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
2020
Identifying Maltreatment in Infants and Young Children Presenting With Fractures: Does Age Matter?
Mitchell IC, Norat BJ, Auerbach M, Bressler CJ, Como JJ, Escobar MA, Flynn‐O’Brien K, Lindberg DM, Nickoles T, Rosado N, Weeks K, Maguire S. Identifying Maltreatment in Infants and Young Children Presenting With Fractures: Does Age Matter? Academic Emergency Medicine 2020, 28: 5-18. PMID: 32888348, DOI: 10.1111/acem.14122.Peer-Reviewed Original ResearchConceptsFemoral fracturesRib fracturesSystematic reviewAbuse evaluationsMotor vehicle collisionsPercent of childrenLong bone fracturesPubMed/MEDLINEComparable age rangeChild abuse evaluationsChild abuse consultationsHumeral fracturesPediatric patientsCommon injuriesConsensus panelRoutine evaluationSignificant causeEvidence-based frameworkFinal analysisChild abuseAge rangePreverbal childrenMonthsVehicle collisionsYoung childrenChild 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
Impact of Project ECHO on Community ED Providers' Perceptions of Child Abuse Knowledge and Access to Subspecialists for Child Abuse and Neglect
Tiyyagura G, Asnes AG, Leventhal JM, Shah A, Calabrese T, Radecki L, Jeter G, Auerbach M. Impact of Project ECHO on Community ED Providers' Perceptions of Child Abuse Knowledge and Access to Subspecialists for Child Abuse and Neglect. Academic Pediatrics 2019, 19: 985-987. PMID: 31299431, PMCID: PMC6823128, DOI: 10.1016/j.acap.2019.06.018.Peer-Reviewed Original ResearchEarly 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 childrenInjuryPatientsA Qualitative Study Examining Stakeholder Perspectives of a Local Child Abuse Program in Community Emergency Departments
Tiyyagura G, Schaeffer P, Gawel M, Leventhal JM, Auerbach M, Asnes AG. A Qualitative Study Examining Stakeholder Perspectives of a Local Child Abuse Program in Community Emergency Departments. Academic Pediatrics 2019, 19: 438-445. PMID: 30707955, PMCID: PMC6502662, DOI: 10.1016/j.acap.2019.01.006.Peer-Reviewed Original ResearchConceptsLocal championsCAN programStakeholder perspectivesChild abuse programsQualitative research designKey stakeholder perspectivesExternal change agentsConstant comparative methodEducation/awarenessChallenges/barriersStrong leadership supportLeadership supportChild abuseInstitutional supportChange agentsQualitative studyFacilitators of implementationEvidence-based educationProgram strengthsChampionsComparative methodResearch designPerspectiveSupportAbuse programs
2017
The association of nonaccidental trauma with historical factors, examination findings, and diagnostic testing during the initial trauma evaluation
Escobar MA, Flynn-O'Brien K, Auerbach M, Tiyyagura G, Borgman MA, Duffy SJ, Falcone KS, Burke RV, Cox JM, Maguire SA. The association of nonaccidental trauma with historical factors, examination findings, and diagnostic testing during the initial trauma evaluation. Journal Of Trauma And Acute Care Surgery 2017, 82: 1147-1157. PMID: 28520688, DOI: 10.1097/ta.0000000000001441.Peer-Reviewed Original Research
2016
Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance
Alphonso A, Auerbach M, Bechtel K, Bilodeau K, Gawel M, Koziel J, Whitfill T, Tiyyagura GK. Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance. Prehospital Emergency Care 2016, 21: 222-232. PMID: 27700209, DOI: 10.1080/10903127.2016.1229824.Peer-Reviewed Original ResearchConceptsInter-rater reliabilityClinical experiencePrehospital providersLight's kappaEmergency medical services (EMS) providersCronbach's alphaAuthors' clinical experienceOverall Cronbach's alphaOverall inter-rater reliabilityInternal consistencyChild abuseSubstantial inter-rater reliabilityDelphi review processStrong content validityMedical service providersSemi-structured qualitative interviewsFinal checklistSelf-reported confidenceProvider experienceParticipant characteristicsItem completionLevel of trainingDelphi reviewContent validityProvider performance
2012
Respiratory Failure Caused by a Suspicious White Powder
Siew LT, Auerbach M, Baum CR, Pavlovic L, Leventhal JM. Respiratory Failure Caused by a Suspicious White Powder. Pediatric Emergency Care 2012, 28: 918-920. PMID: 22940893, DOI: 10.1097/pec.0b013e318267ec36.Peer-Reviewed Original ResearchConceptsMethadone ingestionRespiratory failureNarcotic dependencyNeonatal abstinence syndrome treatmentNeonatal abstinence syndromeTreatment of toxicityFamily-centered educationMethadone administrationAbstinence syndromeSyndrome treatmentMale infantPediatric providersUnintentional ingestionMore prevalenceAnticipatory guidanceInfantsIngestionMethadoneSymptomsTreatmentSuspicious white powdersMothersFailureSyndromePrevalence