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1. Etiology of hospital mortality in children living in low- and middle-income countries: a systematic review and meta-analysis.

Author

Kortz, Teresa, Mediratta, Rishi, Smith, Audrey, Nielsen, Katie, Agulnik, Asya, Gordon Rivera, Stephanie, Reeves, Hailey, OBrien, Nicole, Lee, Jan, Abbas, Qalab, Attebery, Jonah, Bacha, Tigist, Bhutta, Emaan, Biewen, Carter, Camacho-Cruz, Jhon, Coronado Muñoz, Alvaro, deAlmeida, Mary, Domeryo Owusu, Larko, Fonseca, Yudy, Hooli, Shubhada, Wynkoop, Hunter, Leimanis-Laurens, Mara, Nicholaus Mally, Deogratius, McCarthy, Amanda, Mutekanga, Andrew, Pineda, Carol, Remy, Kenneth, Sanders, Sara, Tabor, Erica, Teixeira Rodrigues, Adriana, Yuee Wang, Justin, Kissoon, Niranjan, Takwoingi, Yemisi, Wiens, Matthew, and Bhutta, Adnan

Subjects
acute illness, critical illness, global health, hospital admission, hospital death, low- and middle-income countries, resource-limited settings
Abstract

In 2019, 80% of the 7.4 million global child deaths occurred in low- and middle-income countries (LMICs). Global and regional estimates of cause of hospital death and admission in LMIC children are needed to guide global and local priority setting and resource allocation but are currently lacking. The study objective was to estimate global and regional prevalence for common causes of pediatric hospital mortality and admission in LMICs. We performed a systematic review and meta-analysis to identify LMIC observational studies published January 1, 2005-February 26, 2021. Eligible studies included: a general pediatric admission population, a cause of admission or death, and total admissions. We excluded studies with data before 2,000 or without a full text. Two authors independently screened and extracted data. We performed methodological assessment using domains adapted from the Quality in Prognosis Studies tool. Data were pooled using random-effects models where possible. We reported prevalence as a proportion of cause of death or admission per 1,000 admissions with 95% confidence intervals (95% CI). Our search identified 29,637 texts. After duplicate removal and screening, we analyzed 253 studies representing 21.8 million pediatric hospitalizations in 59 LMICs. All-cause pediatric hospital mortality was 4.1% [95% CI 3.4%-4.7%]. The most common causes of mortality (deaths/1,000 admissions) were infectious [12 (95% CI 9-14)]; respiratory [9 (95% CI 5-13)]; and gastrointestinal [9 (95% CI 6-11)]. Common causes of admission (cases/1,000 admissions) were respiratory [255 (95% CI 231-280)]; infectious [214 (95% CI 193-234)]; and gastrointestinal [166 (95% CI 143-190)]. We observed regional variation in estimates. Pediatric hospital mortality remains high in LMICs. Global child health efforts must include measures to reduce hospital mortality including basic emergency and critical care services tailored to the local disease burden. Resources are urgently needed to promote equity in child health research, support researchers, and collect high-quality data in LMICs to further guide priority setting and resource allocation.

Published
2024

2. Documenting adaptations to an evidence-based intervention in 58 resource-variable pediatric oncology hospitals across implementation phases

Author

Quesada-Stoner, Alejandra Catalina, Islam, Sayeda, Siječić, Amela, Malone, Sara, Puerto-Torres, Maria F., Cardenas, Adolfo, Prewitt, Kim, Alfonso Carreras, Yvania, Alvarez-Arellano, Shilel Y., Argüello-Vargas, Deiby, Ceballo-Batista, Gloria I., Diaz-Coronado, Rosdali, Diniz Borborema, Maria do Céu, Toledo, Jacqueline Estefany, Fing, Ever, Garay, Zunilda, Hernández-González, Cinthia J., Jimenez-Antolinez, Yajaira V., Juárez Tobías, María S., Lemos de Mendonça e Fontes, Laura, Lopez-Facundo, Norma A., Mijares Tobias, Jose Miguel, Miralda-Méndez, Scheybi T., Montalvo, Erika, Cawich, Zairie Niguelie, Portilla Figueroa, Carlos Andres, Sahonero, Marcela, Sánchez-Martín, María, Serrano-Landivar, Marcia X., Soledad García, Valeria, Vasquez, Annie, Velásquez Cabrera, Daniela María, Carothers, Bobbi J., Shelton, Rachel C., Graetz, Dylan, Acuña, Carlos, Luke, Douglas A., McKay, Virginia R. R., and Agulnik, Asya

Published
2024
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5. Stages of change: Strategies to promote use of a Pediatric Early Warning System in resource-limited pediatric oncology centers.

Author

Woo, Marisa, Ferrara, Gia, Puerto-Torres, Maria, Gillipelli, Srinithya, Elish, Paul, Muniz-Talavera, Hilmarie, Gonzalez-Ruiz, Alejandra, Armenta, Miriam, Barra, Camila, Diaz-Coronado, Rosdali, Hernandez, Cinthia, Juarez, Susana, Loeza, José, Mendez, Alejandra, Montalvo, Erika, Peñafiel, Eulalia, Pineda, Estuardo, Graetz, Dylan, Kortz, Teresa, and Agulnik, Asya

Subjects
Humans, Neoplasms, Medical Oncology, Child, Hospitals, Early Detection of Cancer, Clinical Deterioration
Abstract

BackgroundPediatric Early Warning Systems (PEWS) assist early detection of clinical deterioration in hospitalized children with cancer. Relevant to successful PEWS implementation, the stages of change model characterizes stakeholder support for PEWS based on willingness and effort to adopt the new practice.MethodsAt five resource-limited pediatric oncology centers in Latin America, semi-structured interviews were conducted with 71 hospital staff involved in PEWS implementation. Purposive sampling was used to select centers requiring variable time to complete PEWS implementation, with low-barrier centers (3-4 months) and high-barrier centers (10-11 months). Interviews were conducted in Spanish, professionally transcribed, and translated into English. Thematic content analysis explored stage of change with constant comparative analysis across stakeholder types and study sites.ResultsParticipants identified six interventions (training, incentives, participation, evidence, persuasion, and modeling) and two policies (environmental planning and mandates) as effective strategies used by implementation leaders to promote stakeholder progression through stages of change. Key approaches involved presentation of evidence demonstrating PEWS effectiveness, persuasion and incentives addressing specific stakeholder interests, enthusiastic individuals serving as models for others, and policies enforced by hospital directors facilitating habitual PEWS use. Effective engagement targeted hospital directors during early implementation phases to provide programmatic legitimacy for clinical staff.ConclusionThis study identifies strategies to promote adoption and maintained use of PEWS, highlighting the importance of tailoring implementation strategies to the motivations of each stakeholder type. These findings can guide efforts to implement PEWS and other evidence-based practices that improve childhood cancer outcomes in resource-limited hospitals.

Published
2023

6. Connecting Clinical Capacity and Intervention Sustainability in Resource-Variable Pediatric Oncology Centers in Latin America

Author

McKay, Virginia, Chen, Yichen, Prewitt, Kim, Malone, Sara, Puerto-Torres, Maria, Acuña-Aguirre, Carlos, Alfonso-Carreras, Yvania, Alvarez-Arellano, Shilel Y., Andrade-Sarmiento, Leticia A., Arce-Cabrera, Daniela, Argüello-Vargas, Deiby, Barragán-García, Mariuxy D. C., Batista-Del-Cid, Rosario, Blasco-Arriaga, Erika E., Cach-Castaneda, Maria D. C., Ceballo-Batista, Gloria I., Chávez-Rios, Mayra, Costa, Maria E., Cuencio-Rodriguez, Maria E., Diaz-Coronado, Rosdali, Fing-Soto, Ever A., García-Sarmiento, Teresa D. J., Gómez-García, Wendy C., Hernández-González, Cinthia J., Jimenez-Antolinez, Yajaira V., Juarez-Tobias, Maria S., León-López, Esmeralda M., Lopez-Facundo, Norma A., Martínez Soria, Ruth A., Miralda-Méndez, Scheybi T., Montalvo, Erika, Pérez-Alvarado, Carlos M., Perez-Fermin, Clara K., Quijano-Lievano, Monica L., Salas-Mendoza, Beatriz, Sanchez-Fuentes, Edwin E., Serrano-Landivar, Marcia X., Soto-Chavez, Veronica, Tejocote-Romero, Isidoro, Valle, Sergio, Vasquez-Roman, Elizabeth A., Costa, Juliana Texeira, Cardenas-Aguirre, Adolfo, Devidas, Meenakshi, Luke, Douglas A., and Agulnik, Asya

Published
2024
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7. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2).

