2023
Natural Language Processing — A Surveillance Stepping Stone to Identify Child Abuse
Shum M, Hsiao A, Teng W, Asnes A, Amrhein J, Tiyyagura G. Natural Language Processing — A Surveillance Stepping Stone to Identify Child Abuse. Academic Pediatrics 2023, 24: 92-96. PMID: 37652162, PMCID: PMC10840716, DOI: 10.1016/j.acap.2023.08.015.Peer-Reviewed Original ResearchConceptsClinical guidelinesClinical decision support toolSignificant demographic differencesED providersProvider notesInsurance statusGeneral EDsClinical careAbuse evaluationsED typeChild protective servicesChild abuseInjuryAppropriate evaluationChild physical abuseNLP algorithmDemographic differencesPhysical abuseAdherenceDemographic variablesProtective servicesNatural language processing algorithmAbuse
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
2017
“What do you know?”——knowledge among village doctors of lead poisoning in children in rural China
Huang R, Ning H, Baum CR, Chen L, Hsiao A. “What do you know?”——knowledge among village doctors of lead poisoning in children in rural China. BMC Public Health 2017, 17: 895. PMID: 29169343, PMCID: PMC5701361, DOI: 10.1186/s12889-017-4895-2.Peer-Reviewed Original ResearchConceptsVillage doctorsLead poisoningResultsA totalMultifaceted interventionsBackgroundThis studyPrevention strategiesCollege-level educationConclusionsThis studyLevel educationPoor knowledgeRural childrenPrevention measuresChildrenDoctorsQuestionnaire-based surveyPoisoningRural ChinaRural populationTest questionnaireClear needQuestionnaireAnnual incomeMethodsADevelopment and validation of a continuously age-adjusted measure of patient condition for hospitalized children using the electronic medical record
Rothman MJ, Tepas JJ, Nowalk AJ, Levin JE, Rimar JM, Marchetti A, Hsiao AL. Development and validation of a continuously age-adjusted measure of patient condition for hospitalized children using the electronic medical record. Journal Of Biomedical Informatics 2017, 66: 180-193. PMID: 28057565, DOI: 10.1016/j.jbi.2016.12.013.Peer-Reviewed Original ResearchConceptsUnplanned ICU transfersPediatric Rothman IndexElectronic medical recordsRothman IndexICU transferPediatric RiskClinical statusPediatric hospitalHospitalized childrenMedical recordsPRI scoresPatient's conditionMortality dataPost-discharge mortalityPatient's clinical statusMortality odds ratioHospital mortalityInpatient visitsPatient ageAdult mortality dataClinical variablesOdds ratioClinical dataPhysiologic deteriorationPatient acuity
2016
Cost-effectiveness of point-of-care testing for dehydration in the pediatric ED
Whitney RE, Santucci K, Hsiao A, Chen L. Cost-effectiveness of point-of-care testing for dehydration in the pediatric ED. The American Journal Of Emergency Medicine 2016, 34: 1573-1575. PMID: 27289438, DOI: 10.1016/j.ajem.2016.05.075.Peer-Reviewed Original ResearchConceptsAcute gastroenteritisPediatric emergency department (ED) visitsPOC testingEmergency department visitsLength of stayCost of admissionRandomized control trialChemistry testingCost-effective analysisDecision analysis modelCare testingDepartment visitsPediatric EDElectrolyte testingAdmission ratesSerum testingClinical assessmentControl trialMean savingsDegree of dehydrationPatientsCost savingsChildrenTrialsPayers
2011
Secure Web Messaging in a Pediatric Chronic Care Clinic: A Slow Takeoff of “Kids' Airmail”
Hsiao AL, Bazzy-Asaad A, Tolomeo C, Edmonds D, Belton B, Benin AL. Secure Web Messaging in a Pediatric Chronic Care Clinic: A Slow Takeoff of “Kids' Airmail”. Pediatrics 2011, 127: e406-e413. PMID: 21220392, DOI: 10.1542/peds.2010-1086.Peer-Reviewed Original ResearchConceptsPatients/familiesWeb messagingChronic care clinicPediatric respiratory clinicPediatric subspecialty clinicHandful of patientsRespiratory clinicClinic providersCare clinicsSubspecialty clinicsAccountability Act guidelinesPatientsClinicHealth careHealth Insurance PortabilityPhone callsInsurance PortabilityProminent barriersNew HavenQualitative interviewsE-mailOutpatientsNonusersMonthsCare
2010
Use of Bedside Ultrasound to Assess Degree of Dehydration in Children With Gastroenteritis
Chen L, Hsiao A, Langhan M, Riera A, Santucci KA. Use of Bedside Ultrasound to Assess Degree of Dehydration in Children With Gastroenteritis. Academic Emergency Medicine 2010, 17: 1042-1047. PMID: 21040104, PMCID: PMC3058669, DOI: 10.1111/j.1553-2712.2010.00873.x.Peer-Reviewed Original ResearchMeSH KeywordsAortaChildChild, PreschoolCohort StudiesDehydrationDiarrheaEmergency Service, HospitalFemaleFluid TherapyGastroenteritisHemodynamicsHumansInfantInfusions, IntravenousLinear ModelsMaleObserver VariationPilot ProjectsPoint-of-Care SystemsProspective StudiesReproducibility of ResultsSeverity of Illness IndexUltrasonography, DopplerVena Cava, InferiorConceptsInferior vena cavaIVC/Ao ratioPediatric emergency departmentAo diametersAcute gastroenteritisAo ratioBedside ultrasound measurementAcute weight lossProspective observational studyResolution of symptomsAorta diameter ratioAcute care settingInterrater reliabilityPairs of investigatorsPearson correlation coefficientSignificant dehydrationGood interrater reliabilityEmergency departmentIntravascular volumeBedside USVena cavaBedside ultrasoundObservational studyCare settingsProspective identification
