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OBJECTIVE To examine the relationship between childhood obesity as measured by body mass index (BMI) and long-term morbidity after an acute ankle sprain. DESIGN Six-month prospective cohort study with follow-up telephone questionnaires at 6 weeks and 6 months. SETTING Cincinnati Children's Hospital Medical Center emergency department. PATIENTS(More)
STUDY OBJECTIVE We develop a comprehensive view of aspects of care associated with parental satisfaction with pediatric emergency department (ED) visits, using both quantitative and qualitative data. METHODS This was a retrospective observational study using data from an institution-wide system to measure patient satisfaction. For this study, 2,442(More)
Children have unique physical, emotional, and developmental needs making them particularly vulnerable during disasters. Most existing disaster preparedness courses lack a pediatric perspective. This article describes a pediatric disaster preparedness program presented to pediatric nurses in an urban, Level 1 trauma center. Survey results from the(More)
BACKGROUND Two of the most prevalent problems facing youth in the United States are injury and obesity. Obesity increases the risk of injury, prolongs recovery time, and increases morbidity among injured children. OBJECTIVE The purpose of this study was to compare characteristics of injuries between obese and nonobese children who presented to a pediatric(More)
BACKGROUND Understanding the impact of overcrowding in pediatric emergency departments (PEDs) on quality of care is a growing concern. Boarding admitted patients in the PED and increasing emergency department (ED) visits are two potentially significant factors affecting quality of care. OBJECTIVES The objective was to describe the impact ED boarding time(More)
OBJECTIVES The objective was to assess the relationship between emergency department (ED) crowding and timeliness of antibiotic administration to neonates presenting with fever in a pediatric ED. METHODS This was a retrospective cohort study of febrile neonates (aged 0-30 days) evaluated for serious bacterial infections (SBIs) in a pediatric ED from(More)
BACKGROUND Gastrostomy tube (g-tube) dislodgement is a common problem in special needs children. There are no studies on the frequency of complications after g-tube replacement for children in a pediatric emergency department (ED). OBJECTIVES The objective of this study is to determine the frequency of misplacement and subsequent complications for(More)
OBJECTIVES The objectives of this study were: (1) to determine the incidence of embedded earrings as a chief complaint among children presenting to a pediatric emergency department (ED), (2) to describe the age distribution of children presenting to the ED with embedded earrings, and (3) to describe local experience with the evaluation and treatment of(More)
The purpose of this study was to examine the effects of virtual reality simulation (VRS) on learning outcomes and retention of disaster training. The study used a longitudinal experimental design using two groups and repeated measures. A convenience sample of associate degree nursing students enrolled in a disaster course was randomized into two groups;(More)
Implementing electronic health records (EHR) in healthcare settings incurs challenges, none more important than maintaining efficiency and safety during rollout. This report quantifies the impact of offloading low-acuity visits to an alternative care site from the emergency department (ED) during EHR implementation. In addition, the report evaluated the(More)