Publications by authors named "Kristen Calabro"
Article Synopsis
- A study analyzed 1,259 children diagnosed with WT between 2009 and 2019, finding that 7.5% had pleural effusions, which were associated with older age and more advanced cancer stages.
- Despite the presence of pleural effusions, survival rates were still high (86.2% event-free, 91.5% overall), and the occurrence of malignant cells in the fluid was low, suggesting no need to change treatment approaches based on pleural effusion
Fluorescent Cholangiography in Laparoscopic Cholecystectomy and the Use in Pediatric Patients.
J Laparoendosc Adv Surg Tech A
May 2020
Common bile duct (CBD) injury is one of the most serious complications of laparoscopic cholecystectomy and carries an incidence of 0.3%-0.7%.
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- The study systematically reviewed existing literature on how social, racial, and economic disparities affect health outcomes in pediatric appendicitis, finding limited but concerning evidence of inequities.
- Analysis of nine retrospective studies covering over 350,000 cases showed higher appendiceal perforation rates and longer hospital stays linked to younger age, rural settings, and lower-income families.
- The authors emphasize the need for further research to better understand these disparities and improve surgical care for children.
Article Synopsis
- Overuse of prescription opioids in both adults and children has raised concerns, prompting the need for educational interventions to potentially reduce opioid prescriptions in pediatric patients after surgeries.
- A study was conducted comparing opioid prescriptions before and after implementing staff education and standardized protocols for managing pain in patients under 19 years following appendectomies, revealing a drastic drop in opioid prescriptions from 84.3% to 6.7% post-intervention.
- Results showed that non-opioid pain management methods were effectively used, leading to high patient satisfaction and adequate pain control without an increase in emergency visits or complaints, indicating that educational strategies can successfully limit opioid use in pediatric post-operative care.
Purpose: To examine postoperative length of stay (LOS), hospital readmission, and 30-day complications in pediatric patients undergoing laparoscopic ileocecal resection in a contemporary cohort.
Methods: Retrospective review of the American College of Surgeons National Surgery Quality Improvement Project, Pediatric (NSQIP-P) 2012-2016 participant user files for patients <19 years old who underwent laparoscopic ileocecal resection. Mean postoperative LOS, hospital readmission and both wound-specific and composite complications were calculated and compared by year of operation.
As healthcare systems increasingly shift focus toward providing high-quality and high-value care to patients, there has been a simultaneous growth in assessing the patient's experience through patient-reported outcomes. Along with well-known patient reported outcomes such as health-related quality of life and current health state, patient satisfaction can be a valuable assessment of quality. Patient and family satisfaction measures not only affect a patient's clinical course and influence overall patient compliance, but are increasingly used to gauge physician performance and guide reimbursement.
View Article and Find Full Text PDFEvaluation of operating room reverse Trendelenburg positioning and its effect on postoperative hypoxemia, aspiration, and length of stay: a retrospective study of consecutive patients.
Perioper Med (Lond)
August 2017
Background: In 2014, this group published an investigation of surgical patients from 2012 who had substantial rates of postoperative hypoxemia (POH) and perioperative pulmonary aspiration (POPA). Therefore, we investigated whether intraoperative reverse Trendelenburg positioning (RTP) decreases POH and POPA rates.
Methods: Consecutive ASA I-IV surgical patients who had preoperative pulmonary stability requiring general anesthesia with endotracheal intubation were evaluated.
Background: At our center and at others, some children with acute hematogenous osteomyelitis (AHO) are evaluated with multiple magnetic resonance imagings (MRIs) during their treatment. Do these serial MRI studies have a role in the management of AHO? We examine several clinical indications for ordering a repeat MRI and whether the imaging study resulted in a change in management.
Methods: A total of 59 children (60 cases) with AHO were imaged with more than 1 MRI.
Rapid eye movement sleep distribution changes during development, but little is known about rapid eye movement latency variation in childhood by age, sex, or pathologic sleep states. We hypothesized that: (1) rapid eye movement latency would differ in normal children by age, with a younger cohort (1-10 years) demonstrating shorter rapid eye movement latency than an older group (>10-18 years); (2) rapid eye movement latency in children would differ from typical adult rapid eye movement latency; and (3) intrinsic sleep disorders (narcolepsy, pediatric obstructive sleep apnea syndrome) would disrupt normal developmental patterns of rapid eye movement latency. A retrospective chart review included data from clinic visits and of rapid eye movement latency and other parameters measured by overnight polysomnography.
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