2021
Half Century Since SIDS: A Reappraisal of Terminology
Shapiro-Mendoza C, Palusci V, Hoffman B, Batra E, Yester M, Corey T, Sens M, Moon R, Goodstein M, Abu Jawdeh E, Carlin R, Colvin J, Hwang S, Hauck F, Haney S, Sirotnak A, Asnes A, Gavril A, Greenlee Girardet R, Hoffert Gilmartin A, Heavilin N, Laskey A, Messner S, Mohr B, Nienow S, Rosado N, Agran P, Hirsh M, Johnston B, Kendi S, Lee L, Monroe K, Schaechter J, Tenenbein M, Zonfrillo M, Quinlan K, Bechtel K, Berkowitz C, Needelman H. Half Century Since SIDS: A Reappraisal of Terminology. Pediatrics 2021, 148: e2021053746. PMID: 34544849, PMCID: PMC8487943, DOI: 10.1542/peds.2021-053746.Peer-Reviewed Original ResearchConceptsNonphysician cliniciansInfant deathSudden infant deathMental health careClinician disciplineAppropriate referralPediatric specialtiesChild deathsPediatriciansDiagnostic shiftEffective interventionsPhysiciansCliniciansDeathHealth careCaregiversTragic newsConsistent terminologyOpen communicationPathophysiologyDeath terminologyInfantsReferralEtiologyMortality
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 interventionsConsultationImpact of the Take 5 Safety Plan for Crying on the Occurrence of Abusive Head Trauma in Infants
Bechtel K, Gaither J, Leventhal J. Impact of the Take 5 Safety Plan for Crying on the Occurrence of Abusive Head Trauma in Infants. Child Abuse Review 2020, 29: 282-290. DOI: 10.1002/car.2622.Peer-Reviewed Original ResearchYale-New Haven HospitalAbusive head traumaElectronic medical recordsAdjusted odds ratioHead traumaCaregiver frustrationTAKE 5Likelihood of AHTNon-abusive head traumaDiagnosis of AHTNewborn hospital dischargeNew Haven HospitalCent of controlCaregivers of newbornsCase-control designInfant cryingHospital dischargeHead injuryMedical recordsOdds ratioMedical providersInfantsKey Practitioner MessageLogistic regressionAbuse services
2019
Characteristics That Distinguish Abusive From Nonabusive Causes of Sudden Unexpected Infant Deaths
Bechtel K, Derbyshire M, Gaither JR, Leventhal JM. Characteristics That Distinguish Abusive From Nonabusive Causes of Sudden Unexpected Infant Deaths. Pediatric Emergency Care 2019, 37: e780-e783. PMID: 30829845, DOI: 10.1097/pec.0000000000001787.Peer-Reviewed Original ResearchConceptsSudden unexpected infant deathUnexpected infant deathChild protective services involvementTime of deathSentinel injuryManner of deathSpontaneous circulationInfant deathEmergency medical services transportEmergency department settingMaternal substance useCase-control designService involvementMedical examiner recordsClinical outcomesEmergency departmentDepartment settingCardiopulmonary resuscitationFatal child abuseServices transportSubstance useDeathFurther studiesSignificant differencesInfants
2018
Simulation-based research to improve infant health outcomes: Using the infant simulator to prevent infant shaking
Bechtel K, Bhatnagar A, Auerbach M. Simulation-based research to improve infant health outcomes: Using the infant simulator to prevent infant shaking. Infant Behavior And Development 2018, 56: 101263. PMID: 29903429, DOI: 10.1016/j.infbeh.2018.05.006.Peer-Reviewed Original Research
2012
Sudden Unexpected Infant Death
Bechtel K. Sudden Unexpected Infant Death. Pediatric Emergency Care 2012, 28: 1085-1089. PMID: 23034500, DOI: 10.1097/pec.0b013e31826d1e9a.Peer-Reviewed Original ResearchConceptsSudden unexpected infant deathSudden infant death syndromeInfant death syndromeUnexpected infant deathEmergency departmentInfant deathDeath syndromeInterviews of caregiversChild death review teamsLocal medical examinersObvious causeED practitionersFatal child abuseED guidelinesCompassionate mannerMedical examinersDeathSyndromeReview teamCauseChild abuseInfants
2011
Impact of an Educational Intervention on Caregivers’ Beliefs About Infant Crying and Knowledge of Shaken Baby Syndrome
Bechtel K, Le K, Martin KD, Shah N, Leventhal JM, Colson E. Impact of an Educational Intervention on Caregivers’ Beliefs About Infant Crying and Knowledge of Shaken Baby Syndrome. Academic Pediatrics 2011, 11: 481-486. PMID: 21940233, DOI: 10.1016/j.acap.2011.08.001.Peer-Reviewed Original ResearchConceptsShaken baby syndromeHospital dischargeIntervention groupEducational interventionAnticipatory guidanceUrban primary care centerPediatric residentsInfant cryingNewborn hospital dischargeHistorical control groupPrimary care centersIntervention group caregiversBeliefs/knowledgePostpartum interventionsCare centerAdjusted associationsInfant deathBaby syndromeShaken BabyHospital staffControl groupYoung infantsMore mothersInfantsLogistic regression