Author

Emeriaud, Guillaume, López-Fernández, Yolanda, Iyer, Narayan, Bembea, Melania, Agulnik, Asya, Barbaro, Ryan, Baudin, Florent, Bhalla, Anoopindar, Brunow de Carvalho, Werther, Carroll, Christopher, Cheifetz, Ira, Chisti, Mohammod, Cruces, Pablo, Curley, Martha, Dahmer, Mary, Dalton, Heidi, Erickson, Simon, Essouri, Sandrine, Fernández, Analía, Flori, Heidi, Grunwell, Jocelyn, Jouvet, Philippe, Killien, Elizabeth, Kneyber, Martin, Kudchadkar, Sapna, Korang, Steven, Lee, Jan, Macrae, Duncan, Maddux, Aline, Modesto I Alapont, Vicent, Morrow, Brenda, Nadkarni, Vinay, Napolitano, Natalie, Newth, Christopher, Pons-Odena, Martí, Quasney, Michael, Rajapreyar, Prakadeshwari, Rambaud, Jerome, Randolph, Adrienne, Rimensberger, Peter, Rowan, Courtney, Sanchez-Pinto, L, Sapru, Anil, Sauthier, Michael, Shein, Steve, Smith, Lincoln, Steffen, Katerine, Takeuchi, Muneyuki, Thomas, Neal, Tse, Sze, Valentine, Stacey, Ward, Shan, Watson, R, Yehya, Nadir, Zimmerman, Jerry, and Khemani, Robinder

Subjects
Child, Humans, Respiratory Distress Syndrome, Respiration, Artificial, Acute Lung Injury, Consensus
Abstract

OBJECTIVES: We sought to update our 2015 work in the Second Pediatric Acute Lung Injury Consensus Conference (PALICC-2) guidelines for the diagnosis and management of pediatric acute respiratory distress syndrome (PARDS), considering new evidence and topic areas that were not previously addressed. DESIGN: International consensus conference series involving 52 multidisciplinary international content experts in PARDS and four methodology experts from 15 countries, using consensus conference methodology, and implementation science. SETTING: Not applicable. PATIENTS: Patients with or at risk for PARDS. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Eleven subgroups conducted systematic or scoping reviews addressing 11 topic areas: 1) definition, incidence, and epidemiology; 2) pathobiology, severity, and risk stratification; 3) ventilatory support; 4) pulmonary-specific ancillary treatment; 5) nonpulmonary treatment; 6) monitoring; 7) noninvasive respiratory support; 8) extracorporeal support; 9) morbidity and long-term outcomes; 10) clinical informatics and data science; and 11) resource-limited settings. The search included MEDLINE, EMBASE, and CINAHL Complete (EBSCOhost) and was updated in March 2022. Grading of Recommendations, Assessment, Development, and Evaluation methodology was used to summarize evidence and develop the recommendations, which were discussed and voted on by all PALICC-2 experts. There were 146 recommendations and statements, including: 34 recommendations for clinical practice; 112 consensus-based statements with 18 on PARDS definition, 55 on good practice, seven on policy, and 32 on research. All recommendations and statements had agreement greater than 80%. CONCLUSIONS: PALICC-2 recommendations and consensus-based statements should facilitate the implementation and adherence to the best clinical practice in patients with PARDS. These results will also inform the development of future programs of research that are crucially needed to provide stronger evidence to guide the pediatric critical care teams managing these patients.

Published
2023

8. The burden of pediatric critical illness among pediatric oncology patients in low- and middle-income countries: A systematic review and meta-analysis

Author

Gabela, Alejandra, Wösten-van Asperen, Roelie M., Arias, Anita V., Acuña, Carlos, Zebin, Zebin Al, Lopez-Baron, Eliana, Bhattacharyya, Parthasarathi, Duncanson, Lauren, Ferreira, Daiane, Gunasekera, Sanjeeva, Hayes, Samantha, McArthur, Jennifer, Nagarajan, Vaishnavi Divya, Puerto Torres, Maria, Rivera, Jocelyn, Sniderman, Elizabeth, Wrigley, Jordan, Zafar, Huma, and Agulnik, Asya

Published
2024
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9. Retrospective comparative analysis of two medical evacuation systems for Ukrainian patients affected by war

Author

Adyrov, Mykhaylo V, Alanbousi, Inna, Alexander, Sarah Weeks, Apel, Anna, Avula, Meghana, Bal, Wioletta Anna, Balwierz, Walentyna Aniela, Basset-Salom, Luisa, Bastardo Blanco, Daniel, Bauer, Karolina Jadwiga, Bayazitov, Ildar T, Berlanga, Pablo, Bhakta, Nickhill Hitesh, Bieniek, Katarzyna Anna, Bien, Ewa Iwona, Blackwood, Christopher Andrew, Blair, Sally Jane, Bodak, Khrystyna Ihorivna, Bordeianu, Irina, Bouffet, Eric Eric, Braganca, Joao Maria, Bucurenci, Mihaela Silvia, Budny, Elżbieta Beata, Budzyn, Andrii, Bumgardner, Christopher Carl, Burditt, Raina Nichole, Burnside Clapp, Victoria, Bykov, Viacheslav Valeriyovych, Cañete, Adela, Carnelli, Monica, Cela, Elena, Cepowska, Zuzanna, Chaber, Radoslaw, Cherner-Drieux, Anna, Chubata, Mariya, Clough, Heidi M, Czauderna, Piotr Stefan, Czernicka - Siwecka, Jolanta, Czyzewski, Krzysztof, Dalle, Jean-Hugues, Dashchakovska, Olha, de Koning, Linda A, Dembowska-Baginska, Bozenna Malgorzata, Derwich, Katarzyna, Dirksen, Uta, Dommett, Rachel, Dorosh, Olha Ihorivna, dos Reis Farinha, Nuno Jorge, Drabko, Katarzyna Anna, Dragomir, Monica Desiree, Dutkiewicz, Malgorzata, Dworzak, Michael, Dyma, Sergii Vitaliiovych, Earl, Julian, Eggert, Angelika, English, Martin William, Farren, Becky S, Fedyk, Nataliia Yuriina, Fernández-Teijeiro, Ana, Ferneza, Severyn Romanovych, Foster, Whitney Baer, Fox Irwin, Leeanna Elizabeth, Gałązkowski, Robert Maciej, Ganieva, Galyna, Garanzha, Vasylyna Andriivna, Gelman, Marina S, Godzinski, Jan Krzysztof, Goeres, Anne Françoise, Golban, Rodica, Graetz, Dylan Elizabeth, Greiner, Jeanette, Griksaitis, Michael J, Gupta, Sumit, Hampel, Michal Andrzej, Hastings, Sara Grace, Heenen, Delphine Liliane, Hill, Marcela C, Holiuk, Ihor, Holter, Wolfgang, Hough, Rachael Emma, Hutnik, Lukasz Marek, Irga-Jaworska, Ninela, Istomin, Oleksandr Andriyovych, Ignatova, Anna, Janczar, Szymon Lech, Kacharian, Arman, Kalwak, Krzysztof, Karolczyk, Grażyna Małgorzata, Karpenko, Nataliia Mikolaivna, Katsubo, Halyna Oleksandrivna, Kattamis, Antonis, Kazanowska, Bernarda Jadwiga, Kentsis, Alex, Ketteler, Petra, Kienesberger, Anita, Kiselev, Roman, Kizyma, Zoryana Petrivna, Kliuchkivska, Khrystyna, Klymniuk, Hryhorii Ivanovych, Kolenova, Alexandra, Kolodrubiec, Julia, Kostiuk, Yuliia, Kowalik, Tomasz, Kozlova, Olena Igorivna, Kozubenko, Vladyslav, Kraal, Kathelijne, Kramar, Tetyana Oleksandrivna, Krawczuk-Rybak, Maryna Maryna, Kulemzina, Irina, Kurkowska, Paulina, Kuzyk, Andriy S., Ladenstein, Ruth Lydia, Laguna, Pawel Jozef, Lassaletta, Alvaro, Lehmberg, Kai, Leontieva, Oksana, Liashenko, Serhii, Loizou, Loizos G., Lucchetta, Sonia Anna, Lupo, Matthew William, Lysytsia, Lesya, Lysytsia, Oleksandr, Machnik, Katarzyna Anna, Massimino, Maura, Mainland, Jeff A, Matczak, Katarzyna, Matysiak, Michal Jacek, Mayeur, Pierre, Miller, Beth Anne, Minervina, Anastasia A, Mishkova, Volha, Mizia-Malarz, Agnieszka Joanna, Morales La Madrid, Andres, Moreira, Daniel C, Moreno, Lucas, Moskvin, Vadim P, Mukkada, Sheena Teresa, Muszyńska-Rosłan, Katarzyna Maria, Mykychak, Iryna Volodymyrivna, Niemeyer, Charlotte, Nelson, Akoya Janae', Nogovitsyna, Yuliya, Ociepa, Tomasz, Oltolini, Stefano, Onipko, Nataliia, Pappas, Andrew, Patel, Amit B, Patrahau, Alina Alina, Pauley, Jennifer L., Pavlenko, Yehor Mikhailovich, Pavlovych, Andrij Oleksandrovych, Peregud-Pogorzelski, Jarosław Władyslaw, Perek-Polnik, Marta, Pérez, Vanesa, Pérez-Martínez, Antonio, Pikman, Yana, Pitozzi, Graziano Pitozzi, Portugal, Rui Gentil, Posternak, Victoria Vita, Pleshkan, Viktoriya, Prete, Arcangelo, Pritchard-Jones, Kathy, Raciborska, Anna, Radaelli, Alessandra, Reeves, Tegan Jemma, Reinhardt, Dirk, Reshetnyak, Andrey V, Rider, Andrew Jacob, Rizzari, Carmelo, Rizzi, Damiano Damiano, Rodriguez Hermosillo, Karen Gabriela, Ronenko, Olena Volodymyrivna, Rostkowska, Aneta Olga, Rudko, Liudmyla Yaroslavivna, Sakaan, Firas Mohamed, Sakhar, Nadezhda Aleksandrovna, Salman, Zeena S, Savva, Natallia N., Scaccaglia, Davide, Schaeffer, Elizabeth Hawthorne, Schneider, Carina Ursula, Scobie, Nicole, Semeniuk, Olena Volodymyrivna, Shevchyk, Roksoliana, Shuler, Ana I., Shvets, Stanislav, Sniderman, Liz, Skoczen, Szymon Pawel, Smeal, William John, Sokolowski, Igor, Sonkin, Anna Alexandra, Spolinyak, Andriy, Spota, Andrea, Sramkova, Lucie, Stepanjuk, Alla Ivanivna, Sterba, Jaroslav, Strahm, Brigitte, Styczynski, Jan, Svintsova, Olha, Synyuta, Andriy V, Szczepanski, Tomasz, Szczucinski, Pawel Kukiz, Szmyd, Bartosz Miroslaw, Tasso Cereceda, Maria, Teliuk, Alina, Tomanek, Iwona, Topping, Phoebe, Torrent, Montserrat, Trelińska, Joanna, Troyanovska, Olha Orestivna, Tsurkan, Lyudmila G., Tsymbalyuk-Voloshyn, Iryna, Tyupa, Sergiy Ihorovych, Urasinski, Tomasz Franciszek, Urbanek Dądela, Agnieszka, Vasilieva, Nataliia Jroslavivna, Vasilyeva, Aksana, Verdú-Amorós, Jaime, Vilcu-Bajurean, Natalia, Vinitsky, Leo, Vivtcharenko, Victoria, Vovk, Nelia, Volpe, Giovanni, Vorobel, Oksana Ivanivna, Wachowiak, Jacek Tadeusz, Wasiak, Marcin Slawomir, Wiedower, Lance Allan, Wobst, Natalia, Wuenschel, Lena Isolde, Wysocki, Mariusz Stanislaw, Yurieva, Marina, Zagurska, Anastasiia, Zakharenko, Stanislav S, Zakharenko, Aelita V, Zapotochna, Khrystyna, Zawitkowska, Joanna Emilia, Zecca, Marco, Mueller, Alexandra, Salek, Marta, Oszer, Aleksandra, Evseev, Dmitry, Yakimkova, Taisiya, Wlodarski, Marcin, Vinitsky, Anna, Kizyma, Roman, Pogorelyy, Mikhail, Zuber, Maria, Escalante, Juan, Lipska, Elzbieta, Fendler, Wojciech, Nowicka, Zuzanna, Szyszka, Adam, Rodriguez-Galindo, Carlos, Wise, Paul H., Agulnik, Asya, and Mlynarski, Wojciech

