Vidya T Chande

Learn More
BACKGROUND Language barriers are known to negatively affect patient satisfaction. OBJECTIVE To determine whether a course of instruction in medical Spanish for pediatric emergency department (ED) physicians is associated with an increase in satisfaction for Spanish-speaking-only families. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTION Nine pediatric ED(More)
OBJECTIVE The Ottawa Ankle Rules (OAR) assist emergency physicians in the appropriate use of roentgenography in adults with acute ankle injuries. The OAR state that ankle roentgenograms are needed only if there is pain near the malleoli and one or more of the following exists: (1) age 55 years or older; (2) inability to bear weight; or (3) bone tenderness(More)
STUDY OBJECTIVES (1) To determine the incidence of hyponatremic seizures in infants, (2) to compare the severity and outcome of seizures in hyponatremic and normonatremic patients, and (3) to evaluate the utility of clinical predictors of hyponatremia. DESIGN Retrospective chart review of infants who presented to an urban pediatric emergency department(More)
STUDY OBJECTIVE To test the hypothesis that nebulized magnesium sulfate reverses methacholine-induced bronchospasm in asthmatic patients. DESIGN Randomized, double-blind, crossover clinical trial. SETTING Center for Asthma and Allergic Diseases, Children's Hospital of Pittsburgh. TYPE OF PARTICIPANTS Ten patients who were 21 to 37 years old and had(More)
OBJECTIVE To test the hypothesis that educating parents about use of their primary care provider and providing information about common pediatric illnesses will reduce visits to the pediatric emergency department (PED). DESIGN Prospective, randomized, controlled trial conducted from September 1, 1993, to October 31, 1994. SETTING Pediatric emergency(More)
The objective of this study was to identify pediatric emergency department (PED) utilization patterns to develop areas for future educational interventions. To this end a verbally administered questionnaire by a single interviewer was given over 17 days between February 8, 1993, through April 7, 1993, at a PED of an urban university hospital. Participating(More)
OBJECTIVE To assess the role of the primary care provider (PCP) in the diagnosis and treatment of acute appendicitis in children by determining whether there were differences in the treatment and outcome of children whose parents contacted the PCP before taking the child to the hospital compared with those who did not. DESIGN Retrospective review of(More)
STUDY OBJECTIVE To identify the incidence and major causes of patient and parental complaints in a pediatric emergency department. DESIGN Retrospective analysis of complaints received regarding patients seen between January 1987 and December 1989. SETTING ED of Children's Hospital of Pittsburgh. PARTICIPANTS All complaints received during the(More)
OBJECTIVE To determine whether implementation of an intervention based on a model of health promotion will encourage patients to seek care from their primary care provider (PCP) and reduce visits to the pediatric ED (PED) for minor illness. METHODS Prospective, randomized, controlled study in the PED of an urban children's hospital (CH). Children <13(More)