2021
Institutional Variation in Gastrostomy Tube Placement After Duodenal Atresia Repair in Children With Trisomy 21
Maassel NL, Guerra ME, Solomon DG, Stitelman DH. Institutional Variation in Gastrostomy Tube Placement After Duodenal Atresia Repair in Children With Trisomy 21. Journal Of Pediatric Gastroenterology And Nutrition 2021, 73: 560-565. PMID: 34238829, DOI: 10.1097/mpg.0000000000003227.Peer-Reviewed Original ResearchMeSH KeywordsDown SyndromeDuodenal ObstructionGastrostomyHumansInfantInfant, NewbornIntestinal AtresiaIntubationRetrospective StudiesConceptsPediatric Health Information SystemGastrostomy tube placementDuodenal atresiaGastrostomy tubeGastrostomy placementTube placementTrisomy 21Index admissionIntestinal bypassDiagnostic codesAtresia repairICD-10 diagnostic codesDuodenal atresia repairPost-operative managementInstitutional practice patternsLength of stayProcedure codesBaseline characteristicsRetrospective reviewPractice patternsPatientsHealth information systemsGastrostomyNeonatesAdmission
2020
Outcomes following adoption of a standardized protocol for abscess drain management in pediatric appendicitis
Eysenbach LM, Caty MG, Christison-Lagay ER, Cowles RA, Dillon B, Goodman TR, Ozgediz DE, Stitelman DH, Solomon DG. Outcomes following adoption of a standardized protocol for abscess drain management in pediatric appendicitis. Journal Of Pediatric Surgery 2020, 56: 43-46. PMID: 33143877, DOI: 10.1016/j.jpedsurg.2020.09.050.Peer-Reviewed Original ResearchConceptsPediatric appendicitisClinical outcomesStandardized protocolImaging studiesTertiary care children's hospitalEvidence-based clinical pathwayAlternative imaging studyIR proceduresManagement of abscessesRetrospective chart reviewCases of appendicitisPercutaneous abscess drainageInterventional radiologic proceduresDiagnostic imaging studiesComplicated appendicitisBaseline demographicsChart reviewClinical factorsAbscess drainageClinical presentationDrain outputChildren's HospitalDrain daysClinical pathwayAnesthetic administrationThe in-utero diagnosis of choledochal cyst: can postnatal imaging predict benefit from early surgical intervention?
Cochran ED, Lazow SP, Kim AG, Burkhalter LS, Frost NW, Stitelman D, Davis J, Santiago-Munoz P, Buchmiller TL, Perrone EE, Schindel DT. The in-utero diagnosis of choledochal cyst: can postnatal imaging predict benefit from early surgical intervention? The Journal Of Maternal-Fetal & Neonatal Medicine 2020, 35: 1070-1074. PMID: 32188329, DOI: 10.1080/14767058.2020.1742320.Peer-Reviewed Original ResearchMeSH KeywordsCholedochal CystFemaleHumansInfantInfant, NewbornParturitionPregnancyPrenatal DiagnosisRetrospective StudiesConceptsInitial postnatal ultrasoundCholedochal cystCyst sizeEarly surgical interventionEarly complicationsCyst excisionClinical courseFetal centerMedian ageCyst resolutionPostnatal ultrasoundSurgical interventionPrenatal suspicionIRB approvalPatientsUtero diagnosisDiagnostic revisionFirst monthSymptom manifestationCystsNewbornsBirthFirst yearUltrasoundSymptom development
2019
An Evidence-Based Guideline Supporting Restricted Opioid Prescription after Pediatric Appendectomy