Published
2024
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10. Global PARITY: Study Design for a Multi-Centered, International Point Prevalence Study to Estimate the Burden of Pediatric Acute Critical Illness in Resource-Limited Settings

Author

Abbas, Qalab, Holloway, Adrian, Caporal, Paula, López-Barón, Eliana, Agulnik, Asya, Remy, Kenneth E, Appiah, John A, Attebery, Jonah, Fink, Ericka L, Lee, Jan Hau, Hooli, Shubhada, Kissoon, Niranjan, Miller, Erika, Murthy, Srinivas, Muttalib, Fiona, Nielsen, Katie, Puerto-Torres, Maria, Rodrigues, Karla, Sakaan, Firas, Rodrigues, Adriana Teixeira, Tabor, Erica A, von Saint Andre-von Arnim, Amelie, Wiens, Matthew O, Blackwelder, William, He, David, Kortz, Teresa B, and Bhutta, Adnan T

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Health Services, Clinical Research, Pediatric, Good Health and Well Being, pediatric critical illness, acute pediatric care, critical care, outcome, low-and lower-middle-income countries, resource utilization, low resource setting, Paediatrics and Reproductive Medicine, Other Medical and Health Sciences, Paediatrics
Abstract

BackgroundThe burden of pediatric critical illness and resource utilization by children with critical illness in resource limited settings (RLS) are largely unknown. Without specific data that captures key aspects of critical illness, disease presentation, and resource utilization for pediatric populations in RLS, development of a contextual framework for appropriate, evidence-based interventions to guide allocation of limited but available resources is challenging. We present this methods paper which describes our efforts to determine the prevalence, etiology, hospital outcomes, and resource utilization associated with pediatric acute, critical illness in RLS globally.MethodsWe will conduct a prospective, observational, multicenter, multinational point prevalence study in sixty-one participating RLS hospitals from North, Central and South America, Africa, Middle East and South Asia with four sampling time points over a 12-month period. Children aged 29 days to 14 years evaluated for acute illness or injury in an emergency department) or directly admitted to an inpatient unit will be enrolled and followed for hospital outcomes and resource utilization for the first seven days of hospitalization. The primary outcome will be prevalence of acute critical illness, which Global PARITY has defined as death within 48 hours of presentation to the hospital, including ED mortality; or admission/transfer to an HDU or ICU; or transfer to another institution for a higher level-of-care; or receiving critical care-level interventions (vasopressor infusion, invasive mechanical ventilation, non-invasive mechanical ventilation) regardless of location in the hospital, among children presenting to the hospital. Secondary outcomes include etiology of critical illness, in-hospital mortality, cause of death, resource utilization, length of hospital stay, and change in neurocognitive status. Data will be managed via REDCap, aggregated, and analyzed across sites.DiscussionThis study is expected to address the current gap in understanding of the burden, etiology, resource utilization and outcomes associated with pediatric acute and critical illness in RLS. These data are crucial to inform future research and clinical management decisions and to improve global pediatric hospital outcomes.

Published
2022

11. A research definition and framework for acute paediatric critical illness across resource-variable settings: a modified Delphi consensus

Author

Arias, Anita V, Lintner-Rivera, Michael, Shafi, Nadeem I, Abbas, Qalab, Abdelhafeez, Abdelhafeez H, Ali, Muhammad, Ammar, Halaashuor, Anwar, Ali I, Adabie Appiah, John, Attebery, Jonah E, Diaz Villalobos, Willmer E, Ferreira, Daiane, González-Dambrauskas, Sebastián, Irfan Habib, Muhammad, Lee, Jan Hau, Kissoon, Niranjan, Tekleab, Atnafu M, Molyneux, Elizabeth M, Morrow, Brenda M, Nadkarni, Vinay M, Rivera, Jocelyn, Silvers, Rebecca, Steere, Mardi, Tatay, Daniel, Bhutta, Adnan T, Kortz, Teresa B, and Agulnik, Asya

Published
2024
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13. Essential Emergency and Critical Care: a consensus among global clinical experts

Author

Schell, Carl Otto, Khalid, Karima, Wharton-Smith, Alexandra, Oliwa, Jacquie, Sawe, Hendry R, Roy, Nobhojit, Sanga, Alex, Marshall, John C, Rylance, Jamie, Hanson, Claudia, Kayambankadzanja, Raphael K, Wallis, Lee A, Jirwe, Maria, Baker, Tim, Asghar, Adam, Laytin, Adam D, Holloway, Adrian J, Adib, Ahmed Rhassane El, Michaelides, Alexia, Munoz, Alvaro Coronado, Muzuka, Amos, Fernández, Analía, Pembe, Andrea B, Wellhagen, Andreas, Smith, Andrew G, Gadgil, Anita, Hvarfner, Anna, Abayadeera, Anuja, Agulnik, Asya, Godard, Aurélie, Venkatesh, Balasubramanian, Yousif, Bargo Mahamat, Morton, Bhakti Sarang Ben, Kumar, Bharath, Vijayaraghavan, Tirupakuzhi, King, Bobby, Rice, Brian, Thwaites, C Louise, Tai, Chian Wern, Owoo, Christian, Sendagire, Cornelius, Petersen, Dan Brun, Tatay, Daniel, Skinner, David Lee, Kinyua, Denis, Ghosh, Dhruva, Aryal, Diptesh, Mlombwa, Donald, Thi, Duyen, Bui, Hanh, Lugazia, Edwin R, Riviello, Elisabeth, Molyneux, Elizabeth M, Heyns, Ellena, Nsutebu, Emmanuel Fru, Montalvo, Erika, Moreno, Ernesto Gerardo, Kanyangira, Esther Banda, Muttalib, Fiona, Mupeta, Francis, Diaz, Franco, Bulamba, Fred, Nzanzu, Furaha, Pascal, Blaise, Wooldridge, Gavin, Mwakisambwe, Gibonce, Richards, Guy A, Ammar, Hala, Mangat, Halinder S, Ghali, Hasanein H, Shah, Hiral A, Shum, Hoi Ping, Abdullahi, Ibrahim Salim, Martin-Loeches, Ignacio, von der Osten, Ingrid T, Mcknight, Jacob, Lee, James S, Namagga, Jane Kasozi, Eriksen, Jaran, Armour-Marshall, Jasmine, Kellett, John, Metcalfe, John Z, Moore, Jolene, Blixt, Jonas, Langton, Josephine, Mejia, Juan Gutierrez, Silesky-Jiménez, Juan Ignacio, Soni, Kapil Dev, Kohne, Karl Martin, Rowan, Kathryn, Yokobatake, Kazuhiro, Doi, Kent, Rudd, Kristina E, Akuamoah-Boateng, Kwame Asante, Irestedt, Lars, Losonczy, Lia I, Zhang, Lina, Kurland, Lisa, Guinness, Lorna, and Bains, Lovenish

Subjects
Health Services and Systems, Health Sciences, Health Services, Clinical Research, Emergency Care, Generic health relevance, Good Health and Well Being, COVID-19, Consensus, Critical Care, Emergency Medical Services, Humans, SARS-CoV-2, EECC Collaborators, EECC Collaborators*, health policy, health services research, health systems, surgery, Health services and systems, Public health
Abstract

BackgroundGlobally, critical illness results in millions of deaths every year. Although many of these deaths are potentially preventable, the basic, life-saving care of critically ill patients are often overlooked in health systems. Essential Emergency and Critical Care (EECC) has been devised as the care that should be provided to all critically ill patients in all hospitals in the world. EECC includes the effective care of low cost and low complexity for the identification and treatment of critically ill patients across all medical specialties. This study aimed to specify the content of EECC and additionally, given the surge of critical illness in the ongoing pandemic, the essential diagnosis-specific care for critically ill patients with COVID-19.MethodsIn a Delphi process, consensus (>90% agreement) was sought from a diverse panel of global clinical experts. The panel iteratively rated proposed treatments and actions based on previous guidelines and the WHO/ICRC's Basic Emergency Care. The output from the Delphi was adapted iteratively with specialist reviewers into a coherent and feasible package of clinical processes plus a list of hospital readiness requirements.ResultsThe 269 experts in the Delphi panel had clinical experience in different acute medical specialties from 59 countries and from all resource settings. The agreed EECC package contains 40 clinical processes and 67 requirements, plus additions specific for COVID-19.ConclusionThe study has specified the content of care that should be provided to all critically ill patients. Implementing EECC could be an effective strategy for policy makers to reduce preventable deaths worldwide.

