2023
Frequency of injuries in a voluntary program evaluating young children exposed to intimate partner violence
Tiyyagura G, Leventhal J, Crawley D, Asnes A. Frequency of injuries in a voluntary program evaluating young children exposed to intimate partner violence. Child Abuse & Neglect 2023, 144: 106385. PMID: 37541095, PMCID: PMC10529266, DOI: 10.1016/j.chiabu.2023.106385.Peer-Reviewed Original ResearchConceptsIPV-exposed childrenFrequency of injuriesIntimate partner violenceIPV exposureProspective observational studyMulti-center studyDetectable injuryAbusive injuriesClinical guidelinesObservational studyIntracranial findingsPartner violenceHigh riskStudy of childrenCutaneous injuryInjuryRoutine evaluationAmerican womenYoung childrenChildrenTrue frequencyPhysical child abusePhysical abuseCPS investigatorsIPV events
2019
Early Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department
Powers E, Tiyyagura G, Asnes AG, Leventhal JM, Moles R, Christison-Lagay E, Groisberg S, Auerbach M. Early Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department. Journal Of Emergency Medicine 2019, 56: 592-600. PMID: 30879856, DOI: 10.1016/j.jemermed.2019.01.030.Peer-Reviewed Original ResearchConceptsChild protection teamPediatric emergency departmentEmergency departmentClinical pathwayProtection teamEvaluation of infantsEarly involvementMonths of ageInfant morbidityAbusive injuriesSignificant causeDiagnostic testingInjuryInfantsPrivate insuranceSocioeconomic disparitiesChild protective servicesEarly detectionDiagnostic studiesConsultationPhysical abuseMonthsAbuseProtective servicesInvolvementOral injuries in children less than 24 months of age in a pediatric emergency department
Woolf SM, Leventhal JM, Gaither JR, Hardikar P, Langhan ML, Bechtel K, Auerbach MA, Tiyyagura G. Oral injuries in children less than 24 months of age in a pediatric emergency department. Child Abuse & Neglect 2019, 89: 70-77. PMID: 30639971, DOI: 10.1016/j.chiabu.2019.01.006.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentOral injuriesChief complaintEmergency departmentAbuse evaluationsTertiary care pediatric emergency departmentMedical chief complaintsMonths old presentingPediatric emergency medicine physiciansProspective observational studyComplete oral examinationEmergency medicine physiciansMonths of ageYoung childrenOld presentingPatient demographicsInjury detailsChildren 12Children 0Observational studyOral examinationMedicine physiciansNon-mobile childrenInjuryPatientsA Qualitative Study Examining Stakeholder Perspectives of a Local Child Abuse Program in Community Emergency Departments
Tiyyagura G, Schaeffer P, Gawel M, Leventhal JM, Auerbach M, Asnes AG. A Qualitative Study Examining Stakeholder Perspectives of a Local Child Abuse Program in Community Emergency Departments. Academic Pediatrics 2019, 19: 438-445. PMID: 30707955, PMCID: PMC6502662, DOI: 10.1016/j.acap.2019.01.006.Peer-Reviewed Original ResearchConceptsLocal championsCAN programStakeholder perspectivesChild abuse programsQualitative research designKey stakeholder perspectivesExternal change agentsConstant comparative methodEducation/awarenessChallenges/barriersStrong leadership supportLeadership supportChild abuseInstitutional supportChange agentsQualitative studyFacilitators of implementationEvidence-based educationProgram strengthsChampionsComparative methodResearch designPerspectiveSupportAbuse programs
2017
Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment
Tiyyagura G, Beucher M, Bechtel K. Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment. Pediatric Emergency Medicine Practice 2017, 14: 1-32. PMID: 28665574.Peer-Reviewed Original ResearchMeSH KeywordsBurnsChildChild AbuseChild, PreschoolContusionsCraniocerebral TraumaDiagnosis, DifferentialEmergency Medical ServicesEvidence-Based MedicineFemaleFractures, BoneGuidelines as TopicHumansInfantIntensive Care Units, PediatricMaleMandatory ReportingPhysical ExaminationPhysician's RolePractice Patterns, Physicians'Retinal HemorrhageUnited StatesWounds and InjuriesThe association of nonaccidental trauma with historical factors, examination findings, and diagnostic testing during the initial trauma evaluation