Freedman-Weiss MR, Chiu AS, Worhunsky D, Manchisi A, Torres-Maldonado I, Sagnella L, Caty MG, Cowles RA, Ozgediz DE, Christison-Lagay ER, Solomon DG, Stitelman DH. An Evidence-Based Guideline Supporting Restricted Opioid Prescription after Pediatric Appendectomy. Journal Of Pediatric Surgery 2019, 55: 106-111. PMID: 31699433, DOI: 10.1016/j.jpedsurg.2019.09.063.Peer-Reviewed Original ResearchConceptsLaparoscopic appendectomyOpioid prescriptionsPostoperative opioid needsPostoperative telephone interviewsQuantity of opioidsPresence of painYoung adult patientsEvidence-based guidelinesMain outcome measuresOpioid needsAnalgesic useModifiable contributorPain reliefAdequate analgesiaAdult patientsChart reviewHospital dischargeMost patientsPatients 5Pediatric appendectomyYounger patientsPain concernsAverage MMEOpioid epidemicOutcome measuresUtility of Fetal Cardiac Axis and Cardiac Position Assessment in Predicting Neonatal Respiratory Morbidity in Fetal Congenital Lung Lesions
Tuzovic L, Copel JA, Stitelman DH, Levit O, Bahtiyar MO. Utility of Fetal Cardiac Axis and Cardiac Position Assessment in Predicting Neonatal Respiratory Morbidity in Fetal Congenital Lung Lesions. Journal Of Ultrasound In Medicine 2019, 38: 2361-2372. PMID: 30653685, DOI: 10.1002/jum.14931.Peer-Reviewed Original ResearchMeSH KeywordsAdultCohort StudiesFemaleFetal HeartHumansLungLung DiseasesPregnancyRetrospective StudiesSensitivity and SpecificityUltrasonography, PrenatalYoung AdultConceptsAbnormal cardiac axisNegative predictive valueFetal cardiac axisNeonatal respiratory morbidityRespiratory morbidityCongenital lung lesionsCardiac positionPositive predictive valuePredictive valueCardiac axisLung lesionsHigh negative predictive valueSevere respiratory morbidityRetrospective cohort studyRight-sided lesionsNormal cardiac axisCohort studyWeeks' gestationMorbidityCP assessmentWeeksDiagnostic performanceLesionsPatientsGestation
2018
Opioid Prescribing Habits of General Versus Pediatric Surgeons After Uncomplicated Laparoscopic Appendectomy
Freedman-Weiss MR, Chiu A, Solomon DG, Christison-Lagay ER, Ozgediz DE, Cowles RA, Caty MG, Stitelman DH. Opioid Prescribing Habits of General Versus Pediatric Surgeons After Uncomplicated Laparoscopic Appendectomy. Journal Of Surgical Research 2018, 235: 404-409. PMID: 30691822, DOI: 10.1016/j.jss.2018.09.085.Peer-Reviewed Original ResearchConceptsOral morphine equivalentsUncomplicated laparoscopic appendectomyAmount of opioidsLaparoscopic appendectomyGeneral surgeonsPediatric surgeonsSurgery providersFuture drug abuseOpioid prescribing habitsPills of oxycodoneRetrospective chart reviewYoung adult patientsPrimary outcome measureType of analgesiaGeneral surgery servicePediatric laparoscopic appendectomyHigh-risk populationLength of stayCommon surgical procedureSingle health systemAge group 13More opioidsMorphine equivalentsModifiable contributorOpioid analgesiaRoutine postnatal chest x-ray and intensive care admission are unnecessary for a majority of infants with congenital lung malformations
Greig CJ, Keiser AM, Cleary MA, Stitelman DH, Christison-Lagay ER, Ozgediz DE, Solomon DG, Caty MG, Cowles RA. Routine postnatal chest x-ray and intensive care admission are unnecessary for a majority of infants with congenital lung malformations. Journal Of Pediatric Surgery 2018, 54: 670-674. PMID: 30503193, DOI: 10.1016/j.jpedsurg.2018.10.063.Peer-Reviewed Original ResearchConceptsAbnormal chest X-rayCongenital lung malformationsChest X-rayNICU admissionMajority of infantsRespiratory supportBirth weightGestational ageLung malformationsOdds ratioInitial symptomsNeonatal intensive care unit admissionInitial chest X-rayIntensive care unit admissionCare unit admissionIntensive care admissionLevel II evidenceDays of dischargeMajority of casesNICU stayROC cutoffUnit admissionCare admissionFuture care needsImmediate surgery