Published
2021

16. 776: MORTALITY AMONG PEDIATRIC HEMATOLOGY-ONCOLOGY PATIENTS WITH CLINICAL DETERIORATION IN LATIN AMERICA

Author

Agulnik, Asya, Robles Murguia, Maricela, Muniz-Talavera, Hilmarie, Pham, Linh T.D., Cardenas Aguirre, Adolfo, Aragón Joya, Yefry Andrés, Arce, Daniela, Blasco Arriaba, Erika Esther, Costa, Juliana, De Leon, Claudia, Díaz-Coronado, Rosdali, Montalvo, Erika, Miralda Mendez, Scheybi Teresa, Ocampo, Diego, Pineda Urquilla, Estuardo, Aguiar de Paula, Andreia Ribeiro Pereira, Sánchez-Martín, María, Chen, Yichen, Devidas, Meenakshi, and Rodriguez-Galindo, Carlos

Published
2024
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18. Risk Factors for Noninvasive Ventilation Failure in Children Post-Hematopoietic Cell Transplant

Author

Rowan, Courtney M, Fitzgerald, Julie C, Agulnik, Asya, Zinter, Matt S, Sharron, Matthew P, Slaven, James E, Kreml, Erin M, Bajwa, Rajinder PS, Mahadeo, Kris M, Moffet, Jerelyn, Tarquinio, Keiko M, and Steiner, Marie E

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Clinical Research, Transplantation, Pediatric, hematopoietic (stem) cell transplantation, noninvasive (positive pressure) ventilation, respiratory insufficiency, intubation, cardiopulmonary resuscitation, Oncology and Carcinogenesis, Clinical sciences, Oncology and carcinogenesis
Abstract

RationaleLittle is known on the use of noninvasive ventilation (NIPPV) in pediatric hematopoietic cell transplant (HCT) patients.ObjectiveWe sought to describe the landscape of NIPPV use and to identify risk factors for failure to inform future investigation or quality improvement.MethodsThis is a multicenter, retrospective observational cohort of 153 consecutive children post-HCT requiring NIPPV from 2010-2016.Results97 (63%) failed NIPPV. Factors associated with failure on univariate analysis included: longer oxygen use prior to NIPPV (p=0.04), vasoactive agent use (p40 at 4 hours [aOR=6.3 9(95% CI: 2.4, 16.4), p

Published
2021

19. Quality and capacity indicators for hospitalized pediatric oncology patients with critical illness: A modified delphi consensus

Author

Arias, Anita V, Garza, Marcela, Murthy, Srinivas, Cardenas, Adolfo, Diaz, Franco, Montalvo, Erika, Nielsen, Katie R, Kortz, Teresa, Sharara‐Chami, Rana, Friedrich, Paola, McArthur, Jennifer, and Agulnik, Asya

Subjects
Clinical Research, Pediatric, Adult, Clinical Competence, Consensus, Critical Care, Critical Care Nursing, Critical Illness, Delphi Technique, Female, Hematopoietic Stem Cell Transplantation, Hospitalization, Humans, Intensive Care Units, Pediatric, Male, Middle Aged, Neoplasms, Patient Care Team, Patient Transfer, Pediatric Nursing, Pediatrics, Quality Improvement, Quality Indicators, Health Care, clinical cancer research, pediatric cancer, translational research, Biochemistry and Cell Biology, Oncology and Carcinogenesis
Abstract

BackgroundHospitalized pediatric hematology-oncology (PHO) patients are at high risk for critical illness, especially in resource-limited settings. Unfortunately, there are no established quality indicators to guide institutional improvement for these patients. The objective of this study was to identify quality indicators to include in PROACTIVE (PediatRic Oncology cApaCity assessment Tool for IntensiVe carE), an assessment tool to evaluate the capacity and quality of pediatric critical care services offered to PHO patients.MethodsA comprehensive literature review identified relevant indicators in the areas of structure, performance, and outcomes. An international focus group sorted potential indicators using the framework of domains and subdomains. A modified, three-round Delphi was conducted among 36 international experts with diverse experience in PHO and critical care in high-resource and resource-limited settings. Quality indicators were ranked on relevance and actionability via electronically distributed surveys.ResultsPROACTIVE contains 119 indicators among eight domains and 22 subdomains, with high-median importance (≥7) in both relevance and actionability, and ≥80% evaluator agreement. The top five indicators were: (a) A designated PICU area; (b) Availability of a pediatric intensivist; (c) A PHO physician as part of the primary team caring for critically ill PHO patients; (d) Trained nursing staff in pediatric critical care; and (e) Timely PICU transfer of hospitalized PHO patients requiring escalation of care.ConclusionsPROACTIVE is a consensus-derived tool to assess the capacity and quality of pediatric onco-critical care in resource-limited settings. Future endeavors include validation of PROACTIVE by correlating the proposed indicators to clinical outcomes and its implementation to identify service delivery gaps amenable to improvement.

Published
2020

20. Challenges in institutional ethical review process and approval for international multicenter clinical studies in lower and middle-income countries: the case of PARITY study.

Author

Lopez-Baron, Eliana, Abbas, Qalab, Caporal, Paula, Agulnik, Asya, Attebery, Jonah E., Holloway, Adrian, Kissoon, Niranjan "Tex", Mulgado-Aguas, Celia Isabel, Amegan-Aho, Kokou, Majdalani, Marianne, Ocampo, Carmen, Pascal, Havugarurema, Miller, Erika, Kanyamuhunga, Aimable, Tekleab, Atnafu Mekonnen, Bacha, Tigist, González-Dambrauskas, Sebastian, Bhutta, Adnan T., Kortz, Teresa B., and Murthy, Srinivas

Published
2024
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21. Editorial: Critical complications in pediatric oncology and hematopoietic cell transplant, volume II.

Author

McArthur, Jennifer Ann, Mahadeo, Kris M., Agulnik, Asya, and Steiner, Marie E.

Subjects
CRITICALLY ill children, RENAL replacement therapy, GRAFT versus host disease, CHRONIC kidney failure, CHILD patients, TUMOR lysis syndrome
Abstract

The editorial in Frontiers in Oncology discusses critical complications in pediatric oncology and hematopoietic cell transplant, focusing on improving outcomes and strengthening collaboration. Volume I highlighted a significant improvement in PICU mortality rates for pediatric hematology/oncology patients. Volume II continues to address predictive factors for critical care needs, resource utilizations, complications of HCT and oncology therapy, and the importance of multidisciplinary care and communication. The research emphasizes the importance of early recognition of clinical deterioration, understanding pathophysiologic mechanisms, and global collaboration to achieve better outcomes for critically ill children with cancer worldwide. [Extracted from the article]

Published
2024
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22. Perceptions of physicians caring for pediatric patients with cancer in Europe: insights into the use of palliative care, its timing, and barriers to early integration.

Author

Lacerda, Ana, Bravo-Carretero, Isabel M., Ehrlich, Bella S., Job, Godwin, Avilés Martínez, María, Leiss, Ulrike, Kokkinou, Georgia, Scheinemann, Katrin, Craig, Finella, Krottendorfer, Kerstin, Devidas, Meenakshi, Baker, Justin N., Agulnik, Asya, and McNeil, Michael J.

