2024
Hospital Readmissions Among Infants With Neonatal Opioid Withdrawal Syndrome
Gaither J, Drago M, Grossman M, Li Y, Shabanova V, Xu X, Leventhal J. Hospital Readmissions Among Infants With Neonatal Opioid Withdrawal Syndrome. JAMA Network Open 2024, 7: e2435074. PMID: 39316398, PMCID: PMC11423163, DOI: 10.1001/jamanetworkopen.2024.35074.Peer-Reviewed Original ResearchConceptsNeonatal opioid withdrawal syndromeOpioid withdrawal syndromeWithdrawal syndromeCohort studyHospital readmissionLow birth weightReadmission ratesRetrospective cohort studyIncreased risk of readmissionNationwide Readmissions DatabaseClinical Modification codesGestational ageOdds of readmissionMultiple gestationsFull-termInternational Classification of DiseasesRisk of readmissionHospital discharge recordsBirth weightSurvey-weighted logistic regressionType of insuranceIncreased 5-foldIncreased riskReadmissions DatabaseYear of birth
2022
Early Weight Loss Percentile Curves and Feeding Practices in Opioid-Exposed Infants.
Cheng FY, Shabanova V, Berkwitt AK, Grossman MR. Early Weight Loss Percentile Curves and Feeding Practices in Opioid-Exposed Infants. Hospital Pediatrics 2022, 12: 857-866. PMID: 36073203, DOI: 10.1542/hpeds.2021-006137.Peer-Reviewed Original ResearchConceptsNeonatal opioid withdrawal syndromeFeeding practicesWeight loss patternsBirth weightMedian percent weight lossWeight lossMean gestational ageOpioid withdrawal syndromeMean birth weightPercentile curvesRisk of morbidityHours of lifeHealth care useConfidence intervalsOptimal feeding methodNonpharmacologic treatmentsPharmacologic treatmentWithdrawal syndromeGestational agePercent weight lossSingle centerCare useInclusion criteriaInfantsDelivery typeDoes Maternal Incarceration Impact Infants with Neonatal Abstinence Syndrome?
Drago MJ, Shabanova V, Hochreiter D, Grossman M, Mercurio M. Does Maternal Incarceration Impact Infants with Neonatal Abstinence Syndrome? Maternal And Child Health Journal 2022, 26: 1095-1103. PMID: 35088297, DOI: 10.1007/s10995-021-03356-4.Peer-Reviewed Original ResearchConceptsNeonatal abstinence syndromeLength of stayNon-incarcerated womenLine agentsAbstinence syndromeBreast milkMean LOSLonger LOSIncarcerated womenRetrospective cohort studyFirst-line agentsMaternal-infant dyadsSecond-line agentsPrenatal substance exposurePrenatal alcohol useCare of infantsCohort studyFinnegan scoreInfant dischargeLonger hospitalizationSubstance exposureInfantsPoisson regressionMaternal incarcerationAlcohol useImproving Guidance and Maternal Knowledge Retention After Well-Newborn Unit Discharge.
Hochreiter D, Kuruvilla D, Grossman M, Silberg J, Rodriguez A, Lary L, Panosky K, Loyal J. Improving Guidance and Maternal Knowledge Retention After Well-Newborn Unit Discharge. Hospital Pediatrics 2022, 12: 148-156. PMID: 35075487, DOI: 10.1542/hpeds.2021-006307.Peer-Reviewed Original Research
2019
Improving Care for Sickle Cell Pain Crisis Using a Multidisciplinary Approach
Balsamo L, Shabanova V, Carbonella J, Szondy MV, Kalbfeld K, Thomas DA, Santucci K, Grossman M, Pashankar F. Improving Care for Sickle Cell Pain Crisis Using a Multidisciplinary Approach. Pediatrics 2019, 143: e20182218. PMID: 30944154, DOI: 10.1542/peds.2018-2218.Peer-Reviewed Original ResearchConceptsVaso-occlusive crisisHospital daysReadmission ratesHospital costsSickle cell disease vaso-occlusive crisisMultidisciplinary quality improvement projectSickle cell pain crisisThirty-day readmission ratesDedicated team effortSCD pediatric patientsPatients ages 0Direct hospital costsLength of stayHigh usersStudy-Act methodologyQuality improvement projectMental health providersHigh-use groupPain planPain crisisFrequent hospitalizationsRisk patientsPediatric patientsPreintervention periodEmergency department
2018
Reducing Radiation Exposure in Cardiac Catheterizations for Congenital Heart Disease
Patel C, Grossman M, Shabanova V, Asnes J. Reducing Radiation Exposure in Cardiac Catheterizations for Congenital Heart Disease. Pediatric Cardiology 2018, 40: 638-649. PMID: 30542920, DOI: 10.1007/s00246-018-2039-9.Peer-Reviewed Original ResearchConceptsCatheterization labRadiation exposureCardiac catheterizationYale-New Haven Children's HospitalDAP/Patent ductus arteriosusAtrial septal defectCongenital heart diseaseDose area productSystems-based interventionsCardiac catheterization labCongenital cardiac catheterizationTotal air kermaPost-intervention dataRadiation dose reductionAir kermaQuality improvement strategiesDuctus arteriosusTranscatheter pulmonaryChildren's HospitalDA dosesSeptal defectHeart diseaseLow fluoroscopyProcedure typeIs It Time to Stop Classifying Febrile Infants With Positive Urinalyses as High-Risk for Meningitis?
