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2. Patient and Process Outcomes among Pediatric Patients Undergoing Appendectomy during the COVID-19 Pandemic: An International Retrospective Cohort Study

Author

Matava, Clyde T, Tighe, Nathaniel TG, Baertschiger, Reto, Wilder, Robert T, Correll, Lynnie, Staffa, Steven J, Zurakowski, David, Kato, Meredith A, Meier, Petra M, Raman, Vidya, Reddy, Srijaya K, Roque, Remigio A, Peterson, Melissa Brooks, Zhong, John, Edala, Thejovathi, Greer, Timothy J, von Ungern-Sternberg, Britta S, Cravero, Joseph, Simpao, Allan F, Ali, Anita Akbar, Al-Rabbat, Mohamad F, Brzenski, Alyssa B, Casey, William F, Chhabada, Surendrasingh, Collin, Michael, Dhumak, Vipul J, D’Mello, Ajay, Echeverry, Piedad C, Ellison, Pavithra R, Fernandez, Allison M, Fisher, Jake A, Fuller, Clinton L, Glover, Chris D, Guruswamy, Velu, Hesselink, Emily B, Hunyady, Agnes I, Lorinc, Amanda N, King, Michael, Mihaila, Lavinia, Nelson, Jonathon H, Ng, Ann S, Ramjist, Joshua K, Ravula, Nirop R, Beel, Elizabeth Rossmann, Rugnathx, Rahil, Shaw, Robert E, Sheth, Michelle M, Sinha, Tripiti, Sommerfield, Aine, Soneru, Codruta, Templeton, Thomas W, and Williams, RJ

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Clinical Research, Pediatric, Patient Safety, Prevention, Good Health and Well Being, Humans, Child, COVID-19, Retrospective Studies, Pandemics, Appendicitis, Appendectomy, COVID-19 Testing, Postoperative Complications, SARS-CoV-2, Length of Stay, PEACOC Collaborators, Anesthesiology, Clinical sciences
Abstract

BackgroundCOVID-19 forced healthcare systems to make unprecedented changes in clinical care processes. The authors hypothesized that the COVID-19 pandemic adversely impacted timely access to care, perioperative processes, and clinical outcomes for pediatric patients undergoing primary appendectomy.MethodsA retrospective, international, multicenter study was conducted using matched cohorts within participating centers of the international PEdiatric Anesthesia COVID-19 Collaborative (PEACOC). Patients younger than 18 yr old were matched using age, American Society of Anesthesiologists Physical Status, and sex. The primary outcome was the difference in hospital length of stay of patients undergoing primary appendectomy during a 2-month period early in the COVID-19 pandemic (April to May 2020) compared with prepandemic (April to May 2019). Secondary outcomes included time to appendectomy and the incidence of complicated appendicitis.ResultsA total of 3,351 cases from 28 institutions were available with 1,684 cases in the prepandemic cohort matched to 1,618 in the pandemic cohort. Hospital length of stay was statistically significantly different between the two groups: 29 h (interquartile range: 18 to 79) in the pandemic cohort versus 28 h (interquartile range: 18 to 67) in the prepandemic cohort (adjusted coefficient, 1 [95% CI, 0.39 to 1.61]; P < 0.001), but this difference was small. Eight centers demonstrated a statistically significantly longer hospital length of stay in the pandemic period than in the prepandemic period, while 13 were shorter and 7 did not observe a statistically significant difference. During the pandemic period, there was a greater occurrence of complicated appendicitis, prepandemic 313 (18.6%) versus pandemic 389 (24.1%), an absolute difference of 5.5% (adjusted odds ratio, 1.32 [95% CI, 1.1 to 1.59]; P = 0.003). Preoperative SARS-CoV-2 testing was associated with significantly longer time-to-appendectomy, 720 min (interquartile range: 430 to 1,112) with testing versus 414 min (interquartile range: 231 to 770) without testing, adjusted coefficient, 306 min (95% CI, 241 to 371; P < 0.001), and longer hospital length of stay, 31 h (interquartile range: 20 to 83) with testing versus 24 h (interquartile range: 14 to 68) without testing, adjusted coefficient, 7.0 (95% CI, 2.7 to 11.3; P = 0.002).ConclusionsFor children undergoing appendectomy, the COVID-19 pandemic did not significantly impact hospital length of stay.Editor’s perspective

