2024
Experiences and Barriers with Home Bladder Manometry in the Pediatric Neurogenic Bladder Population: A Qualitative Study
Macaraeg A, Alshehabi S, Huen K, Davis-Dao C, Williamson S, Boswell T, Chalmers C, Stephany H, Chuang K, Wehbi E, Kain Z, Kaplan S, Khoury A. Experiences and Barriers with Home Bladder Manometry in the Pediatric Neurogenic Bladder Population: A Qualitative Study. Journal Of Pediatric Urology 2024 DOI: 10.1016/j.jpurol.2024.10.017.Peer-Reviewed Original ResearchHealthcare providersNursing staffQualitative studyPerceptions of caregiversGrounded theory methodFocus group discussionsSemi-structured interviewsNursesCaregiversHands-on practiceInterview participantsAnalyzed transcriptsBladder manometryStudy designGroup discussionsProvidersHealthcarePatient-specific characteristicsNeurogenic bladder patientsHome environmentPatient characteristicsHomeClean intermittent catheterizationStaffNeurogenic bladder populationPain disparities attributed to linguistic minoritization in health care settings
Lim P, Fortier M, Kain Z. Pain disparities attributed to linguistic minoritization in health care settings. Journal Of Pain 2024, 104688. PMID: 39357614, DOI: 10.1016/j.jpain.2024.104688.Peer-Reviewed Original ResearchSpoken languageEnglish-speaking childrenPain disparitiesEnglish-speaking familiesPain assessmentPain outcomesEnglishLanguagePain conceptsCommunication processMinoritized childrenHealth care settingsPediatric pain assessmentNarrative reviewInterpreter servicesHypothesized factorsRandomized controlled trialsPain communicationCare settingsHospital settingClinician biasDesign interventionsControlled trialsEmpirical researchSystemic factorsAuricular laser acupuncture as an adjunct for parental anxiety management during children's surgery: A randomized‐controlled study
Lin W, Fortier M, Cortes H, Kain Z, Wang S, Li G. Auricular laser acupuncture as an adjunct for parental anxiety management during children's surgery: A randomized‐controlled study. Pediatric Anesthesia 2024, 34: 1231-1239. PMID: 39291464, DOI: 10.1111/pan.14998.Peer-Reviewed Original ResearchPost-interventionParents of childrenSham acupunctureAuricular acupunctureLaser acupunctureRepeated-measures analysis of variancePlacebo control groupAnalysis of varianceRepeated-measures analysisParental anxiety managementControl groupAcupuncture systemAcupunctureIntervention groupPre-interventionRandomized-controlled studySelf-reported anxietyAssociated with higher levelsParent-reported anxietyChildren's surgeryNo adverse eventsAnxiety managementMitigate anxietyAnxiety levelsBaseline dataNeighborhood Socioeconomic Context Predicts Pediatric Asthma Exacerbation.