Subjects
PHYSICIANS' attitudes, PEDIATRIC therapy, PEDIATRIC oncology, PEDIATRICIANS, CANCER treatment, COMPLICATED grief
Abstract

Background: Integrating pediatric palliative care (PPC) into pediatric oncology standard care is essential. Therefore, it is important to assess physicians' knowledge and perceptions of PPC to optimize its practice. Objective: To evaluate the knowledge, comfort levels, and perspectives of physicians regarding the timing and perceived barriers to integrating PPC into pediatric cancer care across Europe. Design: The Assessing Doctors' Attitudes on Palliative Treatment (ADAPT) survey, originally developed for other global regions, was culturally and contextually adapted for Europe. Setting/Subjects: The survey was distributed via the European Society of Paediatric Oncology (SIOPE) membership listserv. Any physicians caring for children with cancer across Eastern, Southern, Central, and Northern Europe were invited to complete the survey. Results: A total of 198 physicians from 29 European countries completed the ADAPT survey. Physicians demonstrated relative agreement with the World Health Organization's guidance; median alignment was 83.4% (range 59.9%-94.1%). Although most respondents felt comfortable addressing physical (84.4%) and emotional (63.4%) needs, they felt less comfortable addressing spiritual needs (41.9%) and providing grief and bereavement support (48.5%). There were significant regional differences, such as physicians in Eastern and Southern Europe reporting a lack of PPC specialists, opioids, and home-based care, while those in Northern and Central Europe did not. Conclusion: Physicians caring for children with cancer throughout Europe have a good understanding of PPC. However, misconceptions about PPC persist, requiring educational and capacity-building efforts. Additionally, the regional differences in perceived barriers must be addressed to ensure equitable access to PPC for all European children with cancer. [ABSTRACT FROM AUTHOR]

Published
2024
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25. Etiology of hospital mortality in children living in low- and middle-income countries: a systematic review and meta-analysis

Author

Kortz, Teresa B., primary, Mediratta, Rishi P., additional, Smith, Audrey M., additional, Nielsen, Katie R., additional, Agulnik, Asya, additional, Gordon Rivera, Stephanie, additional, Reeves, Hailey, additional, O’Brien, Nicole F., additional, Lee, Jan Hau, additional, Abbas, Qalab, additional, Attebery, Jonah E., additional, Bacha, Tigist, additional, Bhutta, Emaan G., additional, Biewen, Carter J., additional, Camacho-Cruz, Jhon, additional, Coronado Muñoz, Alvaro, additional, deAlmeida, Mary L., additional, Domeryo Owusu, Larko, additional, Fonseca, Yudy, additional, Hooli, Shubhada, additional, Wynkoop, Hunter, additional, Leimanis-Laurens, Mara, additional, Nicholaus Mally, Deogratius, additional, McCarthy, Amanda M., additional, Mutekanga, Andrew, additional, Pineda, Carol, additional, Remy, Kenneth E., additional, Sanders, Sara C., additional, Tabor, Erica, additional, Teixeira Rodrigues, Adriana, additional, Yuee Wang, Justin Qi, additional, Kissoon, Niranjan, additional, Takwoingi, Yemisi, additional, Wiens, Matthew O., additional, and Bhutta, Adnan, additional

Published
2024
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26. Global characteristics and outcomes of SARS-CoV-2 infection in children and adolescents with cancer (GRCCC): a cohort study

Author

Ribelles, A Juan, Balduzzi, Adriana, Elhaddad, Alaa, Casanovas, Alejandra, Garcia Velazquez, Alejandra, Laptsevich, Aliaksandra, Chang, Alicia, F. Sampaio, Alessandra Lamenha, González Prieto, Almudena, Lassaletta, Alvaro, Suarez M, Amaranto, Alcasabas, Ana Patricia, Colita, Anca, Morales La Madrid, Andres, Samudio, Angélica, Tondo, Annalisa, Colombini, Antonella, Kattamis, Antonis, Lopez Facundo, N Araceli, Bhattacharyya, Arpita, Alimi, Aurélia, Phulpin, Aurélie, Vakrmanova, Barbora, Aksoy, Basak A, Brethon, Benoit, Kobuin, Jator Brian, Nolasco Monteiro, Carla, Paillard, Catherine, Vezina, Catherine, Ceyhun, Bozkurt, Hentea, Cristiana, Meazza, Cristina, Ortiz-Morales, Daniel, Solorzano, Roque Daniel, Arce Cabrera, Daniela, Zama, Daniele, Ghosh, Debjani, Ramírez-Rivera, Diana, Calle Jara, Doris A, Janic, Dragana, Rey Helo, Elianneth, Gouache, Elodie, Guerrero Quiroz, Enmanuel, Lopez, Enrique, Thebault, Eric, Maradiegue, Essy, de Berranger, Eva, Ebeid, Fatma S E, Galaverna, Federica, Antillon-Klussmann, Federico, Espinoza Chacur, Felipe, Negro, Fernando Daniel, Carraro, Francesca, Compagno, Francesca, Barriga, Francisco, Tamayo Pedraza, Gabriela, Sanchez Fernandez, Gissela, Naidu, Gita, Tokuc, Gülnur, Alias, Hamidah, B Segocio, Hannah Grace, Boudiaf, Houda, Asetre Luna, Imelda, Maia, Iris, Astigarraga, Itziar, Maza, Ivan, Montoya Vásquez, Jacqueline E, Jazbec, Janez, Lazic, Jelena, Beck Dean, Jeniffer, Rouger-Gaudichon, Jeremie, Contreras González, Johanny Carolina, Huerta Aragonés, Jorge, Fuster, José L, Quintana, Juan, Palma, Julia, Svojgr, Karel, Quintero, Karina, Malic Tudor, Karolina, Georgantzi, Kleopatra, P Schultz, Kris Ann, Ureña Horno, Laura, Fraquelli, Lidia, Meneghello, Linda, Shalaby, Lobna, Macias Mora, Lola L, A Renner, Lorna, Nunes Silva, Luciana, Sisinni, Luisa, Hammad, Mahmoud, Fernández Sanmartín, M, Zubieta A, C Marcela, Drozdowski, María Constanza, Kourti, Maria, Palladino, Marcela María, Miranda Madrazo, Maria R, Poiree, Marilyne, Popova, Marina, Melgar, Mario, Baragaño, Marta, Avilés-Robles, Martha J, Provenzi, Massimo, Mendes Lins, Mecneide, Fatih Orhan, Mehmet, Villarroel, Milena, Jerónimo, Mónica, Varas Palma, Mónica, Rafie Raza, Muhammad, M Justin, Mulindwa, Shaheen, Najma, Domínguez-Pinilla, Nerea, Whipple, Nicholas S, André, Nicolas, Hrusak, Ondrej, Velasco Puyó, Pablo, Zacasa Vargas, Pamela, Olate Mellado, Paola, Yola Gassant, Pascale, Diaz Romero, Paulina, De Santis, Raffaella, Kebudi, Rejin, Boranbayeva, Riza, Vasquez, Roberto, Segura, Romel A., Rosado, Roy Enrique, Gómez, Sandra, Raimbault, Sandra, Gunasekera, Sanjeeva, Makkeyah, Sara M, Buyukkapu Bay, Sema, M Gómez, Sergio, Bouttefroy, Séverine, Islam, Shahnoor, Abouelnaga, Sherif, Torres, Silvio Fabio, Cesaro, Simone, Nunes, Sofia, Rouxinol, Soraia, Bhaumik, Sucharita, Saliyeva, Symbat, Inostroza, Tamara, Velasquez, Thelma, Hnin, Tint Myo, Norén-Nyström, Ulrika, Baretta, Valentina, Jimenez-Antolinez, Yajaira Valentine, Pérez Alonso, Vanesa, Ayer Miller, Vanessa, Gandemer, Virginie, Lotero, Viviana, Mishkova, Volha, Gómez-García, Wendy, Margaryan, Yeva, Syed, Yumna, Mukkada, Sheena, Bhakta, Nickhill, Chantada, Guillermo L, Chen, Yichen, Vedaraju, Yuvanesh, Faughnan, Lane, Homsi, Maysam R, Muniz-Talavera, Hilmarie, Ranadive, Radhikesh, Metzger, Monika, Friedrich, Paola, Agulnik, Asya, Jeha, Sima, Lam, Catherine, Dalvi, Rashmi, Hessissen, Laila, Moreira, Daniel C, Santana, Victor M, Sullivan, Michael, Bouffet, Eric, Caniza, Miguela A, Devidas, Meenakshi, Pritchard-Jones, Kathy, and Rodriguez-Galindo, Carlos

Published
2021
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27. The Burden of Pediatric Critical Illness Among Pediatric Oncology Patients in Low- and Middle-income Countries: A Systematic Review and Meta-analysis

Author

Intensive care patientenzorg, Child Health, Gabela, Alejandra, Wösten-van Asperen, Roelie M, Arias, Anita V, Acuña, Carlos, Zebin, Zebin Al, Lopez-Baron, Eliana, Bhattacharyya, Parthasarathi, Duncanson, Lauren, Ferreira, Daiane, Gunasekera, Sanjeeva, Hayes, Samantha, McArthur, Jennifer, Nagarajan, Vaishnavi Divya, Torres, Maria Puerto, Rivera, Jocelyn, Sniderman, Elizabeth, Wrigley, Jordan, Zafar, Huma, Agulnik, Asya, Intensive care patientenzorg, Child Health, Gabela, Alejandra, Wösten-van Asperen, Roelie M, Arias, Anita V, Acuña, Carlos, Zebin, Zebin Al, Lopez-Baron, Eliana, Bhattacharyya, Parthasarathi, Duncanson, Lauren, Ferreira, Daiane, Gunasekera, Sanjeeva, Hayes, Samantha, McArthur, Jennifer, Nagarajan, Vaishnavi Divya, Torres, Maria Puerto, Rivera, Jocelyn, Sniderman, Elizabeth, Wrigley, Jordan, Zafar, Huma, and Agulnik, Asya

Published
2024

30. Prevalence, management, health-care burden, and 90-day outcomes of prolonged mechanical ventilation in the paediatric intensive care unit (LongVentKids): an international, prospective, cross-sectional cohort study