Published
2023

11. LASER FLARE PHOTOMETRY IN PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT: An Evaluation of 2,487 Cases

Author

Gietzelt, Caroline, Hoerster, Robert, Schiller, Petra, Hermann, Saskia, Kraus, Daria, Holz, Frank G., Guthoff, Rainer, Agostini, Hansjürgen, Spitzer, Martin S., Wiedemann, Peter, Lommatzsch, Albrecht, Boden, Karl T., Bartz-Schmidt, Ulrich, Bemme, Sebastian, Tamm, Svenja, Maier, Mathias, Roider, Johann, Kirchhof, Bernd, Fauser, Sascha, Schaub, Friederike, Altay, Lebriz, Bartz-Schmidt, Karl Ulrich, Callizo, Josep, Dahlke, Claudia, Dimopoulos, Spyridon, Eberwein, Philipp, Ehlken, Christoph, Enders, Philip, Feltgen, Nicolas, Gamulescu, Andreea, Gelisken, Faik, Gutfleisch, Matthias, Haus, Arno, Helbig, Horst, Hermann, Manuel, Januschowski, Kai, Jochmann, Claudia, Kaya, Sema, Kirchhof, Bernd, Krohne, Tim, Lagrèze, Wolf, Lange, Clemens, Lohmann, Chris, Lommatzsch, Albrecht, Macek, Marc Andrej, Maier, Mathias, Märker, David, Mayer, Christian, Meier, Petra, Menzel-Severing, Johannes, Molnar, Fanni, Müther, Philipp, Prahs, Philipp, Purtskhvanidze, Konstantine, Rehak, Matus, Rickmann, Annekatrin, Schick, Tina, Schmitz-Valckenberg, Steffen, Schultheiß, Maximilian, Schweig, Alexandra, Skevas, Christos, Stahl, Andreas, Szurman, Peter, Unterlauft, Jan Darius, Wakili, Philip, and Wozar, Fabian

Published
2024
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16. A survey of the global impact of COVID‐19 on the practice of pediatric anesthesia: A study from the pediatric anesthesia COVID‐19 Collaborative Group

Author

Soneru, Codruta N, Fernandez, Allison M, Bradford, Victoria, Staffa, Steven J, Raman, Vidya T, Cravero, Joseph, Zurakowski, David, Meier, Petra M, Balakrishnan, Sindu, Bansal, Vipin, Torres, Angela Becerra, Beethe, Amy, Benzon, Hubert A, Bhandari, Angelina, Bocanegra, Ashley, Bould, Dylan, Peterson, Melissa Brooks, Brzenski, Alyssa, Busso, Veronica, Cain, James G, Cassidy, Myles, Cheon, Eric C, Chhabada, Surendrasingh, Correll, Lynnie R, Dalesio, Nicholas M, Davidson, Andrew, Derderian, Courtney, Dhumak, Vipul, Disma, Nicola, D'Mello, Ajay, Echeverry, Piedad, Ellison, Pavithra R, Erb, Thomas, Fajardo, Angelica, Falcon, Ricardo J, Frugoni, Brian, García, Javier, Giraldo, Olga Lucía, Glover, Chris D, Goeller, Jessica, Goobie, Susan M, Gooch, Ingrid, Granados, Lina Maria, Grivoyannis, Anastasia, Guruswamy, Velu, Hesselink, Emily, Hobbs, Jill, Hunyady, Agnes, Jain, Ranu, Jorge‐Reynolds, Lydia, Kato, Meredith A, King, Michael R, Kitzman, Jamie, Koh, Jeffrey, Lester, Andy, Lorinc, Amanda, Lozano, Constanza, Manupipatpong, Katherine, Matava, Clyde, McLuckie, Duncan, Merchant, Kanwal, Levy, Heather Mitzel, Muldowney, Bridget L, Navarro, Julian Andres, Nelson, Jonathon, Patel, Amish, Patel, Roshan, Ravula, Niroop, Reddy, Desigen, Reddy, Srijaya K, McCormick, Megan Rodgers, Roque, Remigio, Rosen, David, Beel, Elizabeth Rossmann, Rothschild, Leelach, Sarmiento, Lina, Shadrina, Anna, Shaw, Robert, Sheth, Michelle, Simpao, Allan F, Singh, Neeta, Smith, Timothy E, Soria, Claire, Szmuk, Peter, Taicher, Brad M, Tan, Gee Mei, Teng, Howard, Edala, Thejovathi, Tighe, Nathaniel, Tom, Simon, Trujillo, Alexander, Vishneski, Susan R, Vivas, Juan Pablo, Von Samek, Adam, von Ungern‐Sternberg, Britta S, Whyte, Simon, and Wilder, Robert T

