6 results on '"Mary Beth F. Son"'
Search Results
2. A New Definition for Multisystem Inflammatory Syndrome in Children
- Author
-
Mary Beth F. Son, Jane C. Burns, and Jane W. Newburger
- Subjects
Pediatrics, Perinatology and Child Health - Published
- 2023
3. Atrioventricular Block in Children With Multisystem Inflammatory Syndrome
- Author
-
David Fulton, Kevin G. Friedman, Jane W. Newburger, Douglas Y. Mah, Annette L. Baker, Pui Y. Lee, Lauren A. Henderson, Audrey Dionne, Sarah D. de Ferranti, and Mary Beth F. Son
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Pneumonia, Viral ,Disease ,Betacoronavirus ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Interquartile range ,030225 pediatrics ,Internal medicine ,Humans ,Medicine ,ST segment ,cardiovascular diseases ,Young adult ,Atrioventricular Block ,Child ,Pandemics ,Retrospective Studies ,biology ,SARS-CoV-2 ,business.industry ,Infant, Newborn ,COVID-19 ,Infant ,Retrospective cohort study ,Brain natriuretic peptide ,medicine.disease ,Troponin ,Systemic Inflammatory Response Syndrome ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Cardiology ,biology.protein ,Female ,Coronavirus Infections ,business ,Atrioventricular block ,Follow-Up Studies - Abstract
BACKGROUND: Children are at risk for multisystem inflammatory syndrome in children (MIS-C) after infection with severe acute respiratory syndrome coronavirus 2. Cardiovascular complications, including ventricular dysfunction and coronary dilation, are frequent, but there are limited data on arrhythmic complications. METHODS: Retrospective cohort study of children and young adults aged ≤21 years admitted with MIS-C. Demographic characteristics, electrocardiogram (ECG) and echocardiogram findings, and hospital course were described. RESULTS: Among 25 patients admitted with MIS-C (60% male; median age 9.7 [interquartile range 2.7–15.0] years), ECG anomalies were found in 14 (56%). First-degree atrioventricular block (AVB) was seen in 5 (20%) patients a median of 6 (interquartile range 5–8) days after onset of fever and progressed to second- or third-degree AVB in 4 patients. No patient required intervention for AVB. All patients with AVB were admitted to the ICU (before onset of AVB) and had ventricular dysfunction on echocardiograms. All patients with second- or third-degree AVB had elevated brain natriuretic peptide levels, whereas the patient with first-degree AVB had a normal brain natriuretic peptide level. No patient with AVB had an elevated troponin level. QTc prolongation was seen in 7 patients (28%), and nonspecific ST segment changes were seen in 14 patients (56%). Ectopic atrial tachycardia was observed in 1 patient, and none developed ventricular arrhythmias. CONCLUSIONS: Children with MIS-C are at risk for atrioventricular conduction disease, especially those who require ICU admission and have ventricular dysfunction. ECGs should be monitored for evidence of PR prolongation. Continuous telemetry may be required in patients with evidence of first-degree AVB because of risk of progression to high-grade AVB.
- Published
- 2020
4. Outcomes in Hospitalized Pediatric Patients With Systemic Lupus Erythematosus
- Author
-
Victor M. Johnson, Karen H. Costenbader, Aimee O. Hersh, Mindy S. Lo, and Mary Beth F. Son
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,Hospitals, Low-Volume ,Adolescent ,Databases, Factual ,Ethnic group ,Disease ,Logistic regression ,Patient Readmission ,Severity of Illness Index ,Article ,End stage renal disease ,Risk Factors ,Severity of illness ,Humans ,Lupus Erythematosus, Systemic ,Medicine ,In patient ,Hospital Mortality ,Child ,business.industry ,Health Status Disparities ,Hispanic or Latino ,Length of Stay ,Hospitals, Pediatric ,United States ,Black or African American ,Hospitalization ,Logistic Models ,Treatment Outcome ,Socioeconomic Factors ,Child, Preschool ,Multivariate Analysis ,Pediatrics, Perinatology and Child Health ,Cohort ,Hispanic ethnicity ,Female ,business ,Hospitals, High-Volume ,Follow-Up Studies - Abstract
OBJECTIVE: Disparities in outcomes among adults with systemic lupus erythematosus (SLE) have been documented. We investigated associations between sociodemographic factors and volume of annual inpatient hospital admissions with hospitalization characteristics and poor outcomes among patients with childhood-onset SLE. METHODS: By using the Pediatric Health Information System, we analyzed admissions for patients aged 3 to RESULTS: A total of 10 724 admissions occurred among 2775 patients over the study period. Hispanic patients had longer lengths of stay, more readmissions, and higher in-hospital mortality. In multivariable analysis, African American race was significantly associated with ICU admission. African American race and Hispanic ethnicity were associated with end-stage renal disease and death. Volume of patients with SLE per hospital and hospital location were not significantly associated with outcomes. CONCLUSIONS: In this cohort of hospitalized children with SLE, race and ethnicity were associated with outcomes. Further studies are needed to elucidate the relationship between sociodemographic factors and poor outcomes in patients with childhood-onset SLE.
