2018
Process measures facilitate maturation of pediatric enhanced recovery protocols
Leeds IL, Ladd MR, Sundel MH, Fannon ML, George JA, Boss EF, Jelin EB. Process measures facilitate maturation of pediatric enhanced recovery protocols. Journal Of Pediatric Surgery 2018, 53: 2266-2272. PMID: 29801659, PMCID: PMC8710141, DOI: 10.1016/j.jpedsurg.2018.04.037.Peer-Reviewed Original ResearchConceptsProcess measuresProcess measure adherenceRecovery protocolEnhanced recovery protocolQuality improvement databaseImplementation groupPediatric colorectal surgeryRegional anesthesia techniquesPediatric ColorectalPostoperative complicationsPreoperative medicationsColorectal surgeryPathway patientsSurgical patientsSurgery pathwayPreoperative educationAnesthesia techniquesPatient outcomesOutcome measuresMeasure adherencePatientsLevel IIITreatment studiesComplicationsAdherenceMalnutrition increases the risk of 30-day complications after surgery in pediatric patients with Crohn disease
Ladd MR, Garcia AV, Leeds IL, Haney C, Oliva-Hemker MM, Alaish S, Boss E, Rhee DS. Malnutrition increases the risk of 30-day complications after surgery in pediatric patients with Crohn disease. Journal Of Pediatric Surgery 2018, 53: 2336-2345. PMID: 29843908, PMCID: PMC8841062, DOI: 10.1016/j.jpedsurg.2018.04.026.Peer-Reviewed Original ResearchConceptsCrohn's diseaseAge z-scoreBowel surgeryPediatric patientsACS NSQIP-Pediatric databaseZ-scoreMajor bowel surgeryNSQIP-Pediatric databaseOdds of complicationsOverall complication ratePediatric CD patientsDegree of malnutritionSeverity of malnutritionEffects of malnutritionCDC growth chartsEffects of malnourishmentASA classImportant screening toolMalnutrition effectsPostoperative complicationsCD patientsComplication rateElective surgeryMultivariable analysisSevere malnutrition
2016
Preparing enhanced recovery after surgery for implementation in pediatric populations
Leeds IL, Boss EF, George JA, Strockbine V, Wick EC, Jelin EB. Preparing enhanced recovery after surgery for implementation in pediatric populations. Journal Of Pediatric Surgery 2016, 51: 2126-2129. PMID: 27663124, PMCID: PMC5373552, DOI: 10.1016/j.jpedsurg.2016.08.029.Peer-Reviewed Original ResearchConceptsERAS pathwayERAS programSurgery patientsSurgical outcomesColorectal surgery patientsPediatric surgery patientsLength of stayEfficiency of careEvidence-based best practicesComplication rateERAS principlesPerioperative carePediatric populationPatient satisfactionClinical pathwayPediatric providersSurgery programPatient's familyAdult evidenceLimited direct evidencePatientsSurgeryOutcomesCareDirect evidence