Escobar MA, Flynn-O'Brien K, Auerbach M, Tiyyagura G, Borgman MA, Duffy SJ, Falcone KS, Burke RV, Cox JM, Maguire SA. The association of nonaccidental trauma with historical factors, examination findings, and diagnostic testing during the initial trauma evaluation. Journal Of Trauma And Acute Care Surgery 2017, 82: 1147-1157. PMID: 28520688, DOI: 10.1097/ta.0000000000001441.Peer-Reviewed Original ResearchA web-based educational video to improve asthma knowledge for limited English proficiency Latino caregivers
Riera A, Ocasio A, Tiyyagura G, Thomas A, Goncalves P, Krumeich L, Ragins K, Trevino S, Vaca FE. A web-based educational video to improve asthma knowledge for limited English proficiency Latino caregivers. Journal Of Asthma 2017, 54: 624-631. PMID: 27780380, PMCID: PMC7244941, DOI: 10.1080/02770903.2016.1251597.Peer-Reviewed Original ResearchConceptsCaregiver asthma knowledgeAsthma knowledgeAsthma careAsthma diagnosisQuality asthma carePediatric asthma careAsthma action planLatino caregiversAsthma knowledge questionnaireAsthma knowledge scoresEducational videoLEP caregiversChild asthma diagnosisPersistent asthmaED utilizationED encountersMedication usageInterventional studyActivity limitationsChildren 2Knowledge questionnaireKnowledge scoreCaregiversMean scoreHigh school diploma
2016
Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance
Alphonso A, Auerbach M, Bechtel K, Bilodeau K, Gawel M, Koziel J, Whitfill T, Tiyyagura GK. Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance. Prehospital Emergency Care 2016, 21: 222-232. PMID: 27700209, DOI: 10.1080/10903127.2016.1229824.Peer-Reviewed Original ResearchConceptsInter-rater reliabilityClinical experiencePrehospital providersLight's kappaEmergency medical services (EMS) providersCronbach's alphaAuthors' clinical experienceOverall Cronbach's alphaOverall inter-rater reliabilityInternal consistencyChild abuseSubstantial inter-rater reliabilityDelphi review processStrong content validityMedical service providersSemi-structured qualitative interviewsFinal checklistSelf-reported confidenceProvider experienceParticipant characteristicsItem completionLevel of trainingDelphi reviewContent validityProvider performanceBarriers and Facilitators to Recognition and Reporting of Child Abuse by Prehospital Providers
Tiyyagura GK, Gawel M, Alphonso A, Koziel J, Bilodeau K, Bechtel K. Barriers and Facilitators to Recognition and Reporting of Child Abuse by Prehospital Providers. Prehospital Emergency Care 2016, 21: 46-53. PMID: 27436455, DOI: 10.1080/10903127.2016.1204038.Peer-Reviewed Original ResearchConceptsPrehospital care providersCare providersChief complaintInfant abusive head traumaReal-time decision supportPresence of caregiversAbusive head traumaPediatric patientsHead traumaPatient's airwayProtective servicesRecognition of signsDecision supportHospital providersPatients' thoughtsPrehospital providersCaregiver reactionsThematic saturationChild protective servicesChild abuseFocused educationKey taskAirwayPatientsScene safety
2014
Latino Caregiver Experiences With Asthma Health Communication
Riera A, Ocasio A, Tiyyagura G, Krumeich L, Ragins K, Thomas A, Trevino S, Vaca FE. Latino Caregiver Experiences With Asthma Health Communication. Qualitative Health Research 2014, 25: 16-26. PMID: 25185159, DOI: 10.1177/1049732314549474.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnti-Asthmatic AgentsAsthmaCaregiversChild, PreschoolCommunication BarriersCommunity-Based Participatory ResearchEnvironmentFemaleHealth CommunicationHispanic or LatinoHumansInfantInterviews as TopicLanguageMaleMiddle AgedPatient Education as TopicPhysician-Patient RelationsQualitative ResearchTobacco Smoke PollutionTranslatingConceptsHealth communicationSignificant asthma burdenSpanish-language interviewsSpanish transcriptsLEP caregiversCaregivers' experiencesInterpreter availabilityCommunication barriersSuitable action planFeelings of mistrustAsthma encountersAsthma burdenHealth caregiversCommunicationFurther inquiryEmotional stressInductive codingThematic saturationMedical settingsIndividual emotional responsesQualitative dataFocus groupsInterpretersEmotional responsesPurposeful sample