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42 results on '"McSweeney, Maireade"'

4. Pediatric Aerodigestive Medicine: Advancing Collaborative Care for Children With Oropharyngeal Dysphagia

Author

Krasaelap, Amornluck, primary, Duncan, Daniel R., additional, Sabe, Ramy M. M., additional, Bhardwaj, Vrinda, additional, Lerner, Diana G., additional, Gold, Benjamin D., additional, Boesch, Richard Paul, additional, Faure, Christophe, additional, von Allmen, Daniel, additional, Williams, Dana, additional, Chiou, Eric, additional, DeBoer, Emily, additional, Hysinger, Erik, additional, Maybee, Jennifer, additional, Khlevner, Julie, additional, Larson, Kara, additional, Morris, Kimberly, additional, Jalali, Lauren, additional, McSweeney, Maireade, additional, Brigger, Matthew T., additional, Greifer, Melanie, additional, Rutter, Michael, additional, Williams, Nina, additional, Subramanyan, Ram Kumar, additional, Ryan, Matthew J., additional, Acra, Sari, additional, Pentiuk, Scott, additional, Friedlander, Joel, additional, Sobol, Steven E., additional, Kaul, Ajay, additional, Dorfman, Lev, additional, Darbari, Anil, additional, Prager, Jeremy D., additional, Rosen, Rachel, additional, Cocjin, Jose T., additional, and Mousa, Hayat, additional

Published
2023
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17. Tu1291 – Variations in Practice Patterns in the Management of Children with Aerodigestive Symptoms

Author

Rosen, Rachel, primary, Lurie, Margot, additional, Fishman, Eliza, additional, Hester, Lisa, additional, Chin, Zoe, additional, Burch, Elizabeth, additional, Sabharwal, Sabina, additional, Kane, Madeline, additional, Dolan, Caitlin, additional, Pleskow, Randi, additional, Duncan, Daniel, additional, Beinvogl, Beate C., additional, Goldberg, Nancy, additional, Softic, Samir, additional, Mobassaleh, Munir, additional, Rubinstein, Eitan, additional, and McSweeney, Maireade E., additional

Published
2019
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20. A Quality Improvement Initiative to Reduce Gastrostomy Tube Placement in A Quality Improvement Initiative to Reduce Gastrostomy Tube Placement in.

Author

McSweeney, Maireade E., Meleedy-Rey, Patricia, Kerr, Jessica, Chan Yuen, Jenny, Fournier, Gregory, Norris, Kerri, Larson, Kara, and Rosen, Rachel

Subjects
*CLINICAL trials, *DEGLUTITION disorders, *FLUOROSCOPY, *GASTROENTEROLOGISTS, *HOSPITAL care, *HOSPITAL emergency services, *MEDICAL protocols, *QUALITY assurance, *RESPIRATORY aspiration, *PATIENT readmissions, *FEEDING tubes, *EVALUATION of human services programs
Abstract

OBJECTIVES: Oropharyngeal dysphagia and aspiration may occur in infants and children. Currently, there is wide practice variation regarding when to feed children orally or place more permanent gastrostomy tube placement. Through implementation of an evidence-based guideline (EBG), we aimed to standardize the approach to these patients and reduce the rates of gastrostomy tube placement. METHODS: Between January 2014 and December 2018, we designed and implemented a quality improvement intervention creating an EBG to be used by gastroenterologists evaluating patients ≤2 years of age with respiratory symptoms who were found to aspirate on videofluoroscopic swallow study (VFSS). Our primary aim was to encourage oral feeding and decrease the use of gastrostomy tube placement by 10% within 1 year of EBG initiation; balancing measures included total hospital readmissions or emergency department (ED) visits within 6 months of the abnormal VFSS. RESULTS: A total of 1668 patients (27.2%) were found to have aspiration or penetration noted on an initial VFSS during our initiative. Mean gastrostomy tube placement in these patients was 10.9% at the start of our EBG implementation and fell to 5.2% approximately 1 year after EBG initiation; this improvement was sustained throughout the next 3 years. Our balancing measures of ED visits and hospital readmissions also did not change during this time period. CONCLUSIONS: Through implementation of this EBG, we reduced gastrostomy tube placement by 50% in patients presenting with oropharyngeal dysphagia and aspiration, without increasing subsequent hospital admissions or ED visits. [ABSTRACT FROM AUTHOR]

Published
2020
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21. Histamine: putative transmitter for lateral inhibition in Limulus eye

Author

Stewart, Karen M., Porcello, Darrell M., McSweeney, Maireade E., Saito, Takehiko, Passaglia, Christopher L., Dodge, Frederick A., and Barlow, Robert B.