Author

Kawaguchi, Atsushi, Fernandez, Analia, Baudin, Florent, Chiusolo, Fabrizio, Lee, Jan H, Brierley, Joe, Colleti, José, Reiter, Karl, Won Kim, Kyung, Lopez Fernandez, Yolanda, Kneyber, Martin, Pons-Òdena, Marti, Napolitano, Natalie, Graham, Robert J, Kawasaki, Tatsuya, Garros, Daniel, Garcia Guerra, Gonzalo, Jouvet, Philippe, Maxvold, Norma, Falcão, Ricardo, Ekinci, Faruk, Shabana, Medhat, Ujiro, Atsushi, Tai, Chian Wern, Hough, Judith, Aoki, Satoshi, Kim, Soo Yeon, Kim, Younga, Takehiro Niitsu, Takehiro Niitsu, Sho Kimura, Sho Kimura, Tsuboi, Norihiko, Hagen, Scott A., Choi, Yu Hyeon, Park, June Dong, Bansal, Arun, Thong, Wen Yi, Fan, Li Jia, Jindal, Atul, Varghese, Anjali Rachel, Kusumastuti, Neurinda, Miyashita, Norihisa, Sugimura, Hiroko, Colak, Mustafa, Karaarslan, Utku, Özkaya, Pınar Yazici, Yavaş, Damla Pınar, Ulgen Tekerek, Nazan, Udurgucu, Muhammed, Kangin, Murat, Koizumi, Taku, Duval, Els Lim, Erickson, Simon, Balmaks, Reinis, Franchini, Diego, Brossier, David, Kim, Kyunghoon, Talip Petmezci, Mey, Sarıtaş, Ümit Aslan, Dominguez, Dominguez, José Manuel González, Gómez, Martínez, Antonio, Volakli, Eleni A, Sdougka, Maria, Duyu, Muhterem, Phan, Phuc Huu, Thanh, Lam Thi, Davis, Peter J, Akçay, Nihal, Okada, Hiroshi, Gregorio, Gil Rossetti, Diez, Mikel Mendizabal, McCrory, Michael C., Woodruff, Alan G., Fontela, Patricia, Weiss, Matthew, Bonanomi, Ezio, Gehlbach, Jonathan A, Garcia-Teresa, Maria Angeles, Mosciaro, Marta, Guerrero, Maria Sol Garcia, Shappley, Rebekah, Adu-Darko, Michelle A., Spaeder, Michael C., Gaboli, Mirella, Parrilla, Julio, Stavroula, Ilia, Constanza, Laporte María, Monteverde, Ezequiel, Sandal, Özlem Sarac, Yazici, Mutlu Uysal, Heidemann, Sabrina, Munoz, Alvaro Coronado, Vavřina, Martin, González, Rafael, V-Ter, Mervin Loi, Flores-González, Jose Carlos, Harney, Kathy, Nettuno, Claudio, Enomoto, Yuki, Sherring, Claire, McMahon, Kimberly, Kulluoglu, Emine Pinar, Anil, Ayse Berna, Kalliopi, Straka, Ganu, Subodh, Wolfe, Katie, Agulnik, Asya, Duffett, Mark, Newth, Christopher J.L., Karsies, Todd, Gaspers, Mary G, Abu-Sultaneh, Samer, González, María García, Maroni, Arielle, Serrate, Alejandro Siaba, Giugni, Cristina, Reyes, Kara, López-Alarcón, Yúrika Paola, Cesar, Regina Grigolli, de Oliveira, Felipe Rezende Caino, Amoretti, Carolina Friedrich, Ortiz, Hudman Cunha, Ramos, Paulo, Almeida, Carlos Gustavo, Foronda, Flávia Andrea Krepel, de Castilho, Taisa Roberta Ramos Nantes, Mendes, Camila Fernandes, Zeitel, Raquel, Flintz, Rosana, Guedes, Camila, Moulin, Rodrigo, Kanazawa, Tomoyuki, Willems, Ariane, Baleine, Julien, de Souza, Vanessa Vieira, Scarlato, Ana Carolina Cabral Pinheiro, Gedeit, Rainer, Riveiro, Paula Marins, Robaina, Jaqueline Rodrigues, Lloyd, Simon D, de Oliveira, Mariana Barros Genuíno, Prata-Barbosa, Arnaldo, Chegondi, Madhuradhar, Vijayakumar, Niranjan, Gajraj, Malcolm, Lima-Setta, Fernanda, Montes, Miguel Ruz, Xavier, Glaciele N., Malisie, Ririe Fachrina, Cito, Fabiana, Jabur, Fernanda, Maia, Mary Lucy Ferraz, Mondardini, Maria Cristina, Nett, Sholeen, Smith, Arden Z., Dean Jarvis, Dean, Mcnally, Mary, Porter, Melissa, Ejzenberg, Fernanda, Ferreira, João Miguel Rodrigues, Leung, Karen Ka Yan, Nagaraj, Ravishankar, Sorbo, Marcello, Trastoy-Quintela, Javier, Slain, Katherine N., Miller, Andrew G., Rotta, Alexandre T., Hongxing, Dang, Chow, Chin Ying, Santschi, Miriam, De Barelli, Marta, Ödek, Çağlar, McNally, James Dayre, Lodha, Rakesh, Sankar, Jhuma, Davidson, Mark, Aneja, Himanshu, Darvas, Jennifer, Seby, Sebastian, Kelly, Nicola, and Liedel, Jennifer

Abstract

The number of children requiring prolonged mechanical ventilation (PMV) has increased with the advancement of medical care. We aimed to estimate the prevalence of PMV worldwide, document demographic and clinical characteristics of children requiring PMV in paediatric intensive care units (PICUs), and to understand variation in clinical practice and health-care burden.

Published
2025
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32. 776: MORTALITY AMONG PEDIATRIC HEMATOLOGY-ONCOLOGY PATIENTS WITH CLINICAL DETERIORATION IN LATIN AMERICA

Author

Agulnik, Asya, primary, Robles Murguia, Maricela, additional, Muniz-Talavera, Hilmarie, additional, Pham, Linh T.D., additional, Cardenas Aguirre, Adolfo, additional, Aragón Joya, Yefry Andrés, additional, Arce, Daniela, additional, Blasco Arriaba, Erika Esther, additional, Costa, Juliana, additional, De Leon, Claudia, additional, Díaz-Coronado, Rosdali, additional, Montalvo, Erika, additional, Miralda Mendez, Scheybi Teresa, additional, Ocampo, Diego, additional, Pineda Urquilla, Estuardo, additional, Aguiar de Paula, Andreia Ribeiro Pereira, additional, Sánchez-Martín, María, additional, Chen, Yichen, additional, Devidas, Meenakshi, additional, and Rodriguez-Galindo, Carlos, additional

Published
2023
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34. 786: THE ETIOLOGY OF HOSPITAL MORTALITY IN CHILDREN IN LMICS: A SYSTEMATIC REVIEW AND META-ANALYSIS

Author

Kortz, Teresa, primary, Mediratta, Rishi, additional, Smith, Audrey, additional, Nielsen, Katie, additional, Agulnik, Asya, additional, Gordon-Rivera, Stephanie, additional, Reeves, Hailey, additional, O’Brien, Nicole, additional, Hau Lee, Jan, additional, Kissoon, Niranjan, additional, Takwoingi, Yemisi, additional, Wiens, Matthew, additional, and Bhutta, Adnan, additional

Published
2023
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35. Development of a centralised triage centre for children with cancer and blood disorders in response to the humanitarian crisis in Ukraine

