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Frontal bone osteomyelitis is a relatively rare entity, particularly in the otherwise healthy pediatric population. Most cases trace their origins to either previous frontal sinusitis or trauma. In children, three origins for cranial osteomyelitis appear to dominate: Pott's puffy tumor, skull base osteomyelitis secondary to ear infection, or post-surgical(More)
OBJECTIVE The objective of this study was to perform a systematic review and meta-analysis of the effects of statins on mortality following pneumonia. METHODS We searched MEDLINE, EMBASE, BIOSIS, Cochrane CENTRAL Register of Controlled Trials, Cambridge Scientific Abstracts, BIOSIS, and Scopus. Studies were included if they involved: participants ≥18(More)
RATIONALE A bundled approach to intensive care unit (ICU) care known as "Awakening and Breathing Coordination, Delirium monitoring/management, and Early exercise/mobility" (ABCDE) has been proposed, with evidence supporting individual interventions as well as the bundle as a whole. Few data exist on the bundle's implementation and efficacy in community(More)
BACKGROUND Death certificates are a primary data source for assessing the population burden of diseases; however, there are concerns regarding their accuracy. Diagnosis-Related Group (DRG) coding of a terminal hospitalization may provide an alternative view. We analyzed the rate and patterns of disagreement between death certificate data and hospital claims(More)
BACKGROUND Complications associated with central venous catheters (CVCs) increase over time. Although early removal of unnecessary CVCs is important to prevent complications, the extent to which clinicians are aware that their patients have a CVC is unknown. OBJECTIVE To assess how often clinicians were unaware of the presence of triple-lumen catheters or(More)
UNLABELLED RATIONALE/OBJECTIVE: In the context of increasing survivorship from critical illness, many studies have documented persistent sequelae among survivors. However, few evidence-based therapies exist for these problems. Support groups have proven efficacy in other populations, but little is known about their use after an intensive care unit (ICU)(More)
OBJECTIVE Despite significant efforts and cost, quality metrics do not consistently influence practice. While research has focused on improving data through statistical risk-adjustment, whether clinicians understand these data is unknown. Therefore, we assessed clinician comprehension of central line-associated blood stream infection (CLABSI) quality metric(More)