- Published
- 2014
5. Treatment of Kawasaki Disease: Analysis of 27 US Pediatric Hospitals From 2001 to 2006
- Author
-
David Fulton, Lin Ma, Robert P. Sundel, Kimberlee Gauvreau, Mary Beth F. Son, Jane W. Newburger, and Annette L. Baker
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Anti-Inflammatory Agents ,Mucocutaneous Lymph Node Syndrome ,Young Adult ,Prednisone ,Internal medicine ,medicine ,Humans ,Child ,Coronary artery aneurysm ,Vascular disease ,business.industry ,Infant, Newborn ,Antibodies, Monoclonal ,Immunoglobulins, Intravenous ,Infant ,Hospitals, Pediatric ,medicine.disease ,Infliximab ,United States ,Surgery ,Hospitalization ,El Niño ,Methylprednisolone ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Female ,Kawasaki disease ,Diagnosis code ,business ,medicine.drug - Abstract
OBJECTIVES: We sought to analyze trends in admissions and to describe therapies used for acute Kawasaki disease over a 6-year period. METHODS: The Pediatric Health Information System provides patient data including demographic variables, International Classification of Diseases, Ninth Revision codes, and services billed to patients. Patient identifiers enable tracking of medication use in and across multiple admissions within a center. We analyzed data for patients with (1) a diagnosis code for Kawasaki disease, (2) intravenously administered immunoglobulin treatment during hospitalization, and (3) discharge between January 1, 2001, and December 30, 2006, from 27 hospitals contributing complete data over the study period. RESULTS: During the study period, 5197 Kawasaki disease admissions were identified for 4811 patients; numbers increased 32.6% from 2001 (n = 678) to 2006 (n = 899). Retreatment with intravenous immunoglobulin was administered to 712 patients (14.8%) over the study period. Other antiinflammatory therapies included intravenously administered methylprednisolone (5.8%), orally administered prednisone (2.8%), and infliximab (1%). Use of infliximab steadily increased from 0.0% (0 of 678 patients) in 2001 to 2.3% (21 of 899 patients) in 2006. Coronary artery aneurysms were coded for 3.3% of patients. Male patients, patients CONCLUSIONS: Our report provides the first large multicenter description of agents used in the treatment of intravenously administered immunoglobulin-resistant Kawasaki disease in the United States. Trends include increased numbers of admissions attributable to Kawasaki disease and increased usage of infliximab.
- Published
- 2009
6. The Boston Marathon Study: A Novel Approach to Research During Residency
- Author
-
David S. Greenes, Christopher S. Almond, Andrew Y Shin, Robert J. Vinci, Christine Duncan, Pearl S. Riney, Cameron C. Trenor, Rebekah Mannix, Mary Beth F. Son, Usama B. Kanaan, Heather M. McLauchlan, Elizabeth B. Fortescue, and Jennifer M. Litzow
- Subjects
Male ,Gerontology ,Medical education ,Biomedical Research ,business.industry ,Residency curriculum ,Internship and Residency ,Flexibility (personality) ,Residency program ,Collegiality ,Pediatrics ,Institutional support ,Running ,Mentorship ,Pediatrics, Perinatology and Child Health ,Academic Training ,Humans ,Medicine ,Female ,Large group ,business ,Boston - Abstract
Resident physicians from a pediatric academic training program developed a hospital-wide research project in an effort to enhance their residency research experience. In this model, residents themselves assumed primary responsibility for each stage of a large prospective clinical research study. The project, which was integrated successfully into the residency program, enabled a large group of residents, with mentorship from a dedicated faculty member, to benefit from a structured clinical research experience while providing the flexibility necessary to meet the demands of a busy residency curriculum. Careful topic selection with a well-defined end point, faculty involvement, resident collegiality, and institutional support were factors identified by study leaders as central to the success of this model.
- Published
- 2006
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.