Kranjac A, Kain Z, Ehwerhemuepha L, Weiss M, Jenkins B. Neighborhood Socioeconomic Context Predicts Pediatric Asthma Exacerbation. Clinical Pediatrics 2024, 99228241262997. PMID: 39044420, DOI: 10.1177/00099228241262997.Peer-Reviewed Original ResearchNon-Hispanic Black residentsAsthma exacerbationsElectronic medical record dataLevels of ambient air pollutionNeighborhood-level factorsAssociated with greater oddsMedical record dataAmbient air pollutionIndividual-level factorsPlace-based initiativesProportion of female-headed householdsAsthma managementNeighborhood characteristicsGreater oddsAsthma controlUncontrolled asthmaBlack residentsFemale-headed householdsRecord dataInadequate disease controlMultilevel modeling techniquesPediatric patientsResidential characteristicsAsthmaIndividual levelThe role of positive affect in asthma control and symptom severity in adolescents
Jenkins B, Martin L, Halterman J, Moskowitz J, Glynn L, Tirakitsoontorn P, Kamath S, Kain Z. The role of positive affect in asthma control and symptom severity in adolescents. Journal Of Adolescence 2024, 96: 1673-1683. PMID: 39015022, DOI: 10.1002/jad.12373.Peer-Reviewed Original ResearchPositive affectSymptom severityAsthma symptom severityArousal componentAsthma controlEffect of positive affectPsychological triggersHigher levels of stressSurveyed 4 timesLevels of stressModerate to severe asthmaAffectAsthma triggersSubscale componentsAdolescentsPatient stressSymptomsWellbeingAsthmaSeverityAssociationSevere asthmaHigher levelsArousalAdults With Spina Bifida Fare Worse Than Young Adults: A Systemic Vulnerability in Urinary Tract Infection–Related Hospital Care
Huen K, Davis-Dao C, Sayrs L, Ehwerhemuepha L, Martin-King C, Kain Z. Adults With Spina Bifida Fare Worse Than Young Adults: A Systemic Vulnerability in Urinary Tract Infection–Related Hospital Care. Journal Of Urology 2024, 212: 749-756. PMID: 38950379, DOI: 10.1097/ju.0000000000004130.Peer-Reviewed Original ResearchSB patientsSpina bifidaAdult SB patientsRetrospective cohort analysisGender-matched controlsLogistic regression analysisCohort analysisHospital carePatientsSB casesOddsCerner Real World DataRegression analysisHealth care utilizationYoung adultsAdolescentsAdultsCare utilizationReal World DataAgeYearsUTICareUrinaryComorbiditiesPaediatric laceration repair in the emergency department: post-discharge pain and maladaptive behavioural changes
Martin S, Heyming T, Fortier M, Kain Z. Paediatric laceration repair in the emergency department: post-discharge pain and maladaptive behavioural changes. Emergency Medicine Journal 2024, 41: emermed-2023-213858. PMID: 38724104, PMCID: PMC11262956, DOI: 10.1136/emermed-2023-213858.Peer-Reviewed Original ResearchWeeks post-dischargePost-discharge recoveryPost-dischargePost-discharge painMaladaptive behavioral changesBehavioral changesDay 1Laceration repairAssociated with incidencePainful medical proceduresLonger length of stayLogistic regression analysisChildren's painPaediatric EDConvenience sampleED dischargeLength of stayHigher painPain managementPerioperative researchEmergency departmentChildren 2Mild levelProcedural painExtremity lacerationsLanguage barriers and pain disparities in pediatric emergency settings: A call for action
Lim P, Fortier M, Bender M, Campos B, Heyming T, Kain Z. Language barriers and pain disparities in pediatric emergency settings: A call for action. Academic Emergency Medicine 2024 PMID: 38497351, PMCID: PMC11408702, DOI: 10.1111/acem.14894.Peer-Reviewed Original ResearchThe intersection of pediatric anesthesiology and social determinants of health
