2024
Maternal stress and breastfeeding outcomes in the NICU couplet care experience: a prospective cohort study
Doughty K, Nichols C, Henry C, Shabanova V, Taylor S. Maternal stress and breastfeeding outcomes in the NICU couplet care experience: a prospective cohort study. Journal Of Perinatology 2024, 44: 1624-1629. PMID: 38755256, DOI: 10.1038/s41372-024-02000-7.Peer-Reviewed Original ResearchNeonatal intensive care unitProspective cohort studyBreastfeeding outcomesCouplet careCohort studyInfant length of stayNICU-related stressMaternal stressIntensive care unitLength of stayGestational ageInfant lengthStudy designWeMother-infant dyadsInfant feeding outcomesCare unitFeeding outcomesPostpartum careCare dyadsBreastfeedingCare experiencesTraditional careParent-infant relationshipMarital statusInfants
2023
Diabetes in Pregnancy, Neonatal Morbidities, and Early Growth in Moderate or Late Preterm Infants.
Buck C, Shabanova V, Clark R, Taylor S. Diabetes in Pregnancy, Neonatal Morbidities, and Early Growth in Moderate or Late Preterm Infants. Pediatrics 2023, 152 PMID: 37969002, DOI: 10.1542/peds.2023-061285.Peer-Reviewed Original ResearchConceptsLate preterm infantsPreterm infantsGestational ageNeonatal morbidityBirth weightDay 14Pediatrix Clinical Data WarehouseNeonatal intensive care unitCommon neonatal morbiditiesShort-term morbidityIntensive care unitFirst postnatal dayPercent weight changeFirst postnatal weekClinical data warehouseDM groupRespiratory supportTerm morbidityCare unitDiabetes exposureAdjusted differenceCongenital anomaliesPostnatal dayHealth characteristicsPostnatal week
2021
A novel and accurate method for estimating umbilical arterial and venous catheter insertion length
Tambasco CJ, Shabanova V, Peterec SM, Bizzarro MJ. A novel and accurate method for estimating umbilical arterial and venous catheter insertion length. Journal Of Perinatology 2021, 41: 1633-1637. PMID: 34103672, DOI: 10.1038/s41372-021-01121-7.Peer-Reviewed Original Research
2020
Patterns of medication use at end of life by pediatric inpatients with cancer
Prozora S, Shabanova V, Ananth P, Pashankar F, Kupfer GM, Massaro SA, Davidoff AJ. Patterns of medication use at end of life by pediatric inpatients with cancer. Pediatric Blood & Cancer 2020, 68: e28837. PMID: 33306281, DOI: 10.1002/pbc.28837.Peer-Reviewed Original ResearchConceptsMedication usePediatric inpatientsVizient Clinical Database/Resource ManagerHematopoietic stem cell transplantLife-sustaining medicationsMedication utilization patternsSymptom management medicationsUse of opioidsStem cell transplantIntensive care unitLength of stayAcademic medical centerResource use dataLast weekWarrants further studyEvidence-based approachVasopressor useEnd of lifeCare unitCell transplantMedication categoriesResuscitate statusRetrospective studyMalignancy typeOdds ratioBayesian analysis of the epidemiology of bleeding in critically ill children
Greenway T, Eysenbach L, Shabanova V, Faustino EVS. Bayesian analysis of the epidemiology of bleeding in critically ill children. Journal Of Critical Care 2020, 63: 133-138. PMID: 33012582, PMCID: PMC8005501, DOI: 10.1016/j.jcrc.2020.09.028.Peer-Reviewed Original ResearchConceptsISTH definitionIll childrenPediatric intensive care unitProspective cohort studyIntensive care unitRelevant bleedingCohort studyCare unitMechanical ventilationEntire cohortPediatric intensivistsSurvey definitionChildrenEpidemiologyInternational SocietyPrimary analytic toolsConcordanceFindingsBleedingIntensivistsThrombosisHigh frequencyHaemostasisCohortYearsRisks of venous thrombosis and bleeding in critically ill adolescents after trauma or major surgery
