Publications by authors named "Vinaya P Bhatia"
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.
Long-term follow-up for individuals with hypospadias remains a critical area of need, yet evidence-based guidelines for such follow-up are lacking, and the role of involvement of relevant experts is not yet established. Using our hypospadias-specific health-related quality of life conceptual framework and a subsequent qualitative study of prepubertal males and parents of males with hypospadias, we identified potential priorities for long-term follow-up of youth with hypospadias. Using thematic codes from our patient and parent interviews, we searched PubMed for relevant articles and identified the specialties represented by all the authors of these articles.
View Article and Find Full Text PDFIn pediatric kidney failure, native kidneys may pose a risk to successful transplant outcomes. The indications and timing of native nephrectomy represent a controversial management decision. A lack of high-quality, outcomes-based data has prevented development of evidence-based guidelines for intervention.
View Article and Find Full Text PDFObjectives: To evaluate the effectiveness and efficacy of a Registered Nurse (RN) led educational pre-clinic telephone call on compliance and outcomes in children with bowel and bladder dysfunction (BBD).
Methods: A retrospective chart review of a prospectively applied protocol in a single academic institution was performed for children aged 4-17 presenting with BBD. All children underwent a pre-clinic RN telemedicine visit where they were educated on pathophysiology of BBD, provided personalized urotherapy and bowel recommendations and instructed to complete pre-clinic questionnaires and voiding diaries.
Article Synopsis
- The study aimed to examine how caudal blocks affect blood flow in the penis of young boys undergoing circumcision.
- Researchers used Doppler ultrasound to measure blood flow before and after the caudal block in ten healthy patients, averaging 1.3 years old and 10.7 kg.
- Results showed no significant changes in arterial or venous blood flow post-caudal block, indicating no association between the block and blood flow in this pediatric group.
To examine the association between type of analgesic block and incidence of complications following primary hypospadias correction. Data sources included MEDLINE, Embase, Web of Science and the Cochrane Library, inception-01/2021. Randomized clinical trials, cohort and case control studies reporting original data for patients <18 years of age undergoing primary hypospadias correction with either a penile or caudal block for which outcomes (urethrocutaneous fistula or glans dehiscence) were reported.
View Article and Find Full Text PDFArticle Synopsis
- Surgical complications can be challenging to predict, but the frailty phenotype may help assess postoperative risk in elderly patients undergoing percutaneous renal surgery.
- The study used the Hopkins Frailty Index to categorize 95 patients as not frail, intermediate, or severely frail, focusing on outcomes like postoperative complications, length of hospital stay, and discharge needs.
- Results showed that severely frail patients faced higher risks of complications, longer hospital stays, and increased chances of requiring skilled assistance after discharge, suggesting the frailty assessment could be a valuable tool for treatment planning and future studies on enhancing patient recovery.