Martin S, Kain Z. The intersection of pediatric anesthesiology and social determinants of health. Current Opinion In Anaesthesiology 2024, 37: 271-276. PMID: 38441068, PMCID: PMC11042989, DOI: 10.1097/aco.0000000000001367.Peer-Reviewed Original ResearchSocial determinants of healthDeterminants of healthSocial determinantsImpact of social determinants of healthInfluence of social determinants of healthSocial disadvantageFactors driving disparitiesMeasures of social disadvantageEffects of social disadvantagePediatric perioperative carePerioperative care continuumCare continuumCare inequitiesHealthcare inequalitiesEthnic disparitiesPediatric healthPerioperative researchPreoperative symptom severityMedical comorbiditiesHealthMultiple outcomesPerioperative careSymptom severityPediatric anesthesiologyLonger hospitalFueling Healing: Tackling Challenges in Integrating Nutrition Screening and Therapy Into Perioperative Care in the United States
Hung I, Wischmeyer P, Kain Z. Fueling Healing: Tackling Challenges in Integrating Nutrition Screening and Therapy Into Perioperative Care in the United States. Anesthesia & Analgesia 2024, 139: 660-664. PMID: 38386596, DOI: 10.1213/ane.0000000000006766.Peer-Reviewed Original ResearchAnesthesiology Meets the Metaverse
Kain Z, Cannesson M. Anesthesiology Meets the Metaverse. Anesthesia & Analgesia 2024, 138: 488-490. PMID: 38364238, PMCID: PMC11323043, DOI: 10.1213/ane.0000000000006552.Peer-Reviewed Original ResearchObservational Behavioral Coding in the Pediatric Emergency Department: Development of the Emergency Department Child Behavior Coding System
Martin S, Heyming T, Valdez B, Salas L, Cohen L, Fortier M, Lee K, Kaplan S, Kain Z. Observational Behavioral Coding in the Pediatric Emergency Department: Development of the Emergency Department Child Behavior Coding System. Journal Of Emergency Medicine 2024, 67: e50-e59. PMID: 38821846, PMCID: PMC11181611, DOI: 10.1016/j.jemermed.2024.01.019.Peer-Reviewed Original ResearchInter-rater reliabilityPediatric emergency departmentEmergency departmentConcurrent validityChild distressED proceduresExcellent inter-rater reliabilityEffectiveness of interventionsBehavioral assessment toolsChildren aged 2Multidisciplinary expert panelED painBehavioral coding systemInter-raterExpert panelAssessment toolDistressBehavioral targetsAged 2FLACC scoresInterventionPainCoding systemDepartmentChildren
2023
Response to: Does Liposomal Bupivacaine Injectable Suspension Peripheral Nerve Block Further Aid in Decreasing At-home Narcotic Utilization in Children and Adolescents After Anterior Cruciate Ligament Reconstruction
Walls H, Thomas E, Kain Z, Schlechter J. Response to: Does Liposomal Bupivacaine Injectable Suspension Peripheral Nerve Block Further Aid in Decreasing At-home Narcotic Utilization in Children and Adolescents After Anterior Cruciate Ligament Reconstruction. Journal Of Pediatric Orthopaedics 2023, 44: e209-e210. PMID: 37796190, DOI: 10.1097/bpo.0000000000002538.Peer-Reviewed Original ResearchPredictors of parental anxiety in a paediatric emergency department
Martin S, Hung I, Heyming T, Fortier M, Kain Z. Predictors of parental anxiety in a paediatric emergency department. Emergency Medicine Journal 2023, 40: 715-720. PMID: 37591685, DOI: 10.1136/emermed-2022-212917.Peer-Reviewed Original ResearchConceptsPediatric EDMental healthParental anxietySignificant anxietyPoor parental mental healthPoorer parent mental healthParent anxietyPediatric emergency departmentPrimary care sampleCross-sectional studyMedical proceduresHigh parental anxietyParent mental healthParental mental healthActivity temperamentState-Trait Anxiety InventoryParents of childrenEmergency departmentPatient outcomesCare sampleAdditional interventionsClinical conditionsParents' state anxietyChildren's activity temperamentAnxiety InventoryDoes Liposomal Bupivacaine Injectable Suspension Peripheral Nerve Block Further Aid in Decreasing At-home Narcotic Utilization in Children and Adolescents After Anterior Cruciate Ligament Reconstruction