Hanson SJ, Mahajerin A, Petty JK, Shabanova V, Faustino EVS. Risks of venous thrombosis and bleeding in critically ill adolescents after trauma or major surgery. Journal Of Pediatric Surgery 2020, 56: 302-308. PMID: 32713711, DOI: 10.1016/j.jpedsurg.2020.06.037.Peer-Reviewed Original ResearchConceptsCentral venous catheterizationVenous thromboembolismMajor surgeryMechanical ventilationAnatomic sitesHigh riskIll adolescentsVirtual Pediatric Systems databasePediatric intensive care unitRisk of VTERetrospective cohort studyIntensive care unitMixed-effects logistic regressionEffects logistic regressionPharmacologic prophylaxisAdjusted riskCohort studyVenous thrombosisCare unitVenous catheterizationLower riskSurgeryLevel IILogistic regressionTraumaCurrent training in percutaneously inserted central catheter (PICC) placement and maintenance for neonatal–perinatal medicine fellows
Levit O, Shabanova V, Bizzarro MJ, Johnston L. Current training in percutaneously inserted central catheter (PICC) placement and maintenance for neonatal–perinatal medicine fellows. Journal Of Perinatology 2020, 40: 589-594. PMID: 31932714, DOI: 10.1038/s41372-019-0587-3.Peer-Reviewed Original ResearchMeSH KeywordsCatheterization, Central VenousCatheterization, PeripheralChi-Square DistributionClinical CompetenceCross-Sectional StudiesCurriculumEducation, Medical, GraduateEducational MeasurementFellowships and ScholarshipsHumansInfant, NewbornIntensive Care Units, NeonatalSurveys and QuestionnairesUnited StatesConceptsNeonatal-perinatal medicineNeonatal intensive care unitCentral catheter placementIntensive care unitNeonatal-perinatal medicine fellowsProgram directorsPICC insertionStudy designACare unitPICC placementPICC teamCatheter placementResponse rateMost program directorsConclusionsWide variationsEducational statusFormal trainingTraining program directorsCurrent educational statusUmbilical catheter-associated complications in a level IV neonatal intensive care unit
Levit OL, Shabanova V, Bizzarro MJ. Umbilical catheter-associated complications in a level IV neonatal intensive care unit. Journal Of Perinatology 2020, 40: 573-580. PMID: 31911645, DOI: 10.1038/s41372-019-0579-3.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitIntensive care unitLevel IV neonatal intensive care unitCatheter-associated complicationsUmbilical arterial catheterUmbilical cathetersCare unitCatheter useArterial catheterArterial catheter useUmbilical venous catheterVenous catheter useObservational cohort studyCatheter dwell timeCohort studyComplication rateCumulative incidenceVenous cathetersCox regressionResultsFifty-oneComplicationsCatheterEvent ratesSignificant riskLower percentage
2019
Perceptions of Neonatal Palliative Care: Similarities and Differences between Medical and Nursing Staff in a Level IV Neonatal Intensive Care Unit
Kyc SJ, Bruno CJ, Shabanova V, Montgomery AM. Perceptions of Neonatal Palliative Care: Similarities and Differences between Medical and Nursing Staff in a Level IV Neonatal Intensive Care Unit. Journal Of Palliative Medicine 2019, 23: 662-669. PMID: 31808706, DOI: 10.1089/jpm.2019.0523.Peer-Reviewed Original ResearchConceptsNeonatal palliative careLevel IV neonatal intensive care unitNeonatal intensive care unitIntensive care unitPalliative careCare unitNursing staffProspective cross-sectional study designCross-sectional study designPalliative care practiceLife-threatening conditionNursing staff's attitudesPalliative care educationHealth care teamPain reliefCare teamCurative careResponse rateCare practicesMedical providersNursing perspectiveNursing practiceStudy designCareCare educationImpact of a dedicated nursing team on central line-related complications in neonatal intensive care unit