Subjects
Clinical Research, Patient Safety, Pediatric, Generic health relevance, Good Health and Well Being, Anesthesia, Anesthesiologists, Anesthesiology, COVID-19, COVID-19 Testing, Child, Humans, Pandemics, Pediatricians, Pediatrics, Personal Protective Equipment, Practice Guidelines as Topic, Practice Patterns, Physicians', SARS-CoV-2, Societies, Medical, Surveys and Questionnaires, United States, hospital economics, pediatric anesthesia, personal protective equipment, preoperative testing, simulation, Pediatric Anesthesia COVID-19 Collaborative, Paediatrics and Reproductive Medicine
Abstract

BackgroundPediatric anesthesiology has been greatly impacted by COVID-19 in the delivery of care to patients and to the individual providers. With this study, we sought to survey pediatric centers and highlight the variations in care related to perioperative medicine during the COVID-19 pandemic, including the availability of protective equipment, the practice of pediatric anesthesia, and economic impact.AimThe aim of the survey was to determine how COVID-19 directly impacted pediatric anesthesia practices during the study period.MethodsA survey concerning four major domains (testing, safety, clinical management/policy, economics) was developed. It was pilot tested for clarity and content by members of the Pediatric Anesthesia COVID-19 Collaborative. The survey was administered by email to all Pediatric Anesthesia COVID-19 Collaborative members on September 1, 2020. Respondents had six weeks to complete the survey and were instructed to answer the questions based on their institution's practice during September 1 - October 13, 2020.ResultsSixty-three institutions (100% response rate) participated in the COVID-19 Pediatric Anesthesia Survey. Forty-one hospitals (65%) were from the United States, and 35% included other countries. N95 masks were available to anesthesia teams at 91% of institutions (n = 57) (95% CI: 80%-96%). COVID-19 testing criteria of anesthesia staff and guidelines to return to work varied by institution. Structured simulation training aimed at improving COVID-19 safety and patient care occurred at 62% of institutions (n = 39). Pediatric anesthesiologists were economically affected by a reduction in their employer benefits and restriction of travel due to employer imposed quarantine regulations.ConclusionOur data indicate that the COVID-19 pandemic has impacted the testing, safety, clinical management, and economics of pediatric anesthesia practice. Further investigation into the long-term consequences for the specialty is indicated.

Published
2021

22. Prevalence of COVID-19 and Risk Factors for Infection Among Pediatric Anesthesia Patients: A Report From the PEACOC Research Network

Author

Kato, Meredith A., Zurakowski, David, Adams, AmandaMarie, Soelberg, Julie, Staffa, Steven J., Bradford, Victoria A., Efune, Proshad N., Rodgers McCormick, Megan E., Grivoyannis, Anastasia D., Rossmann Beel, Elizabeth, Correll, Lynnie R., Cheon, Eric C., Tan, Gee Mei, Thomas, James J., Fernandez, Allison M., Teng, Howard C., Khanna, Neha, Raman, Vidya T., Brzenski, Alyssa B., Frugoni, Brian J., Sheth, Michelle M., Rugnath, Rahil M., and Meier, Petra M.

