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The association of Enterobius vermicularis infestation with acute appendicitis varies from 0.2–41.8% worldwide. Our purpose was to determine the significance of Enterobius-associated appendicitis by retrospective review of appendectomies performed during a 5-year period at a major children’s hospital. The Surgical Pathology database at Children’s Hospital,(More)
BACKGROUND Pediatric massive blood transfusions occur widely at hospitals across the nation; however, there are limited data on pediatric massive transfusion protocols (MTPs) and their impact. We present a pediatric MTP and examine its impact on morbidity and mortality as well as identify factors that may prompt protocol initiation. METHODS Using a(More)
BACKGROUND Chronic conditions influence the outcomes of adult trauma patients, but no study has investigated the impact of chronic conditions among pediatric trauma patients. METHODS We performed a retrospective study using the 2009 Healthcare Cost and Utilization Project Kids' Inpatient Database (KID) to determine the prevalence of chronic conditions(More)
PROBLEM Motorized recreational vehicle (MRV)-related injuries can result in severe medical and financial consequences. The objective of this study was to describe the epidemiology, and clinical and financial impact of MRV-related injuries in Ohio. METHOD Probabilistically linked statewide Emergency Medical Services (EMS) and hospital (inpatient and(More)
BACKGROUND Nonaccidental trauma (NAT) is a leading cause of childhood traumatic injury and death. Our objectives were to compare the mortality rates of children who experience recurrent episodes of NAT (rNAT) with children who experience a single episode of NAT and to identify factors associated with rNAT and increased mortality from rNAT. METHODS(More)
PURPOSE The aim of this study was to assess the risk of child abuse in children younger than 18 months admitted to a pediatric trauma service with lower extremity injuries. METHODS An Institutional Review Board-approved retrospective case series of children admitted to a regional pediatric trauma center with lower extremity injuries from 1998 to 2002 (n =(More)
PURPOSE Management of civilian penetrating colon injuries in the adult has evolved from the universal use of fecal diversion to the highly selective use of colostomy. We hypothesized that a similar management approach was appropriate for the pediatric population. METHODS A retrospective review of pediatric patients (age <17 years) with a penetrating(More)
BACKGROUND Neonates receiving parenteral nutrition (PN) are at risk for PN-associated cholestasis (PNAC); however, no preventive factors for PNAC have been clearly identified. Despite reports suggesting that taurine may prevent PNAC in neonates, such an effect of taurine has not yet been definitively demonstrated. We determined whether taurine(More)
The Institute of Medicine and other national authorities have identified not only critical deficiencies in pediatric trauma care but also insufficient research to address these deficiencies. National research initiatives are needed to understand how best to treat, prevent, and rehabilitate seriously ill and injured children so that we can prioritize,(More)
OBJECTIVE The goal was to identify regions in Ohio with severe pediatric all-terrain vehicle-related injuries and to determine whether helmet usage was associated with lower injury severity scores. METHODS We performed a retrospective review of data for all patients entered into the registries of Ohio's major pediatric trauma centers for the period of(More)