Levit O, Shabanova V, Bizzarro M. Impact of a dedicated nursing team on central line-related complications in neonatal intensive care unit. The Journal Of Maternal-Fetal & Neonatal Medicine 2019, 33: 2618-2622. PMID: 30612486, DOI: 10.1080/14767058.2018.1555814.Peer-Reviewed Original ResearchConceptsLine-related complicationsCentral line-related complicationsDedicated nursing teamCentral line insertionNursing teamLine insertionProspective observational cohort studyNeonatal intensive care unitCatheter-related complicationsObservational cohort studyIntensive care unitNeonatal-perinatal medicine fellowsCentral line placementPost-intervention analysisCohort studyCentral cathetersCare unitCatheter maintenanceLine daysNeedle stickInsertion successComplicationsLine placementSignificant reductionPhlebitis
2018
Epidemiology of Lower Extremity Deep Venous Thrombosis in Critically Ill Adolescents
Faustino EVS, Shabanova V, Pinto MG, Li S, Trakas E, Miksa M, Gertz S, Polikoff LA, Napolitano M, Brudnicki AR, Tala JA, Silva CT, Investigators T, Miksa M, Taragin B, Blickman J, Taillie E, Trakas E, Balasco A, Herliczek T, Polikoff L, Dovi G, Napolitano M, Gertz S, Riordan M, Zasa J, Brudnicki A, Eldridge P, Li S, Pinto M, Faustino E, Silva C, Tala J. Epidemiology of Lower Extremity Deep Venous Thrombosis in Critically Ill Adolescents. The Journal Of Pediatrics 2018, 201: 176-183.e2. PMID: 29891258, DOI: 10.1016/j.jpeds.2018.05.006.Peer-Reviewed Original ResearchConceptsDeep venous thrombosisExtremity deep venous thrombosisIll adolescentsVenous thrombosisFrequency of DVTLower extremity deep venous thrombosisCases of DVTBilateral deep venous thrombosisPediatric intensive care unitInvasive mechanical ventilationCentral venous catheterizationIntensive care unitPharmacologic prophylaxisTherapeutic anticoagulationCohort studyPulmonary embolismCardiopulmonary supportCare unitMechanical ventilationVenous catheterizationSevere illnessSerial sonogramsLower extremitiesEpidemiologyThrombosis
2015
Neonatal Sepsis 2004-2013: The Rise and Fall of Coagulase-Negative Staphylococci
Bizzarro MJ, Shabanova V, Baltimore RS, Dembry LM, Ehrenkranz RA, Gallagher PG. Neonatal Sepsis 2004-2013: The Rise and Fall of Coagulase-Negative Staphylococci. The Journal Of Pediatrics 2015, 166: 1193-1199. PMID: 25919728, PMCID: PMC4413005, DOI: 10.1016/j.jpeds.2015.02.009.Peer-Reviewed Original ResearchConceptsEarly-onset sepsisLate-onset sepsisNeonatal intensive care unitCoagulase-negative staphylococciIntensive care unitCare unitLevel IV neonatal intensive care unitEpisodes of sepsisLow birth weightInfection prevention initiativesInfection prevention effortsPercent of casesGroup B streptococciHospital courseSepsis episodesMost infantsBirth weightCommon organismB streptococciSepsisOutcome dataAdditional surveillancePrevention effortsStudy periodInfants
2013
Temporal quantification of oxygen saturation ranges: an effort to reduce hyperoxia in the neonatal intensive care unit
