2023
Response to: Does Liposomal Bupivacaine Injectable Suspension Peripheral Nerve Block Further Aid in Decreasing At-home Narcotic Utilization in Children and Adolescents After Anterior Cruciate Ligament Reconstruction
Walls H, Thomas E, Kain Z, Schlechter J. Response to: Does Liposomal Bupivacaine Injectable Suspension Peripheral Nerve Block Further Aid in Decreasing At-home Narcotic Utilization in Children and Adolescents After Anterior Cruciate Ligament Reconstruction. Journal Of Pediatric Orthopaedics 2023, 44: e209-e210. PMID: 37796190, DOI: 10.1097/bpo.0000000000002538.Peer-Reviewed Original ResearchPredictors of parental anxiety in a paediatric emergency department
Martin S, Hung I, Heyming T, Fortier M, Kain Z. Predictors of parental anxiety in a paediatric emergency department. Emergency Medicine Journal 2023, 40: 715-720. PMID: 37591685, DOI: 10.1136/emermed-2022-212917.Peer-Reviewed Original ResearchConceptsPediatric EDMental healthParental anxietySignificant anxietyPoor parental mental healthPoorer parent mental healthParent anxietyPediatric emergency departmentPrimary care sampleCross-sectional studyMedical proceduresHigh parental anxietyParent mental healthParental mental healthActivity temperamentState-Trait Anxiety InventoryParents of childrenEmergency departmentPatient outcomesCare sampleAdditional interventionsClinical conditionsParents' state anxietyChildren's activity temperamentAnxiety InventoryDoes Liposomal Bupivacaine Injectable Suspension Peripheral Nerve Block Further Aid in Decreasing At-home Narcotic Utilization in Children and Adolescents After Anterior Cruciate Ligament Reconstruction
Walls H, Thomas E, Kain Z, Schlechter J. Does Liposomal Bupivacaine Injectable Suspension Peripheral Nerve Block Further Aid in Decreasing At-home Narcotic Utilization in Children and Adolescents After Anterior Cruciate Ligament Reconstruction. Journal Of Pediatric Orthopaedics 2023, 43: 511-515. PMID: 37400092, DOI: 10.1097/bpo.0000000000002466.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligament reconstructionPeripheral nerve blocksCruciate ligament reconstructionVisual analog scaleNerve blockOpioid useLigament reconstructionAnalog scaleSingle-shot peripheral nerve blockAdductor canal nerve blockAverage opioid useHome opioid useHydrocodone/acetaminophenPain treatment satisfactionTreatment satisfaction scoresPostoperative pain managementACLR patientsOral acetaminophenOpioid usageUncontrolled painControl patientsNarcotic utilizationPostoperative dayOpioid analgesicsPain managementNeighborhood disadvantage and pediatric inpatient opioid prescription patterns
Kranjac A, Kranjac D, Kain Z, Ehwerhemuepha L, Donaldson C, Jenkins B. Neighborhood disadvantage and pediatric inpatient opioid prescription patterns. Journal Of Pediatric Nursing 2023, 72: e145-e151. PMID: 37344343, DOI: 10.1016/j.pedn.2023.06.021.Peer-Reviewed Original ResearchConceptsOpioid prescription patternsPrescription patternsPediatric patientsOpioid Prescribing PatternsPatient's individual profileElectronic medical recordsOpioid prescriptionsPrescribing patternsMedical recordsNeighborhood disadvantageGreater likelihoodOpioidsPatientsNeighborhood environmentLatinx sampleChildrenHigh levelsDiverse sampleIndividual profilesImpact of COVID-19 pandemic on pediatric healthcare burnout in acute care: a longitudinal study
Martin S, Heyming T, Morphew T, Sayrs L, Fortier M, Sanger T, Kain Z. Impact of COVID-19 pandemic on pediatric healthcare burnout in acute care: a longitudinal study. Pediatric Research 2023, 94: 1771-1778. PMID: 37301924, PMCID: PMC10257162, DOI: 10.1038/s41390-023-02674-3.Peer-Reviewed Original ResearchConceptsEmotional exhaustionPsychological factorsHealthcare worker burnoutDepersonalization burnoutWorker burnoutLongitudinal studyHCW burnoutMaslach Burnout InventoryHigh emotional exhaustionEmergency departmentAssessment of burnoutBurnout InventoryPersonality traitsCOVID-19 pandemicBurnoutMethodsThis longitudinal studyLow conscientiousnessMedical techniciansFuture interventionsChildren's HospitalAcute careIntensive careExhaustionHealthcare workersPhysician assistantsCaregiver Satisfaction with Emergency Department Care for Pediatric Patients with Neurodevelopmental Disorders
Heyming T, Knudsen-Robbins C, Davis K, Moreno T, Martin S, Shelton S, Ehwerhemuepha L, Kain Z. Caregiver Satisfaction with Emergency Department Care for Pediatric Patients with Neurodevelopmental Disorders. Journal Of Developmental And Behavioral Pediatrics 2023, 44: e388-e393. PMID: 37205728, DOI: 10.1097/dbp.0000000000001193.Peer-Reviewed Original ResearchConceptsCaregivers of patientsED satisfactionNeurodevelopmental disordersMultivariable logistic regression modelElectronic medical record dataTenth Revision codesEmergency department careMedical record dataCohort sample sizeEmergency Severity IndexAttention-deficit/hyperactivity disorderEmergency department experienceLogistic regression modelsHealth care systemED lengthPediatric patientsRevision codesCaregiver satisfactionProvider assessmentInternational ClassificationLower oddsPatientsNDD cohortPatient careSpecific developmental disorders
