2017
Development 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
2012
Diagnosis of Intussusception by Physician Novice Sonographers in the Emergency Department
Riera A, Hsiao AL, Langhan ML, Goodman TR, Chen L. Diagnosis of Intussusception by Physician Novice Sonographers in the Emergency Department. Annals Of Emergency Medicine 2012, 60: 264-268. PMID: 22424652, PMCID: PMC3431911, DOI: 10.1016/j.annemergmed.2012.02.007.Peer-Reviewed Original ResearchConceptsPediatric emergency physiciansIleocolic intussusceptionEmergency physiciansUltrasonographic resultsUrban tertiary care children's hospitalPredictive valueBedside emergency department ultrasonographyTertiary care children's hospitalEmergency department ultrasonographyDiagnosis of intussusceptionProspective convenience sample studyLikelihood ratioNegative predictive valuePositive predictive valueConvenience sample studyBowel ultrasonographyMedian agePediatric EDChildren's HospitalUltrasonographic studyEmergency departmentObservational studyPhysician sonographersBedside studiesIntussusception
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
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