Bizzarro MJ, Li FY, Katz K, Shabanova V, Ehrenkranz RA, Bhandari V. Temporal quantification of oxygen saturation ranges: an effort to reduce hyperoxia in the neonatal intensive care unit. Journal Of Perinatology 2013, 34: 33-38. PMID: 24071904, DOI: 10.1038/jp.2013.122.Peer-Reviewed Original ResearchConceptsSevere ROPRetinopathy of prematurityNeonatal intensive care unitIntensive care unitCare unitMultivariate analysisBronchopulmonary dysplasia/deathTarget saturation rangePost-intervention evaluationPreterm neonatesOxygen saturationStaff educationSurgeryInfantsMultidisciplinary groupSignificant reductionHyperoxiaDeathExposureSignal extraction technologyMorbidityPrematurityRetinopathyNeonatesThe SNAP index does not correlate with the State Behavioral Scale in intubated and sedated children
Thompson C, Shabanova V, Giuliano JS. The SNAP index does not correlate with the State Behavioral Scale in intubated and sedated children. Pediatric Anesthesia 2013, 23: 1174-1179. PMID: 24103039, PMCID: PMC3880626, DOI: 10.1111/pan.12258.Peer-Reviewed Original ResearchConceptsState Behavioral ScalePediatric intensive care unitSNAP indexSedation levelIll childrenIll pediatric patientsIntensive care unitLevel of sedationPediatric critical careBehavioral scalesIntravenous sedationPediatric patientsSNAP-IICare unitSBS scoresSubjective sedationBedside nursesSedated childrenCritical careObservational studySedationScoring toolInformed consentPatientsBrain activityNeutrophil CD64 with Hematologic Criteria for Diagnosis of Neonatal Sepsis
Streimish I, Bizzarro M, Northrup V, Wang C, Renna S, Koval N, Li FY, Ehrenkranz RA, Rinder HM, Bhandari V. Neutrophil CD64 with Hematologic Criteria for Diagnosis of Neonatal Sepsis. American Journal Of Perinatology 2013, 31: 021-030. PMID: 23456906, DOI: 10.1055/s-0033-1334453.Peer-Reviewed Original ResearchConceptsCulture-proven sepsisClinical sepsisNeutrophil CD64CD64 indexNeonatal sepsisHematologic criteriaSingle-centre neonatal intensive care unitEarly-onset clinical sepsisNeonatal intensive care unitNeutrophil CD64 indexProspective observational cohortAbsolute neutrophil countNormal birth weightIntensive care unitAbsolute band countNegative predictive valueAdditional markersSepsis evaluationNeutrophil countObservational cohortCare unitBirth weightHematologic parametersSepsisCD64
2012
Incidence and Acute Complications of Asymptomatic Central Venous Catheter–Related Deep Venous Thrombosis in Critically Ill Children
Faustino EV, Spinella PC, Li S, Pinto MG, Stoltz P, Tala J, Card ME, Northrup V, Baker KE, Goodman TR, Chen L, Silva CT. Incidence and Acute Complications of Asymptomatic Central Venous Catheter–Related Deep Venous Thrombosis in Critically Ill Children. The Journal Of Pediatrics 2012, 162: 387-391. PMID: 22883418, PMCID: PMC3575007, DOI: 10.1016/j.jpeds.2012.06.059.Peer-Reviewed Original ResearchConceptsCVC-related deep venous thrombosisDeep venous thrombosisCentral venous cathetersIntensive care unitAcute complicationsIll childrenVenous cathetersVenous thrombosisCare unitPediatric intensive care unitProspective cohort studyChronic complicationsHospital lengthCohort studyPatient demographicsPulmonary embolismCompression ultrasonographyMechanical ventilationHigher oddsCurrent incidenceColor DopplerComplicationsCVC characteristicsLarger studyThrombosis
2011
Survey of pharmacologic thromboprophylaxis in critically ill children*