2009
Dropping the Baton During the Handoff from Emergency Department to Primary Care: Pediatric Asthma Continuity Errors
Hsiao AL, Shiffman RN. Dropping the Baton During the Handoff from Emergency Department to Primary Care: Pediatric Asthma Continuity Errors. The Joint Commission Journal On Quality And Patient Safety 2009, 35: 467-474. PMID: 19769207, DOI: 10.1016/s1553-7250(09)35065-5.Peer-Reviewed Original ResearchConceptsPrimary care physiciansEmergency departmentED visitsAsthma exacerbationsTertiary care pediatric emergency departmentAcute asthma treatmentPatient's ED visitPediatric ED visitsMajority of patientsPediatric emergency departmentCommunity health centersAsthma treatmentED notesPediatric patientsCare physiciansProvider notesPrimary careChronic diseasesHealth centersTelephone contactNational guidelinesPatientsMedical carePatient carePatient safetyChanging Referral Trends of Acute Pancreatitis in Children: A 12‐year Single‐center Analysis
Park A, Latif SU, Shah AU, Tian J, Werlin S, Hsiao A, Pashankar D, Bhandari V, Nagar A, Husain SZ. Changing Referral Trends of Acute Pancreatitis in Children: A 12‐year Single‐center Analysis. Journal Of Pediatric Gastroenterology And Nutrition 2009, 49: 316-322. PMID: 19503003, PMCID: PMC3034387, DOI: 10.1097/mpg.0b013e31818d7db3.Peer-Reviewed Original ResearchConceptsTertiary care centerBody mass indexCases of pancreatitisAcute pancreatitisCare centerInclusion criteriaSingle tertiary care centerAcute pancreatitis casesPainful inflammatory disordersPediatric emergency departmentICD-9 codesPediatric pancreatitisPancreatitis casesCommon etiologyMass indexPediatric populationBiliary diseaseRecurrence rateRetrospective studyEmergency departmentInflammatory disordersMean agePediatric studiesReferral trendsPancreatitis
2008
Randomized Trial of Endotracheal Tube Versus Laryngeal Mask Airway in Simulated Prehospital Pediatric Arrest
Chen L, Hsiao AL. Randomized Trial of Endotracheal Tube Versus Laryngeal Mask Airway in Simulated Prehospital Pediatric Arrest. Pediatrics 2008, 122: e294-e297. PMID: 18644845, DOI: 10.1542/peds.2008-0103.Peer-Reviewed Original ResearchConceptsLaryngeal mask airwayMask airwayEndotracheal tubePrehospital providersEffective ventilationPediatric arrestsLaryngeal mask airway groupEndotracheal tube groupMain-stem intubationNew airway devicesEmergency medical techniciansAirway groupCardiopulmonary arrestCrossover studyRandomized trialsAirway devicesAirway managementTube groupSuccessful ventilationHuman patient simulatorEsophageal intubationAirwayMean differenceMedical techniciansArrest scenario
2007
A Randomized Trial to Assess the Efficacy of Point-of-Care Testing in Decreasing Length of Stay in a Pediatric Emergency Department
Hsiao AL, Santucci KA, Dziura J, Baker MD. A Randomized Trial to Assess the Efficacy of Point-of-Care Testing in Decreasing Length of Stay in a Pediatric Emergency Department. Pediatric Emergency Care 2007, 23: 457-462. PMID: 17666926, DOI: 10.1097/01.pec.0000280506.44924.de.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentLength of stayEmergency departmentPOC groupTertiary hospital emergency departmentDedicated research assistantsFirst physician contactTrial of patientsPatient flowSelect pediatric patientsHospital emergency departmentCare testingEfficacy of pointMedical management decisionsPhysician contactPediatric patientsBlood workRandomized trialsED settingBlood drawPatientsInformed consentStayPOC testingSignificant decrease
2005
Fever in the new millennium: a review of recent studies of markers of serious bacterial infection in febrile children
Hsiao AL, Baker MD. Fever in the new millennium: a review of recent studies of markers of serious bacterial infection in febrile children. Current Opinion In Pediatrics 2005, 17: 56-61. PMID: 15659965, DOI: 10.1097/01.mop.0000151781.13635.70.Peer-Reviewed Original ResearchConceptsWhite blood cell countSerious bacterial infectionsC-reactive proteinInterleukin-6Febrile infantsBacterial infectionsVulnerable infant populationBlood cell countSingle reliable predictorFebrile childrenSerious infectionsInfant populationProcalcitoninCell countInfantsInfectionLimited experienceReliable predictorSensitive testChildrenRecent studiesAccurate indicatorFormidable undertakingFeverReview
2003
Advances in clinical forensic medicine
Santucci KA, Hsiao AL. Advances in clinical forensic medicine. Current Opinion In Pediatrics 2003, 15: 304-308. PMID: 12806262, DOI: 10.1097/00008480-200306000-00014.Peer-Reviewed Original ResearchConceptsPractical clinical tipsUnexpected childhood deathAcute care settingClinical forensic medicineForensic medicineChildhood deathsInjury recognitionCare settingsPrehospital careBaby syndromeTraining hospitalsPatient careThermal injuryClinical tipsInjuryBranches of medicineInterpretation of injuriesMedical aspectsMedical professionalsCareForensic evaluationMedicineRecent insightsChild abuseSexual assault