A multi-center, pragmatic, effectiveness-implementation (hybrid I) cluster randomized controlled trial to evaluate a child-oriented goal-setting approach in paediatric rehabilitation (the ENGAGE approach): a study protocol.

Background: Child-oriented goal-setting in pediatric rehabilitation may improve child motivation, engagement in therapy, child outcomes related to therapy, and service delivery efficiency. The primary objective of this trial is to determine the effectiveness of a principles-driven, child-focused approach to goal-setting, Enhancing Child Engagement in Goal-Setting (ENGAGE), on pediatric rehabilitation outcomes compared to usual practice. The three secondary objectives are to 1) compare costs and secondary outcomes of the ENGAGE approach to usual practice, 2) determine the influence of child, parent and therapist characteristics on child engagement in therapy and rehabilitation outcomes, and 3) identify barriers and facilitators to the implementation of ENGAGE.

3D Analysis of maxillary incisor root inclinations in cases of unilateral maxillary canine impaction.

Objectives: To evaluate the association between maxillary incisor root inclinations and unilateral canine impaction.

Methods: A retrospective cross-sectional study of 59 pre-treatment CBCT scans (23 palatal impactions, 10 buccal impactions, and 26 comparison patients). Using Dolphin 3-D Imaging software (Chatsworth, CA), relative incisor angulations to a 3D palatal plane and the shortest distance between the canine crown and the root of the closest lateral incisor were calculated.

Characteristics of frequent users of emergency departments in Alberta and Ontario, Canada: an administrative data study.

Objective: Frequent users to emergency departments (EDs) are a diverse group of patients accounting for a disproportionate number of ED presentations. This study examined sociodemographic and ED visit characteristics of adult high-system users in two Canadian provinces.

Methods: Cohorts of high-system users were created for Alberta and Ontario including patients with the top 10% of presentations in the National Ambulatory Care Reporting System (April 2015-March 2016).

Type of facility influences lengths of stay of children presenting to high volume emergency departments.

Background: Emergency department crowding may impact patient and provider outcomes. We describe emergency department crowding metrics based on presentations by children to different categories of high volume emergency departments in Alberta, Canada.

Methods: This population-based retrospective study extracted all presentations made by children (age < 18 years) during April 2010 to March 2015 to 15 high volume emergency departments: five regional, eight urban, and two academic/teaching.

Frequent users of emergency departments and patient flow in Alberta and Ontario, Canada: an administrative data study.

Background: This paper describes and compares patient flow characteristics of adult high system users (HSUs) and control groups in Alberta and Ontario emergency departments (EDs), Canada.

Methods: Annual cohorts of HSUs were created by identifying patients who made up the top 10% of ED users (by count of ED presentations) in the National Ambulatory Care Reporting System during 2011-2016. Random samples of patients not in the HSU groups were selected as controls.

Temporal trends in emergency department volumes and crowding metrics in a western Canadian province: a population-based, administrative data study.

Background: Emergency Department (ED) crowding is a pervasive problem, yet there have been few comparisons of the extent of, and contributors to, crowding among different types of EDs. The study quantifies and compares crowding metrics for 16 high volume regional, urban and academic EDs in one Canadian province.

Methods: The National Ambulatory Care Reporting System (NACRS) provided ED presentations by adults to 16 high volume Alberta EDs during April 2010 to March 2015 for this retrospective cohort study.