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
2021
Development and Validation of a Natural Language Processing Tool to Identify Injuries in Infants Associated With Abuse
Tiyyagura G, Asnes AG, Leventhal JM, Shapiro ED, Auerbach M, Teng W, Powers E, Thomas A, Lindberg DM, McClelland J, Kutryb C, Polzin T, Daughtridge K, Sevin V, Hsiao AL. Development and Validation of a Natural Language Processing Tool to Identify Injuries in Infants Associated With Abuse. Academic Pediatrics 2021, 22: 981-988. PMID: 34780997, PMCID: PMC9095755, DOI: 10.1016/j.acap.2021.11.004.Peer-Reviewed Original Research
2020
Child 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 interventionsConsultationSeeing the Forest in Family Violence Research: Moving to a Family-Centered Approach
Tiyyagura G, Bloemen EM, Berger R, Rosen T, Harris T, Jeter G, Lindberg D. Seeing the Forest in Family Violence Research: Moving to a Family-Centered Approach. Academic Pediatrics 2020, 20: 746-752. PMID: 31991169, PMCID: PMC7381357, DOI: 10.1016/j.acap.2020.01.010.Peer-Reviewed Original Research
2019
Parents’ Perceptions of Infant Crying: A Possible Path to Preventing Abusive Head Trauma
Wiley M, Schultheis A, Francis B, Tiyyagura G, Leventhal JM, Rutherford H, Mayes LC, Bechtel K. Parents’ Perceptions of Infant Crying: A Possible Path to Preventing Abusive Head Trauma. Academic Pediatrics 2019, 20: 448-454. PMID: 31629119, DOI: 10.1016/j.acap.2019.10.009.Peer-Reviewed Original ResearchEarly 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 childrenInjuryPatients
2018
A Grounded Theory Qualitative Analysis of Interprofessional Providers' Perceptions on Caring for Critically Ill Infants and Children in Pediatric and General Emergency Departments
Gangadharan S, Tiyyagura G, Gawel M, Walsh BM, Brown LL, Lavoie M, Tay KY, Auerbach MA. A Grounded Theory Qualitative Analysis of Interprofessional Providers' Perceptions on Caring for Critically Ill Infants and Children in Pediatric and General Emergency Departments. Pediatric Emergency Care 2018, 34: 578-583. PMID: 27749805, DOI: 10.1097/pec.0000000000000906.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentIll infantsProviders' perceptionsEmergency departmentPediatric careGeneral emergency departmentsCritically Ill InfantsEmergency department providersPediatric-specific equipmentTeam of providersProvider discomfortProvider comfortIll childrenPED providersImprovement interventionsThematic saturationInfantsChildrenFacilitated debriefingCareIterative qualitative analysisOverall comfortDepartmentProvidersOccult abusive injuries in children brought for care after intimate partner violence: An exploratory study
Tiyyagura G, Christian C, Berger R, Lindberg D. Occult abusive injuries in children brought for care after intimate partner violence: An exploratory study. Child Abuse & Neglect 2018, 79: 136-143. PMID: 29452932, PMCID: PMC5879001, DOI: 10.1016/j.chiabu.2018.02.003.Peer-Reviewed Original ResearchConceptsIPV exposureInternal injuriesIntimate partner violenceIntra-abdominal injuriesPhysical examination findingsCohort of childrenReports of traumaExamination of siblingsChild abuse consultationsPhysical abuseChild abuse pediatriciansOccult injuriesExamination findingsProspective studyAbusive injuriesEmergency departmentInjury patternsPhysical examinationDirect injuryInadvertent traumaPartner violenceCutaneous injuryPatientsInjuryChildren
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 Research
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 safetyQualitative Study Exploring Implementation of a Point-of-Care Competency-Based Lumbar Puncture Program Across Institutions
Pasternack JR, Dadiz R, McBeth R, Gerard JM, Scherzer D, Tiyyagura G, Zaveri P, Chang TP, Auerbach M, Kessler D. Qualitative Study Exploring Implementation of a Point-of-Care Competency-Based Lumbar Puncture Program Across Institutions. Academic Pediatrics 2016, 16: 621-629. PMID: 27154006, DOI: 10.1016/j.acap.2016.04.010.Peer-Reviewed Original ResearchConceptsCompetency-based education programsEducation programsGraduate medical trainingAbility of SDSEducational cultureTeaching paradigmClinician educatorsEducational initiativesInstitutional cultureInterns' readinessMedical trainingTask trainerEducationEmergent themesAcademic medicineTrainee educationCommunication logisticsFocus groupsQualitative studyPatient careMain themesSuccessful implementationPediatric InnovationReadinessCommon goal
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
2013
Interns' Success With Clinical Procedures in Infants After Simulation Training
Kessler DO, Arteaga G, Ching K, Haubner L, Kamdar G, Krantz A, Lindower J, Miller M, Petrescu M, Pusic MV, Rocker J, Shah N, Strother C, Tilt L, Weinberg ER, Chang TP, Fein DM, Auerbach M. Interns' Success With Clinical Procedures in Infants After Simulation Training. Pediatrics 2013, 131: e811-e811. PMID: 23439901, DOI: 10.1542/peds.2012-0607.Peer-Reviewed Original ResearchQualitative Evaluation of Just-in-Time Simulation-Based Learning
Kamdar G, Kessler DO, Tilt L, Srivastava G, Khanna K, Chang TP, Balmer D, Auerbach M. Qualitative Evaluation of Just-in-Time Simulation-Based Learning. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2013, 8: 43-48. PMID: 23299050, DOI: 10.1097/sih.0b013e31827861e8.Peer-Reviewed Original Research