Author

Salek, Marta, primary, Mueller, Alexandra, additional, Alanbousi, Inna, additional, Cepowska, Zuzanna, additional, Dutkiewicz, Malgorzata, additional, Earl, Julian, additional, Evseev, Dmitry, additional, Kizyma, Roman, additional, Kliuchkivska, Khrystyna, additional, Kolodrubiec, Julia, additional, Matczak, Katarzyna, additional, Nogovitsyna, Yuliya, additional, Oszer, Aleksandra, additional, Pogorelyy, Mikhail, additional, Raciborska, Anna, additional, Rasul, Suheir, additional, Sokolowski, Igor, additional, Sopilnyak, Andriy, additional, Vinitsky, Anna, additional, Wlodarski, Marcin W, additional, Wobst, Natalia, additional, Yakimkova, Taisiya, additional, Rodriguez-Galindo, Carlos, additional, Wise, Paul H, additional, Mlynarski, Wojciech, additional, Agulnik, Asya, additional, Alexander, Sarah Weeks, additional, Apel, Anna, additional, Adyrov, Mykhaylo V, additional, Avula, Meghana, additional, Bal, Wioletta Anna, additional, Balwierz, Walentyna Aniela, additional, Basset-Salom, Luisa, additional, Bastardo Blanco, Daniel, additional, Bauer, Karolina Jadwiga, additional, Bayazitov, Ildar T, additional, Berlanga, Pablo, additional, Bhakta, Nickhill Hitesh, additional, Bieniek, Katarzyna Anna, additional, Bien, Ewa Iwona, additional, Blackwood, Christopher Andrew, additional, Blair, Sally Jane, additional, Bodak, Khrystyna Ihorivna, additional, Bordeianu, Irina, additional, Bouffet, Eric, additional, Braganca, Joao Maria, additional, Bucurenci, Mihaela Silvia, additional, Budny, Elżbieta Beata, additional, Budzyn, Andrii, additional, Bumgardner, Christopher Carl, additional, Burditt, Raina Nichole, additional, Burnside Clapp, Victoria, additional, Bykov, Viacheslav Valeriyovych, additional, Cañete, Adela, additional, Carnelli, Monica, additional, Cela, Elena, additional, Chaber, Radoslaw, additional, Cherner-Drieux, Anna, additional, Chubata, Mariya, additional, Clough, Heidi M, additional, Czauderna, Piotr Stefan, additional, Czernicka - Siwecka, Jolanta, additional, Czyzewski, Krzysztof, additional, Dalle, Jean-Hugues, additional, Dashchakovska, Olha, additional, de Koning, Linda A, additional, Dembowska-Baginska, Bozenna Malgorzata, additional, Derwich, Katarzyna, additional, Dirksen, Uta, additional, Dommett, Rachel, additional, Dorosh, Olha Ihorivna, additional, dos Reis Farinha, Nuno Jorge, additional, Drabko, Katarzyna Anna, additional, Dragomir, Monica Desiree, additional, Dworzak, Michael, additional, Dyma, Sergii Vitaliiovych, additional, Eggert, Angelika, additional, English, Martin William, additional, Farren, Becky S, additional, Fedyk, Nataliia Yuriina, additional, Fernández-Teijeiro, Ana, additional, Ferneza, Severyn Romanovych, additional, Foster, Whitney Baer, additional, Fox Irwin, Leeanna Elizabeth, additional, Gałązkowski, Robert Maciej, additional, Ganieva, Galyna, additional, Garanzha, Vasylyna Andriivna, additional, Gelman, Marina S, additional, Godzinski, Jan Krzysztof, additional, Goeres, Anne Françoise, additional, Golban, Rodica, additional, Graetz, Dylan Elizabeth, additional, Greiner, Jeanette, additional, Griksaitis, Michael J, additional, Gupta, Sumit, additional, Hampel, Michal Andrzej, additional, Hastings, Sara Grace, additional, Heenen, Delphine Liliane, additional, Hill, Marcela C, additional, Holiuk, Ihor, additional, Holter, Wolfgang, additional, Hough, Rachael Emma, additional, Hutnik, Lukasz Marek, additional, Irga-Jaworska, Ninela, additional, Istomin, Oleksandr Andriyovych, additional, Ignatova, Anna, additional, Janczar, Szymon Lech, additional, Kacharian, Arman, additional, Kalwak, Krzysztof, additional, Karolczyk, Grażyna Małgorzata, additional, Karpenko, Nataliia Mikolaivna, additional, Katsubo, Halyna Oleksandrivna, additional, Kattamis, Antonis, additional, Kazanowska, Bernarda Jadwiga, additional, Kentsis, Alex, additional, Ketteler, Petra, additional, Kienesberger, Anita, additional, Kiselev, Roman, additional, Kizyma, Zoryana Petrivna, additional, Klymniuk, Hryhorii Ivanovych, additional, Kolenova, Alexandra, additional, Kostiuk, Yuliia, additional, Kowalik, Tomasz, additional, Kozlova, Olena Igorivna, additional, Kozubenko, Vladyslav, additional, Kraal, Kathelijne, additional, Kramar, Tetyana Oleksandrivna, additional, Krawczuk-Rybak, Maryna Maryna, additional, Kulemzina, Irina, additional, Kurkowska, Paulina, additional, Kuzyk, Andriy S., additional, Ladenstein, Ruth Lydia, additional, Laguna, Pawel Jozef, additional, Lassaletta, Alvaro, additional, Lehmberg, Kai, additional, Leontieva, Oksana, additional, Liashenko, Serhii, additional, Loizou, Loizos G., additional, Lucchetta, Sonia Anna, additional, Lupo, Matthew William, additional, Lysytsia, Lesya, additional, Lysytsia, Oleksandr, additional, Machnik, Katarzyna Anna, additional, Massimino, Maura, additional, Mainland, Jeff A, additional, Matysiak, Michal Jacek, additional, Mayeur, Pierre, additional, Miller, Beth Anne, additional, Minervina, Anastasia A, additional, Mishkova, Volha, additional, Mizia-Malarz, Agnieszka Joanna, additional, Morales La Madrid, Andres, additional, Moreira, Daniel C, additional, Moreno, Lucas, additional, Moskvin, Vadim P, additional, Mukkada, Sheena Teresa, additional, Muszyńska-Rosłan, Katarzyna Maria, additional, Mykychak, Iryna Volodymyrivna, additional, Niemeyer, Charlotte, additional, Nelson, Akoya Janae', additional, Ociepa, Tomasz, additional, Oltolini, Stefano, additional, Onipko, Nataliia, additional, Pappas, Andrew, additional, Patel, Amit B, additional, Patrahau, Alina Alina, additional, Pauley, Jennifer L., additional, Pavlenko, Yehor Mikhailovich, additional, Pavlovych, Andrij Oleksandrovych, additional, Peregud-Pogorzelski, Jarosław Władysław, additional, Perek-Polnik, Marta, additional, Pérez, Vanesa, additional, Pérez-Martínez, Antonio, additional, Pikman, Yana, additional, Pitozzi, Graziano Pitozzi, additional, Portugal, Rui Gentil, additional, Posternak, Victoria Vita, additional, Pleshkan, Viktoriya, additional, Prete, Arcangelo, additional, Pritchard-Jones, Kathy, additional, Radaelli, Alessandra, additional, Reeves, Tegan Jemma, additional, Reinhardt, Dirk, additional, Reshetnyak, Andrey V, additional, Rider, Andrew Jacob, additional, Rizzari, Carmelo, additional, Rizzi, Damiano Damiano, additional, Rodriguez Hermosillo, Karen Gabriela, additional, Ronenko, Olena Volodymyrivna, additional, Rostkowska, Aneta Olga, additional, Rudko, Liudmyla Yaroslavivna, additional, Sakaan, Firas Mohamed, additional, Sakhar, Nadezhda Aleksandrovna, additional, Salman, Zeena S, additional, Savva, Natallia N, additional, Scaccaglia, Davide, additional, Schaeffer, Elizabeth Hawthorne, additional, Schneider, Carina Ursula, additional, Scobie, Nicole, additional, Semeniuk, Olena Volodymyrivna, additional, Shevchyk, Roksoliana, additional, Shuler, Ana, additional, Shvets, Stanislav, additional, Sniderman, Liz, additional, Skoczen, Szymon Pawel, additional, Smeal, William John, additional, Sonkin, Anna Alexandra, additional, Spota, Andrea, additional, Sramkova, Lucie, additional, Stepanjuk, Alla Ivanivna, additional, Sterba, Jaroslav, additional, Strahm, Brigitte, additional, Styczynski, Jan, additional, Svintsova, Olha, additional, Synyuta, Andriy V, additional, Szczepanski, Tomasz, additional, Szczucinski, Paweł Kukiz, additional, Szmyd, Bartosz Miroslaw, additional, Tasso Cereceda, Maria, additional, Teliuk, Alina, additional, Tomanek, Iwona, additional, Topping, Phoebe, additional, Torrent, Montserrat, additional, Trelińska, Joanna, additional, Troyanovska, Olha Orestivna, additional, Tsurkan, Lyudmila G., additional, Tsymbalyuk-Voloshyn, Iryna, additional, Tyupa, Sergiy Ihorovych, additional, Urasinski, Tomasz Franciszek, additional, Urbanek Dądela, Agnieszka, additional, Vasilieva, Nataliia Jroslavivna, additional, Vasilyeva, Aksana, additional, Verdú-Amorós, Jaime, additional, Vilcu-Bajurean, Natalia, additional, Vinitsky, Leo, additional, Vivtcharenko, Victoria, additional, Vovk, Nelia, additional, Volpe, Giovanni, additional, Vorobel, Oksana Ivanivna, additional, Wachowiak, Jacek Tadeusz, additional, Wasiak, Marcin Sławomir, additional, Wiedower, Lance Allan, additional, Wuenschel, Lena Isolde, additional, Wysocki, Mariusz Stanislaw, additional, Yurieva, Marina, additional, Zagurska, Anastasiia, additional, Zakharenko, Stanislav S, additional, Zakharenko, Aelita V, additional, Zapotochna, Khrystyna, additional, Zawitkowska, Joanna Emilia, additional, and Zecca, Marco, additional

Published
2023
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37. Connecting Clinical Capacity and Intervention Sustainability in Resource-Variable Pediatric Oncology Centers in Latin America

Author

McKay, Virginia, primary, Chen, Yichen, additional, Prewitt, Kim, additional, Malone, Sara, additional, Puerto-Torres, Maria, additional, Acuña-Aguirre, Carlos, additional, Alfonso-Carreras, Yvania, additional, Alvarez-Arellano, Shilel Y., additional, Andrade-Sarmiento, Leticia A., additional, Arce-Cabrera, Daniela, additional, Argüello-Vargas, Deiby, additional, Barragán-García, Mariuxy D. C., additional, Batista-Del-Cid, Rosario, additional, Blasco-Arriaga, Erika E., additional, Cach-Castaneda, Maria D. C., additional, Ceballo-Batista, Gloria I., additional, Chávez-Rios, Mayra, additional, Costa, Maria E., additional, Cuencio-Rodriguez, Maria E., additional, Diaz-Coronado, Rosdali, additional, Fing-Soto, Ever A., additional, García-Sarmiento, Teresa D. J., additional, Gómez-García, Wendy C., additional, Hernández-González, Cinthia J., additional, Jimenez-Antolinez, Yajaira V., additional, Juarez-Tobias, Maria S., additional, León-López, Esmeralda M., additional, Lopez-Facundo, Norma A., additional, Martínez Soria, Ruth A., additional, Miralda-Méndez, Scheybi T., additional, Montalvo, Erika, additional, Pérez-Alvarado, Carlos M., additional, Perez-Fermin, Clara K., additional, Quijano-Lievano, Monica L., additional, Salas-Mendoza, Beatriz, additional, Sanchez-Fuentes, Edwin E., additional, Serrano-Landivar, Marcia X., additional, Soto-Chavez, Veronica, additional, Tejocote-Romero, Isidoro, additional, Valle, Sergio, additional, Vasquez-Roman, Elizabeth A., additional, Costa, Juliana Texeira, additional, Cardenas-Aguirre, Adolfo, additional, Devidas, Meenakshi, additional, Luke, Douglas A., additional, and Agulnik, Asya, additional

Published
2023
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38. CritCom: assessment of quality of interdisciplinary communication around deterioration in pediatric oncologic patients