Walls H, Thomas E, Kain Z, Schlechter J. Does Liposomal Bupivacaine Injectable Suspension Peripheral Nerve Block Further Aid in Decreasing At-home Narcotic Utilization in Children and Adolescents After Anterior Cruciate Ligament Reconstruction. Journal Of Pediatric Orthopaedics 2023, 43: 511-515. PMID: 37400092, DOI: 10.1097/bpo.0000000000002466.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligament reconstructionPeripheral nerve blocksCruciate ligament reconstructionVisual analog scaleNerve blockOpioid useLigament reconstructionAnalog scaleSingle-shot peripheral nerve blockAdductor canal nerve blockAverage opioid useHome opioid useHydrocodone/acetaminophenPain treatment satisfactionTreatment satisfaction scoresPostoperative pain managementACLR patientsOral acetaminophenOpioid usageUncontrolled painControl patientsNarcotic utilizationPostoperative dayOpioid analgesicsPain managementNeighborhood disadvantage and pediatric inpatient opioid prescription patterns
Kranjac A, Kranjac D, Kain Z, Ehwerhemuepha L, Donaldson C, Jenkins B. Neighborhood disadvantage and pediatric inpatient opioid prescription patterns. Journal Of Pediatric Nursing 2023, 72: e145-e151. PMID: 37344343, DOI: 10.1016/j.pedn.2023.06.021.Peer-Reviewed Original ResearchConceptsOpioid prescription patternsPrescription patternsPediatric patientsOpioid Prescribing PatternsPatient's individual profileElectronic medical recordsOpioid prescriptionsPrescribing patternsMedical recordsNeighborhood disadvantageGreater likelihoodOpioidsPatientsNeighborhood environmentLatinx sampleChildrenHigh levelsDiverse sampleIndividual profilesImpact of COVID-19 pandemic on pediatric healthcare burnout in acute care: a longitudinal study
Martin S, Heyming T, Morphew T, Sayrs L, Fortier M, Sanger T, Kain Z. Impact of COVID-19 pandemic on pediatric healthcare burnout in acute care: a longitudinal study. Pediatric Research 2023, 94: 1771-1778. PMID: 37301924, PMCID: PMC10257162, DOI: 10.1038/s41390-023-02674-3.Peer-Reviewed Original ResearchConceptsEmotional exhaustionPsychological factorsHealthcare worker burnoutDepersonalization burnoutWorker burnoutLongitudinal studyHCW burnoutMaslach Burnout InventoryHigh emotional exhaustionEmergency departmentAssessment of burnoutBurnout InventoryPersonality traitsCOVID-19 pandemicBurnoutMethodsThis longitudinal studyLow conscientiousnessMedical techniciansFuture interventionsChildren's HospitalAcute careIntensive careExhaustionHealthcare workersPhysician assistantsIs Industry- Versus Government-Sponsored Research a Zero-Sum Game?
Kain Z, Tsai M, Browne J. Is Industry- Versus Government-Sponsored Research a Zero-Sum Game? The Journal Of Arthroplasty 2023, 38: 984-985. PMID: 37211378, DOI: 10.1016/j.arth.2023.02.017.Commentaries, Editorials and LettersIs Industry- Versus Government-Sponsored Research a Zero-Sum Game?
Kain Z, Tsai M, Browne J. Is Industry- Versus Government-Sponsored Research a Zero-Sum Game? Anesthesia & Analgesia 2023, 136: 1052-1054. PMID: 37205800, DOI: 10.1213/ane.0000000000006407.Peer-Reviewed Original ResearchCaregiver Satisfaction with Emergency Department Care for Pediatric Patients with Neurodevelopmental Disorders
Heyming T, Knudsen-Robbins C, Davis K, Moreno T, Martin S, Shelton S, Ehwerhemuepha L, Kain Z. Caregiver Satisfaction with Emergency Department Care for Pediatric Patients with Neurodevelopmental Disorders. Journal Of Developmental And Behavioral Pediatrics 2023, 44: e388-e393. PMID: 37205728, DOI: 10.1097/dbp.0000000000001193.Peer-Reviewed Original ResearchConceptsCaregivers of patientsED satisfactionNeurodevelopmental disordersMultivariable logistic regression modelElectronic medical record dataTenth Revision codesEmergency department careMedical record dataCohort sample sizeEmergency Severity IndexAttention-deficit/hyperactivity disorderEmergency department experienceLogistic regression modelsHealth care systemED lengthPediatric patientsRevision codesCaregiver satisfactionProvider assessmentInternational ClassificationLower oddsPatientsNDD cohortPatient careSpecific developmental disorders