Publications by authors named "Kyle B Lenz"

Children with cancer or hematopoietic cell transplant (HCT) frequently require ICU care. We conducted a retrospective cohort study using Healthcare Cost and Utilization Project's State Inpatient Databases from 21 U.S.

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Objectives: Social determinants of health (SDOH) are associated with disparities in disease severity and in-hospital outcomes among critically ill children. It is unknown whether SDOH are associated with later outcomes. We evaluated associations between SDOH measures and mortality, new functional morbidity, and health-related quality of life (HRQL) decline among children surviving septic shock.

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Article Synopsis
  • The study examines the adverse effects of tracheal intubation in critically ill children, focusing on those who have undergone hematopoietic cell transplant (HCT) and comparing them to children with other conditions in the PICU.
  • Researchers aimed to find out if children post-HCT experienced more complications, like tracheal intubation-associated adverse events (TIAEs) or low oxygen levels during intubation, which could lead to increased mortality.
  • Despite finding that children post-HCT are often older and more likely to need ventilatory support, the study concluded that the rates of hemodynamic TIAEs or hypoxemia during intubation were similar across all patient groups studied.
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Objectives: To determine the association between preintubation respiratory support and outcomes in patients with acute respiratory failure and to determine the impact of immunocompromised (IC) diagnoses on outcomes after adjustment for illness severity.

Design: Retrospective multicenter cohort study.

Setting: Eighty-two centers in the Virtual Pediatric Systems database.

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Studying 830 pre-B ALL cases from four clinical trials, we found that human ALL can be divided into two fundamentally distinct subtypes based on pre-BCR function. While absent in the majority of ALL cases, tonic pre-BCR signaling was found in 112 cases (13.5%).

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