Published
2023
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34. Estimating quality-adjusted life expectancy (QALE) for local authorities in Great Britain and its association with indicators of the inclusive economy: a cross-sectional study

Author

Höhn, Andreas, primary, Lomax, Nik, additional, Rice, Hugh, additional, Angus, Colin, additional, Brennan, Alan, additional, Brown, Denise, additional, Cunningham, Anne, additional, Elsenbroich, Corinna, additional, Hughes, Ceri, additional, Katikireddi, Srinivasa Vittal, additional, McCartney, Gerry, additional, Seaman, Rosie, additional, Tsuchia, Aki, additional, and Meier, Petra, additional

Published
2024
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46. Predictors of perioperative complications in paediatric cranial vault reconstruction surgery: a multicentre observational study from the Pediatric Craniofacial Collaborative Group

Author

Abruzzese, Christopher, Apuya, Jesus, Beethe, Amy, Benzon, Hubert, Binstock, Wendy, Brzenski, Alyssa, Budac, Stefan, Busso, Veronica, Chhabada, Surendrasingh, Chiao, Franklin, Cladis, Franklyn, Claypool, Danielle, Collins, Michael, Dabek, Rachel, Dalesio, Nicholas, Falconl, Ricardo, Fernandez, Allison, Fernandez, Patrick, Fiadjoe, John, Gangadharan, Meera, Gentry, Katherine, Glover, Chris, Goobie, Susan M., Gosman, Amanda, Grap, Shannon, Gries, Heike, Griffin, Allison, Haberkern, Charles, Hajduk, John, Hall, Rebecca, Hansen, Jennifer, Hetmaniuk, Mali, Hsieh, Vincent, Huang, Henry, Ingelmo, Pablo, Ivanova, Iskra, Jain, Ranu, Kars, Michelle, Kowalczyk-Derderian, Courtney, Kugler, Jane, Labovsky, Kristen, Lakheeram, Indrani, Lee, Andrew, Martinez, Jose Luis, Masel, Brian, Medellin, Eduardo, Meier, Petra, Levy, Heather Mitzel, Muhly, Wallis T., Muldowney, Bridget, Nelson, Jonathon, Nicholson, Julie, Nguyen, Kim-Phuong, Nguyen, Thanh, Olutuye, Olutoyin, Owens-Stubblefield, Margaret, Parekh, Uma Ramesh, Petersen, Timothy, Pohl, Vanessa, Post, Julian, Poteet-Schwartz, Kim, Prozesky, Jansie, Reddy, Srijaya, Reid, Russell, Ricketts, Karene, Rubens, Daniel, Ryan, Laura, Skitt, Rochelle, Soneru, Codruta, Spitznagel, Rachel, Stricker, Paul, Singh, Davinder, Singhal, Neil R., Sorial, Emad, Staudt, Susan, Stubbeman, Bobbie, Sung, Wai, Syed, Tariq, Szmuk, Peter, Taicher, Brad M., Thompson, Douglas, Tretault, Lisa, Ungar-Kastner, Galit, Watts, Rheana, Wieser, John, Wong, Karen, Zamora, Lillian, Goobie, S.M., Zurakowski, D., Isaac, K.V., Taicher, B.M., Fernandez, P.G., Derderian, C.K., Hetmaniuk, M., and Stricker, P.A.

Published
2019
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48. Operationalizing inclusive growth: Can malleable ideas survive metricized governance?

Author

Hill O'Connor, Clementine, Smith, Katherine, Hughes, Ceri, Meier, Petra, and Purshouse, Robin

Subjects
SEMI-structured interviews, FEDERAL government, POLICY analysis, DOMINATING set, ETHNOLOGY
Abstract

Advocates of inclusive growth claim it provides policymakers with a means of combining economic success with social inclusivity, making it highly attractive across a wide range of settings. Here, we explore how three UK policy organizations (a devolved national government, a city region combined authority, and a local council) are pursuing inclusive growth goals. Drawing on 51 semistructured interviews, documentary analysis and policy ethnography, we argue that inclusive growth is a classic "chameleonic idea," strategically imbued with malleable qualities that serve to obscure substantive, unresolved tensions. These characteristics are helpful in achieving alliances, both within policy organizations and between these organizations and their multiple stakeholders. However, these same qualities make inclusive growth challenging to operationalize, especially in governance settings dominated by metrics. The process of representing a malleable idea via a set of metricized indicators involves simplification and stabilization, both of which risk disrupting the fragile coalitions that malleability enables. [ABSTRACT FROM AUTHOR]

Published
2024
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