Subjects
Horseshoe crabs -- Physiological aspects, Eye -- Physiological aspects, Histamine -- Physiological aspects, Inhibition -- Physiological aspects, Biological sciences, Physiological aspects
Abstract

Lateral inhibition is an integrative mechanism found in many nervous systems. In retinas, it enhances borders and edges in the visual field (1). Since its discovery in the lateral eye [...]

Published
1997

22. Visual performance of horseshoe crabs: role of underwater lighting

Author

Passaglia, Christopher L., McSweeney, Maireade E., Stewart, Karen M., Kim, Edward, Mole, Edward J., Powers, Maureen K., and Barlow, Robert B.

Subjects
Horseshoe crabs -- Physiological aspects, Lighting -- Physiological aspects, Vision -- Physiological aspects, Electric lighting -- Physiological aspects, Biological sciences, Physiological aspects
Abstract

For millennia, horseshoe crabs have migrated toward shore during the spring to build nests and deposit eggs. Behavioral studies show that vision plays an important role in their mating behavior. [...]

Published
1997

25. Mo2027 - Multidisciplinary Care of Patients with Oropharyngeal Dysphagia Results in Successful Nasogastric Tube Weaning and Gastrostomy Tube Avoidance

Author

Rosen, Rachel, primary, Larson, Kara, additional, Lurie, Margot, additional, Fishman, Eliza, additional, Dean, Elizabeth, additional, Burch, Elizabeth, additional, Hester, Lisa, additional, Chin, Zoe, additional, Sparrow, Amelia, additional, Duncan, Daniel, additional, and McSweeney, Maireade E., additional

Published
2018
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42. Association of Proton Pump Inhibitors With Hospitalization Risk in Children With Oropharyngeal Dysphagia.

Author

Duncan DR, Mitchell PD, Larson K, McSweeney ME, and Rosen RL

Subjects
Boston, Female, Humans, Infant, Length of Stay statistics & numerical data, Male, Retrospective Studies, Risk Factors, Child, Hospitalized statistics & numerical data, Deglutition Disorders drug therapy, Hospitalization statistics & numerical data, Pneumonia, Aspiration etiology, Proton Pump Inhibitors therapeutic use
Abstract

Importance: Proton pump inhibitors (PPI) are commonly prescribed to children with oropharyngeal dysphagia and resultant aspiration based on the assumption that these patients are at greater risk for reflux-related lung disease. There is little data to support this approach and the potential risk for increased infections in children treated with PPI may outweigh any potential benefit., Objective: The aim of this study was to determine if there is an association between hospitalization risk in pediatric patients with oropharyngeal dysphagia and treatment with PPI., Design, Setting, and Participants: We performed a retrospective cohort study to compare the frequency and length of hospitalizations for children who had abnormal results on videofluoroscopic swallow studies that were performed between January 1, 2015, and December 31, 2015, and who were or were not treated with PPI, with follow-up through December 31, 2016. Records were reviewed for children who presented for care at Boston Children's Hospital, a tertiary referral center. Participants included 293 children 2 years and younger with evidence of aspiration or penetration on videofluoroscopic swallow study., Exposures: Groups were compared based on their exposure to PPI treatment., Main Outcomes and Measures: The primary outcomes were hospital admission rate and hospital admission nights and these were measured as incident rates. Multivariable analyses were performed to determine predictors of hospitalization risk after adjusting for comorbidities. Kaplan-Meier curves were created to determine the association of PPI prescribing with time until first hospitalization., Results: A total of 293 patients with a mean (SD) age of 8.8 (0.4) months and a mean (SD) follow-up time of 18.15 (0.20) months were included in the analysis. Patients treated with PPI had higher admission rates (Incidence rate ratio [IRR], 1.77; 95% CI, 1.16-2.68) and admission nights (IRR, 2.51; 95% CI, 1.36-4.62) even after adjustment for comorbidities. Patients with enteral tubes who were prescribed PPIs were at the highest risk for admission (hazard ratio [HR], 2.31; 95% CI, 1.24-4.31)., Conclusions and Relevance: Children with aspiration who are treated with PPI have increased risk of hospitalization compared with untreated patients. These results support growing concern about the risks of PPI use in children.

Published
2018
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