Author

Rivera, Jocelyn, primary, Malone, Sara, additional, Puerto-Torres, Maria, additional, Prewitt, Kim, additional, Counts, Lara, additional, Wiphatphumiprates, Parima, additional, Sakaan, Firas, additional, Al Zebin, Zebin, additional, Arias, Anita V., additional, Bhattacharyya, Parthasarathi, additional, Gunasekera, Sanjeeva, additional, Johnson, Sherry, additional, Kambugu, Joyce, additional, Kaye, Erica C., additional, Mandrell, Belinda, additional, Mack, Jennifer, additional, McArthur, Jennifer, additional, Mendez, Alejandra, additional, Morrissey, Lisa, additional, Sharara-Chami, Rana, additional, Snaman, Jennifer, additional, Sniderman, Elizabeth, additional, Luke, Douglas A., additional, Graetz, Dylan E., additional, and Agulnik, Asya, additional

Published
2023
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39. Collaboration for success: the Global Initiative for Childhood Cancer in Latin America

Author

Vásquez, Liliana, primary, Fuentes-Alabi, Soad, additional, Benitez-Majano, Sara, additional, Ribeiro, Karina Braga, additional, Abraham, Monnie, additional, Agulnik, Asya, additional, Baker, Justin N., additional, Blanco, Daniel Bastardo, additional, Caniza, Miguela A., additional, Cardenas-Aguirre, Adolfo, additional, Salaverria, Carmen, additional, Sullivan, Courtney E., additional, Damasco-Avila, Erika, additional, García-Quintero, Ximena, additional, Loggetto, Patricia, additional, McNeil, Michael J., additional, Luna-Fineman, Sandra, additional, Rossell, Nuria, additional, Garcia de Lima, Regina Aparecida, additional, de Mendonca, Regina Holanda, additional, Trigoso, Viviana, additional, Segovia, Lorena, additional, Vasquez, Roberto, additional, Moreno, Florencia, additional, Friedrich, Paola, additional, Luciani, Silvana, additional, Lam, Catherine, additional, Metzger, Monika L., additional, Rodríguez-Galindo, Carlos, additional, and Maza, Mauricio, additional

Published
2023
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41. Mortality Risk Factors in Pediatric Onco-Critical Care Patients and Machine Learning Derived Early Onco-Critical Care Phenotypes in a Retrospective Cohort

Author

Flerlage, Tim, primary, Fan, Kimberly, additional, Qin, Yidi, additional, Agulnik, Asya, additional, Arias, Anita V., additional, Cheng, Cheng, additional, Elbahlawan, Lama, additional, Ghafoor, Saad, additional, Hurley, Caitlin, additional, McArthur, Jennifer, additional, Morrison, R. Ray, additional, Zhou, Yinmei, additional, Park, H.J., additional, Carcillo, Joseph A., additional, and Hines, Melissa R., additional

Published
2023
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43. Treatment-related mortality in children with cancer in low-income and middle-income countries: a systematic review and meta-analysis

Author

Ehrlich, Bella S, primary, McNeil, Michael J, additional, Pham, Linh T D, additional, Chen, Yichen, additional, Rivera, Jocelyn, additional, Acuna, Carlos, additional, Sniderman, Liz, additional, Sakaan, Firas M, additional, Aceituno, Alejandra Mendez, additional, Villegas, Cesar A, additional, Force, Lisa M, additional, Bolous, Nancy S, additional, Wiphatphumiprates, Parima P, additional, Slone, Jeremy S, additional, Carrillo, Angela K, additional, Gillipelli, Srinithya R, additional, Duffy, Caitlyn, additional, Arias, Anita V, additional, Devidas, Meenakshi, additional, Rodriguez-Galindo, Carlos, additional, Mukkada, Sheena, additional, and Agulnik, Asya, additional

Published
2023
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44. Effect of paediatric early warning systems (PEWS) implementation on clinical deterioration event mortality among children with cancer in resource-limited hospitals in Latin America: a prospective, multicentre cohort study

Author

Agulnik, Asya, primary, Muniz-Talavera, Hilmarie, additional, Pham, Linh T D, additional, Chen, Yichen, additional, Carrillo, Angela K, additional, Cárdenas-Aguirre, Adolfo, additional, Gonzalez Ruiz, Alejandra, additional, Garza, Marcela, additional, Conde Morelos Zaragoza, Tania Maria, additional, Soberanis Vasquez, Dora Judith, additional, Méndez-Aceituno, Alejandra, additional, Acuña-Aguirre, Carlos, additional, Alfonso-Carreras, Yvania, additional, Alvarez Arellano, Shillel Yahamy, additional, Andrade Sarmiento, Leticia Aradi, additional, Batista, Rosario, additional, Blasco Arriaga, Erika Esther, additional, Calderon, Patricia, additional, Chavez Rios, Mayra, additional, Costa, María Eugenia, additional, Díaz-Coronado, Rosdali, additional, Fing Soto, Ever Amilcar, additional, Gómez García, Wendy Cristhyna, additional, Herrera Almanza, Martha, additional, Juarez Tobías, Maria Susana, additional, León López, Esmeralda Mercedes, additional, López Facundo, Norma Araceli, additional, Martinez Soria, Ruth Angelica, additional, Miller, Kenia, additional, Miralda Méndez, Scheybi Teresa, additional, Mora Robles, Lupe Nataly, additional, Negroe Ocampo, Natalia del Carmen, additional, Noriega Acuña, Berenice, additional, Osuna Garcia, Alejandra, additional, Pérez Alvarado, Carlos M, additional, Pérez Fermin, Clara Krystal, additional, Pineda Urquilla, Estuardo Enrique, additional, Portilla Figueroa, Carlos Andrés, additional, Ríos Lopez, Ligia Estefanía, additional, Rivera Mijares, Jocelyn, additional, Soto Chávez, Verónica, additional, Suarez Soto, Jorge Iván, additional, Teixeira Costa, Juliana, additional, Tejocote Romero, Isidoro, additional, Villanueva Hoyos, Erika Elena, additional, Villegas Pacheco, Marielba, additional, Devidas, Meenakshi, additional, and Rodriguez-Galindo, Carlos, additional

Published
2023
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46. A new measure for multi-professional medical team communication: design and methodology for multilingual measurement development

Author

Malone, Sara, primary, Rivera, Jocelyn, additional, Puerto-Torres, Maria, additional, Prewitt, Kim, additional, Sakaan, Firas, additional, Counts, Lara, additional, Al Zebin, Zebin, additional, Arias, Anita V., additional, Bhattacharyya, Parthasarathi, additional, Gunasekera, Sanjeeva, additional, Johnson, Sherry, additional, Kambugu, Joyce, additional, Kaye, Erica C., additional, Mandrell, Belinda, additional, Mack, Jennifer W., additional, McArthur, Jennifer, additional, Mendez, Alejandra, additional, Morrissey, Lisa, additional, Sharara-Chami, Rana, additional, Snaman, Jennifer, additional, Sniderman, Elizabeth, additional, Luke, Douglas A., additional, Graetz, Dylan E., additional, and Agulnik, Asya, additional

Published
2023
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47. Impact of hospital characteristics on implementation of a Pediatric Early Warning System in resource-limited cancer hospitals

Author

Abutineh, Farris, primary, Graetz, Dylan E., additional, Muniz-Talavera, Hilmarie, additional, Ferrara, Gia, additional, Puerto-Torres, Maria, additional, Chen, Yichen, additional, Gillipelli, Srinithya R., additional, Elish, Paul, additional, Gonzalez-Ruiz, Alejandra, additional, Alfonso Carreras, Yvania, additional, Alvarez, Shillel, additional, Arce Cabrera, Daniela, additional, Arguello Vargas, Deiby, additional, Armenta Cruz, Miriam, additional, Barra, Camila, additional, Calderon Sotelo, Patricia, additional, Carpio, Zulma, additional, Chavez Rios, Mayra, additional, Covarrubias, Daniela, additional, de Leon Vasquez, Lucy, additional, Diaz Coronado, Rosdali, additional, Fing Soto, Ever Amilcar, additional, Gomez-Garcia, Wendy, additional, Hernandez, Cinthia, additional, Juarez Tobias, María Susana, additional, Leon, Esmeralda, additional, Loeza Oliva, Jose de Jesus, additional, Mendez, Alejandra, additional, Miller, Kenia, additional, Montalvo Cozar, Erika, additional, Negroe Ocampo, Natalia del Carmen, additional, Penafiel, Eulalia, additional, Pineda, Estuardo, additional, Rios, Ligia, additional, Rodriguez Ordonez, Esperanza, additional, Soto Chavez, Veronica, additional, Devidas, Meenakshi, additional, and Agulnik, Asya, additional

Published
2023
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48. The COVID ‐19 Pandemic's impact on sustainability and expansion of a Pediatric Early Warning System in resource‐limited hospitals

Author

Wiphatphumiprates, Parima P., primary, Graetz, Dylan E., additional, Ferrara, Gia, additional, Puerto‐Torres, Maria, additional, Gillipelli, Srinithya R., additional, Elish, Paul, additional, Muniz‐Talavera, Hilmarie, additional, Gonzalez‐Ruiz, Alejandra, additional, Armenta, Miriam, additional, Barra, Camila, additional, Carpio, Zulma, additional, Hernandez, Cinthia, additional, Juarez, Susana, additional, de Jesus Loeza, Jose, additional, Mendez, Alejandra, additional, Montalvo, Erika, additional, Penafiel, Eulalia, additional, Pineda, Estuardo, additional, McKay, Virginia, additional, and Agulnik, Asya, additional

Published
2023
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