Featured Publications
Rural Versus Urban Hospitalizations for Firearm Injuries in Children and Adolescents
Herrin BR, Gaither JR, Leventhal JM, Dodington J. Rural Versus Urban Hospitalizations for Firearm Injuries in Children and Adolescents. Pediatrics 2018, 142: e20173318. PMID: 29967056, DOI: 10.1542/peds.2017-3318.Peer-Reviewed Original ResearchConceptsFirearm injuriesHospitalization ratesInpatient DatabaseUnintentional injuriesCause of hospitalizationOverall hospitalization rateKids' Inpatient DatabaseUnintentional firearm injuriesCause of injuryYears of ageYounger age groupsPublic health approachHigher injury ratesUrban-rural classificationPatient's countyInjury epidemiologyInjury codesHospitalizationInternational ClassificationInjury ratesInjuryAge groupsHealth approachUS Census dataFirearm assaultsHospitalizations Due to Firearm Injuries in Children and Adolescents
Leventhal J, Gaither J, Sege R. Hospitalizations Due to Firearm Injuries in Children and Adolescents. 2017, 33-39. DOI: 10.1542/9781610022750-hospitalizations.Peer-Reviewed Original ResearchFirearm-related injuriesYears of ageFirearm injuriesSuicide attemptsHospitalization ratesFirearm-related hospitalizationsPublic health effortsInpatient DatabaseNinth RevisionChildhood injuriesHospitalized casesRisk ratioInjury codesClinical ModificationHospitalizationInternational ClassificationUS childrenHealth effortsInjuryWhite malesChildrenRecent national attentionIntercensal populationMalesIncidence
2022
Circumstances of injury in children with abusive versus non-abusive injuries
Eysenbach L, Leventhal JM, Gaither JR, Bechtel K. Circumstances of injury in children with abusive versus non-abusive injuries. Child Abuse & Neglect 2022, 128: 105604. PMID: 35339797, DOI: 10.1016/j.chiabu.2022.105604.Peer-Reviewed Original Research
2021
The impact of a child abuse guideline on differences between pediatric and community emergency departments in the evaluation of injuries
Shum M, Asnes AG, Leventhal JM, Gaither JR, Bechtel K, Powers E, Tiyyagura G. The impact of a child abuse guideline on differences between pediatric and community emergency departments in the evaluation of injuries. Child Abuse & Neglect 2021, 122: 105374. PMID: 34737120, DOI: 10.1016/j.chiabu.2021.105374.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentEvaluation of infantsHigh-risk injuriesGuideline implementationEmergency departmentInjury categoriesCommunity emergency departmentsEvaluation of injuriesMedian ageIncreased oddsOral injuriesCPS reportingOlder infantsAmerican AcademyInjuryInfantsChild physical abuseSignificant differencesCategory 1S testingPhysical abuseGuidelinesLittle informationAbuseService reporting
2020
The Use of Experts to Evaluate a Child Abuse Guideline in Community Emergency Departments
Shum M, Asnes A, Leventhal JM, Bechtel K, Gaither JR, Tiyyagura G. The Use of Experts to Evaluate a Child Abuse Guideline in Community Emergency Departments. Academic Pediatrics 2020, 21: 521-528. PMID: 33160081, DOI: 10.1016/j.acap.2020.11.001.Peer-Reviewed Original ResearchConceptsGuideline implementationExpert recommendationsIndeterminate casesCommunity emergency departmentsEvaluation of infantsGold standard testPostguideline implementationProvider adherenceCommunity EDRetrospective reviewED providersEmergency departmentCPS reportingClinical decisionTeam consultationInfantsInjurySignificant increaseAdherenceHigh percentageInterventionConsultationProvidersAbuseGuidelinesChild Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments
Tiyyagura G, Emerson B, Gaither JR, Bechtel K, Leventhal JM, Becker H, Della Guistina K, Balga T, Mackenzie B, Shum M, Shapiro ED, Auerbach M, McVaney C, Morrell P, Asnes AG. Child Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments. Academic Emergency Medicine 2020, 28: 70-81. PMID: 32931628, DOI: 10.1111/acem.14132.Peer-Reviewed Original ResearchConceptsCommunity emergency departmentsHigh-risk injuriesChild protection teamSkeletal surveyChild protective servicesEmergency departmentClinical pathway implementationHospital child protection teamInitiation of interventionsStudy-Act approachDetection of abuseChild abuse expertsAbusive injuriesPathway implementationProvider trainingEmergency careInjuryTeam consultationInfantsMonthsProtection teamStatistical process control chartsInterventionSuch interventionsConsultation
2019
Oral 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 childrenInjuryPatients
2014
Hospitalizations Due to Firearm Injuries in Children and Adolescents
Leventhal JM, Gaither JR, Sege R. Hospitalizations Due to Firearm Injuries in Children and Adolescents. Pediatrics 2014, 133: 219-225. PMID: 24470651, DOI: 10.1542/peds.2013-1809.Peer-Reviewed Original ResearchConceptsFirearm-related injuriesYears of ageFirearm injuriesSuicide attemptsHospitalization ratesInpatient DatabaseKids' Inpatient DatabaseFirearm-related hospitalizationsPublic health effortsNinth RevisionChildhood injuriesHospitalized casesRisk ratioInjury codesClinical ModificationHospitalizationInternational ClassificationUS childrenHealth effortsInjuryWhite malesChildrenRecent national attentionIntercensal populationMales
2012
Incidence of Serious Injuries Due to Physical Abuse in the United States: 1997 to 2009
Leventhal JM, Gaither JR. Incidence of Serious Injuries Due to Physical Abuse in the United States: 1997 to 2009. Pediatrics 2012, 130: e847-e852. PMID: 23027163, DOI: 10.1542/peds.2012-0922.Peer-Reviewed Original ResearchConceptsYears of ageInpatient DatabaseInjury codesNational incidenceSerious injuriesPhysical abuseClinical Modification diagnosisKids' Inpatient DatabaseChild protective services dataSerious physical abuseSample of dischargesNinth RevisionHospitalized childrenInternational ClassificationIncidenceSubstantiated physical abuseInjuryAgeChildrenExternal causesAbuseSmall increaseYearsService dataHospitalizationUsing US Data to Estimate the Incidence of Serious Physical Abuse in Children
Leventhal JM, Martin KD, Gaither JR. Using US Data to Estimate the Incidence of Serious Physical Abuse in Children. Pediatrics 2012, 129: 458-464. PMID: 22311999, DOI: 10.1542/peds.2011-1277.Peer-Reviewed Original ResearchConceptsYears of ageKids' Inpatient DatabaseInpatient DatabaseHospitalized childrenPhysical abuseIncidence of hospitalizationSerious physical abuseClinical Modification codesLength of staySerious injuriesNational US dataAbusive injuriesNinth RevisionMean costInternational ClassificationNumber of childrenPrevention programsInjuryHospitalizationIncidenceDemographic characteristicsChildrenAgeAbuseChild battering