2024
The Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments
Iqbal A, Whitfill T, Tiyyagura G, Auerbach M. The Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments. Pediatric Emergency Care 2024, 40: 131-136. PMID: 38286004, DOI: 10.1097/pec.0000000000003120.Peer-Reviewed Original ResearchConceptsAdvanced practice providersPediatric emergency medicineLow acuity patientsPediatric emergency carePractice providersEmergency departmentAcuity patientsEmergency careImprove pediatric emergency careElectronic health recordsInternational Classification of DiseasesHigh-acuity patientsPediatric patient careClassification of DiseasesProvider typeHealth recordsEmergency medicinePatient encountersLength of stayPatient careInternational ClassificationProportion of pediatric patientsAcuity levelsPediatric patientsPatient factors
2023
Intimate partner violence screening during COVID-19
Hoffman R, Ryus C, Tiyyagura G, Jubanyik K. Intimate partner violence screening during COVID-19. PLOS ONE 2023, 18: e0284194. PMID: 37093791, PMCID: PMC10124835, DOI: 10.1371/journal.pone.0284194.Peer-Reviewed Original ResearchConceptsVisitor restriction policiesEmergency departmentIPV screeningIntimate partner violenceTertiary care center emergency departmentRetrospective cross-sectional studyCOVID-19COVID-19 pandemicIntimate partner violence screeningChi-squareCenter emergency departmentPartner violence screeningCross-sectional studyLogistic regression modelsBinary logistic regression modelPrimary outcomeVisitor restrictionsPositive screenViolence screeningBivariate analysisDemographic characteristicsPatientsT-testRestriction policiesScreening
2022
Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence
Butala N, Asnes A, Gaither J, Leventhal JM, O'Malley S, Jubanyik K, Aydin A, Tiyyagura G. Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence. Academic Emergency Medicine 2022, 30: 23-31. PMID: 36300559, DOI: 10.1111/acem.14614.Peer-Reviewed Original ResearchConceptsIntimate partner violenceChild protective servicesPartner violenceSocial work involvementSafety of childrenEmergency departmentPresence of childrenIPV episodesProtective servicesChild safetyAdult victimsWork involvementViolencePhysical abuseDirect witnessCPS reportsCritical opportunityICD-10-CM codesChildren's exposureEncountersChart reviewED encountersNature of exposureHomeHigh prevalence
2021
A Community Emergency Department Rotation for Pediatric Emergency Medicine Fellows
Langhan ML, Woolf S, Tiyyagura G. A Community Emergency Department Rotation for Pediatric Emergency Medicine Fellows. Pediatric Emergency Care 2021, 37: e1521-e1523. PMID: 32941360, DOI: 10.1097/pec.0000000000002103.Peer-Reviewed Original ResearchConceptsCommunity emergency departmentsEmergency departmentPEM fellowsPediatric emergency medicine specialistsAcademic children's hospitalChildren's emergency departmentEmergency medicine specialistsLower patient acuityPediatric emergency medicineChildren's HospitalMajority of participantsMonth-long rotationPEM fellowship programsEmergency carePatient acuityEmergency department rotationMedicine specialistsWeb-based surveyMajority of trainingEmergency medicineCare environmentHospital leadershipHospitalNeeds assessmentFellowship programs
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 interventionsConsultationImproving the Care of Abused Children Presenting to Community Emergency Departments: The Evolving Landscape
Tiyyagura G, Leventhal JM, Auerbach M, Schaeffer P, Asnes AG. Improving the Care of Abused Children Presenting to Community Emergency Departments: The Evolving Landscape. Academic Pediatrics 2020, 21: 221-222. PMID: 32961336, DOI: 10.1016/j.acap.2020.09.008.Peer-Reviewed Original Research
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 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
A Qualitative Analysis of General Emergency Medicine Providers' Perceptions on Pediatric Emergency Telemedicine.
Kim JW, Tiyyagura G, Langhan M. A Qualitative Analysis of General Emergency Medicine Providers' Perceptions on Pediatric Emergency Telemedicine. Pediatric Emergency Care 2017, Publish Ahead of Print: 856-861. PMID: 28225376, DOI: 10.1097/pec.0000000000001067.Peer-Reviewed Original ResearchConceptsED providersLimitations of telemedicineEmergency departmentTelemedicine programProviders' perceptionsPediatric ED providersAdult stroke patientsGeneral emergency departmentsCritical care settingPatient-related outcomesPediatric emergency patientsPediatric emergency careAudio-recorded semistructured interviewsPediatric telemedicineStroke patientsConnecticut hospitalsApplication of telemedicineCare settingsEmergency patientsEmergency careVideo telemedicineTelemedicine's effectMost childrenPediatric resourcesFurther studies
2013
Pediatric Anaphylaxis Management in the Prehospital Setting
Tiyyagura GK, Arnold L, Cone DC, Langhan M. Pediatric Anaphylaxis Management in the Prehospital Setting. Prehospital Emergency Care 2013, 18: 46-51. PMID: 24028748, PMCID: PMC3865171, DOI: 10.3109/10903127.2013.825352.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentEmergency medical servicesAnaphylactic reactionsAllergic reactionsUrban tertiary care pediatric emergency departmentLife-threatening systemic allergic reactionTertiary care pediatric emergency departmentPatients 18 yearsHistory of asthmaRetrospective chart reviewSystemic allergic reactionsPast medical historyTreatment of choiceParents/patientsCases of anaphylaxisAllergy-causing substanceGastrointestinal symptomsChart reviewRespiratory symptomsEarly administrationIntramuscular epinephrinePatient's symptomsEmergency departmentEpinephrine administrationMean age