Medical Conditions.

Objective: To evaluate the association between race/ethnicity, poverty, and mental health in youth with chronic conditions.

Study Design: A cross-sectional comparative study was performed using the records of a tertiary care center from 2011 to 2015.

Inclusion Criteria: children aged 4-17 years with ≥1 hospitalization or emergency department visit.

Hope is No Plan: Uncovering Actively Missing Transition-Aged Youth with Congenital Heart Disease.

Studies describing gaps in care for youth with congenital heart disease (CHD), focus on those who have returned to care, but rarely those actively missing from care. Our objective was to determine barriers for young adults with CHD actively missing from cardiac care and to re-engage them in care. Retrospective single-center cohort study of cardiology clinic patients ages 15-21 years with CHD between 2012 and 2019 for patients actively missing from care (≥ 12 months beyond requested clinic follow-up).

Mental Health Disorders in Children With Congenital Heart Disease.

Background: Data on anxiety, depression, and attention-deficit/hyperactivity disorder (ADHD) are lacking for youth with congenital heart disease (CHD), particularly those with simple CHD. This study aims to characterize these disorders in youth with CHD compared to those without CHD.

Methods: A comparative cross-sectional study was conducted by using the electronic medical records of a large tertiary care hospital between 2011 and 2016.

Typed versus voice recognition for data entry in electronic health records: emergency physician time use and interruptions.

Introduction: Use of electronic health record (EHR) systems can place a considerable data entry burden upon the emergency department (ED) physician. Voice recognition data entry has been proposed as one mechanism to mitigate some of this burden; however, no reports are available specifically comparing emergency physician (EP) time use or number of interruptions between typed and voice recognition data entry-based EHRs. We designed this study to compare physician time use and interruptions between an EHR system using typed data entry versus an EHR with voice recognition.

Cost analysis of isolated mitral valve surgery in the United States.

Background: Within the field of cardiac surgery, several strategies have been adopted in an effort to address contributors to increasing health care costs. Limited data are available on cost analysis within the field of mitral valve surgery. The purpose of our investigation was to analyze cost differences between mitral valve repair and replacement.

Morgagni hernia presenting as a right middle lobe compression.

A 25-year-old woman with a history of chronic bronchitis since age 12 and 3-4 previous episodes of pneumonia presented to the emergency room with cough and shortness of breath. A CT scan of her chest revealed findings consistent with Morgagni hernia with herniation of omental fat, causing near complete compressive atelectasis of the right middle lobe. The diaphragmatic defect was successfully treated with a laparoscopic repair.

Repair of left atrial-esophageal fistula following percutaneous radiofrequency ablation for atrial fibrillation.

Atrial-esophageal fistula is a rare but often fatal complication of percutaneous radiofrequency ablation for atrial fibrillation. We present a patient who was diagnosed with this complication in a delayed fashion and successfully treated with primary repair via left thoracotomy. The details of the surgical approach are discussed.

Tricuspid valve surgery: the past 10 years from the Nationwide Inpatient Sample (NIS) database.

Objectives: The purpose of this study was to examine the trends in tricuspid valve surgery over time.

Methods: We used 10 years (1999-2008) of NIS data to examine the population of patients undergoing tricuspid valve repair or replacement (ICD-9-CM codes 35.14, 35.