Faustino EV, Patel S, Thiagarajan RR, Cook DJ, Northrup V, Randolph AG. Survey of pharmacologic thromboprophylaxis in critically ill children*. Critical Care Medicine 2011, 39: 1773-1778. PMID: 21423003, PMCID: PMC3118917, DOI: 10.1097/ccm.0b013e3182186ec0.Peer-Reviewed Original ResearchConceptsPediatric intensive care unitIntensive care unitCare unitIll childrenPharmacologic thromboprophylaxisPediatric intensive care unit patientsIntensive care unit patientsPresence of hypercoagulabilityDeep venous thrombosisCare unit patientsEvidence-based guidelinesCross-sectional self-administered surveyRigorous randomized trialsMajor bleedingLack of evidenceUnit patientsPatient factorsVenous thrombosisCavopulmonary anastomosisRandomized trialsWeight heparinPediatric intensivistsThromboprophylaxisInfant scenarioInvasive interventions“Change, before you have to.”–Jack Welch, Former CEO, General Electric*
Faustino EV, Lawson KA, Northrup V, Higgerson RA. “Change, before you have to.”–Jack Welch, Former CEO, General Electric*. Critical Care Medicine 2011, 40: 2227-2228. PMID: 21336130, PMCID: PMC3101274, DOI: 10.1097/ccm.0b013e31820eb8a1.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAge FactorsCase-Control StudiesCatheterization, Central VenousCause of DeathChildChild, PreschoolCritical CareCritical IllnessFemaleHospital MortalityHumansInfantIntensive Care Units, PediatricMalePrognosisReference ValuesRespiration, ArtificialRetrospective StudiesRisk AssessmentSex FactorsSurvival AnalysisTime FactorsTreatment OutcomeVenous ThrombosisConceptsVentilator-free daysIntensive care unitCentral venous lineDeep venous thrombosisDeep vein thrombosisIndex patientsVenous thrombosisCare unitMechanical ventilationIll childrenControl patientsVein thrombosisVenous lineIntensive care unit-free daysIntensive care unit stayPrevious prospective observational studyPediatric intensive care unitCentral venous line insertionSymptomatic venous thromboembolismVenous thrombosis studyProspective observational studyAlternative outcome measuresUnit stayVenous thromboembolismCohort studyAntibiotic Exposure in the Newborn Intensive Care Unit and the Risk of Necrotizing Enterocolitis
Alexander VN, Northrup V, Bizzarro MJ. Antibiotic Exposure in the Newborn Intensive Care Unit and the Risk of Necrotizing Enterocolitis. The Journal Of Pediatrics 2011, 159: 392-397. PMID: 21489560, PMCID: PMC3137655, DOI: 10.1016/j.jpeds.2011.02.035.Peer-Reviewed Original ResearchConceptsRisk of NECAntibiotic exposureControl subjectsRisk factorsNewborn intensive care unitCulture-proven sepsisFull enteral feedingCases of NECIndependent risk factorDiagnosis of NECRespiratory distress syndromeIntensive care unitRisk factor dataPrior sepsisEnteral feedingNecrotizing enterocolitisDistress syndromeCare unitGestational ageBirth weightAntibiotic useCase subjectsSepsisMultivariate analysisNeonates
2010
A Quality Improvement Initiative to Reduce Central Line–Associated Bloodstream Infections in a Neonatal Intensive Care Unit
Bizzarro MJ, Sabo B, Noonan M, Bonfiglio MP, Northrup V, Diefenbach K. A Quality Improvement Initiative to Reduce Central Line–Associated Bloodstream Infections in a Neonatal Intensive Care Unit. Infection Control And Hospital Epidemiology 2010, 31: 241-248. PMID: 20102278, DOI: 10.1086/650448.Peer-Reviewed Original ResearchConceptsCentral line-associated bloodstream infectionsNeonatal intensive care unitLate-onset sepsisRate of CLABSINational Healthcare Safety NetworkCentral venous cathetersIntensive care unitCLABSI ratesBloodstream infectionsCare unitLevel III neonatal intensive care unitCentral Line–Associated Bloodstream InfectionsLine-associated bloodstream infectionsLine–Associated Bloodstream InfectionsEvidence-based guidelinesQuality improvement initiativesQuality improvement committeeCVC placementVenous cathetersNICU patientsInpatient careClinical practicePreintervention dataQuasi-experimental studySepsis