Berkwitt AK, Grossman MR, Aronson PL. Is It Time to Stop Classifying Febrile Infants With Positive Urinalyses as High-Risk for Meningitis? Hospital Pediatrics 2018, 8: 506-508. PMID: 29987128, PMCID: PMC6057487, DOI: 10.1542/hpeds.2018-0064.Peer-Reviewed Original ResearchA Novel Approach to Assessing Infants With Neonatal Abstinence Syndrome
Grossman MR, Lipshaw MJ, Osborn RR, Berkwitt AK. A Novel Approach to Assessing Infants With Neonatal Abstinence Syndrome. Hospital Pediatrics 2018, 8: 1-6. PMID: 29263121, DOI: 10.1542/hpeds.2017-0128.Peer-Reviewed Original ResearchConceptsNeonatal abstinence syndromeManagement of infantsTreatment decisionsAbstinence syndromeYale-New Haven Children's HospitalOpioid-exposed infantsLength of stayActual treatment decisionsHealth care systemOpioid treatmentAdverse eventsPharmacologic treatmentPrimary outcomeChildren's HospitalPostnatal treatmentInpatient unitSignificant burdenMorphineInfantsCare systemSyndromeHospitalTreatmentScoresDays
2017
An Initiative to Improve the Quality of Care of Infants With Neonatal Abstinence Syndrome
Grossman MR, Berkwitt AK, Osborn RR, Xu Y, Esserman DA, Shapiro ED, Bizzarro MJ. An Initiative to Improve the Quality of Care of Infants With Neonatal Abstinence Syndrome. Pediatrics 2017, 139: e20163360. PMID: 28562267, PMCID: PMC5470506, DOI: 10.1542/peds.2016-3360.Peer-Reviewed Original ResearchConceptsNeonatal abstinence syndromeAdverse eventsAbstinence syndromeHospital costsYale-New Haven Children's HospitalTreatment of NASMethadone-exposed infantsLonger hospital stayProportion of infantsAdministration of morphineTransfer of infantsStudy-Act cyclesQuality of careMusculoskeletal disturbancesNonpharmacologic careNonpharmacologic therapiesHospital stayMorphine useOpioid withdrawalChildren's HospitalPostimplementation periodSustained decreaseOutcome measuresInpatient unitMultidisciplinary team
2015
A Qualitative Analysis of Pediatric Patient Attitudes Regarding Family-Centered Rounds
Berkwitt A, Grossman M. A Qualitative Analysis of Pediatric Patient Attitudes Regarding Family-Centered Rounds. Hospital Pediatrics 2015, 5: 357-362. PMID: 26136309, DOI: 10.1542/hpeds.2014-0198.Peer-Reviewed Original ResearchConceptsFamily-centered roundsFinal coding schemePediatric patients' perspectivesPediatric patientsPatients' attitudesInpatient settingThird reviewerPatient's perspectivePatients' viewsPatient commentsAmerican AcademyPatientsQualitative descriptive studyDescriptive studyAdolescent inpatientsConstant comparative methodStandard practiceSemi-structured interviewsThe Utility of Inpatient Rebound Bilirubin Levels in Infants Readmitted After Birth Hospitalization for Hyperbilirubinemia
Berkwitt A, Osborn R, Grossman M. The Utility of Inpatient Rebound Bilirubin Levels in Infants Readmitted After Birth Hospitalization for Hyperbilirubinemia. Hospital Pediatrics 2015, 5: 74-78. PMID: 25646199, DOI: 10.1542/hpeds.2014-0074.Peer-Reviewed Original ResearchConceptsBilirubin levelsLength of stayBirth hospitalizationIndirect hyperbilirubinemiaRebound groupDiscontinuation of phototherapyRetrospective cohort studyManagement of infantsCharacteristics of childrenCohort studySecondary outcomesHospital readmissionPrimary outcomePatient populationSubgroup analysisClinical utilityPatientsInfantsHospitalizationHyperbilirubinemiaPhototherapyReadmissionStayDlPresent study
2014
Cognitive Bias in Inpatient Pediatrics
Berkwitt A, Grossman M. Cognitive Bias in Inpatient Pediatrics. Hospital Pediatrics 2014, 4: 190-193. PMID: 24785565, DOI: 10.1542/hpeds.2014-0002.Peer-Reviewed Original Research