2022
Perfectionism as a predictor of physician burnout
Martin S, Fortier M, Heyming T, Ahn K, Nichols W, Golden C, Saadat H, Kain Z. Perfectionism as a predictor of physician burnout. BMC Health Services Research 2022, 22: 1425. PMID: 36443726, PMCID: PMC9703407, DOI: 10.1186/s12913-022-08785-7.Peer-Reviewed Original ResearchConceptsMethodsThis cross-sectional studyPhysician burnoutCross-sectional studyPhysician healthPatient carePhysiciansMaslach Burnout InventoryIndividual-level factorsLinear regression modelsBurnout InventoryCurrent findingsRegression modelsRecent editorialDetrimental effectsPersonal accomplishment burnoutEmotional exhaustion burnoutDepersonalization burnoutBurnoutEmotional exhaustionBackgroundBurnoutSelf-critical perfectionismPerioperative pain disparity in children: A call for action
Tan H, Mendoza BA, Fortier MA, Kain Z. Perioperative pain disparity in children: A call for action. Pediatric Anesthesia 2022, 32: 1365-1367. PMID: 36114806, DOI: 10.1111/pan.14557.Peer-Reviewed Original ResearchConceptsPain disparitiesOptimal perioperative carePerioperative pain managementWorse clinical outcomesRandomized control trialHealth services researchPain managementPerioperative careClinical outcomesSurgical proceduresControl trialClinical practiceEthnic disparitiesMedical literatureDisparities researchPatientsServices researchChildrenPaucity of researchPresent reviewUnited StatesDisparitiesHealthcare managementSystems-based approachUrgent needRecurrent SARS-CoV-2 Serology Testing and Pandemic Anxiety: A Study of Pediatric Healthcare Workers
Li N, Martin SR, Heyming TW, Knudsen-Robbins C, Sanger T, Kain ZN. Recurrent SARS-CoV-2 Serology Testing and Pandemic Anxiety: A Study of Pediatric Healthcare Workers. International Journal Of Environmental Research And Public Health 2022, 19: 9562. PMID: 35954913, PMCID: PMC9368345, DOI: 10.3390/ijerph19159562.Peer-Reviewed Original ResearchConceptsPediatric healthcare workersSARS-CoV-2 antibodiesHealthcare workersSerology testingCOVID-19 anxietyPandemic-related anxietySARS-CoV-2 serology testingMeaningful decreaseSARS-CoV-2 testingVisual analog scaleLongitudinal cohort studyLogistic regression analysisPositive test resultsCohort studyAnalog scaleStudy baselineBivariate analysisMeasures analysisSelf-reported anxietyYears of experienceRegression analysisAnxietyAntibodiesPandemic anxietyHelpful strategiesThe role of parental health and distress in assessing children’s health status
Kaplan SH, Shaughnessy M, Fortier MA, Vivero-Montemayor M, Masague SG, Hayes D, Stern H, Dai M, Heim L, Kain Z. The role of parental health and distress in assessing children’s health status. Quality Of Life Research 2022, 31: 3403-3412. PMID: 35876948, PMCID: PMC9587925, DOI: 10.1007/s11136-022-03186-z.Peer-Reviewed Original ResearchConceptsChild healthHealth statusFamily-centered pediatric careChild health statusPersonal healthParental distressEffective clinical managementQuality of lifeYoung children's healthPerioperative periodPediatric hospitalClinical managementGeneral healthPediatric careHealth settingsPoor personal healthHealth problemsPurposeThe purposeParental healthMental healthResultsOn averageBaseline dataLongitudinal studyParent-report measuresChildren
2001
Sedation, Risk, and Safety: Do We Really Have Data at Last?
Polaner D, Houck C, Rockoff M, Mancuso T, Finley G, Maxwell L, Cravero J, Kain Z, Bell C, Bosenberg A, Zwass M, Valley R, Agarwal R, Savarese A, Rice L, Coté C, Davidson P, Ferrari L, Davis P. Sedation, Risk, and Safety: Do We Really Have Data at Last? Pediatrics 2001, 108: 1006-1008. PMID: 11581458, DOI: 10.1542/peds.108.4.1006.Peer-Reviewed Original ResearchThe Management of Preoperative Anxiety in Children: An Update
McCann M, Kain Z. The Management of Preoperative Anxiety in Children: An Update. Anesthesia & Analgesia 2001, 93: 98-105. PMID: 11429348, DOI: 10.1097/00000539-200107000-00022.Peer-Reviewed Original ResearchSensory Stimuli and Anxiety in Children Undergoing Surgery: A Randomized, Controlled Trial
Kain Z, Wang S, Mayes L, Krivutza D, Teague B. Sensory Stimuli and Anxiety in Children Undergoing Surgery: A Randomized, Controlled Trial. Anesthesia & Analgesia 2001, 92: 897-903. PMID: 11273921, DOI: 10.1097/00000539-200104000-00018.Peer-Reviewed Original ResearchConceptsInduction of anesthesiaChildren Undergoing SurgeryPostoperative day 1Postoperative behavioral changesSensory stimuliPost Hospitalization Behavior QuestionnaireUndergoing surgeryBehavioral recoveryIncreased complianceStimulation groupDay 1AnesthesiaControl groupAnesthesia maskOperating room lightsSurgeryAnxiety of childrenBehavioral interventionsOperating roomChildrenBehavioral changesExhibit low levelsBehavior QuestionnaireInductionAnxiety
2000
Social adaptability, cognitive abilities, and other predictors for children’s reactions to surgery
Kain Z, Mayes L, Weisman S, Hofstadter M. Social adaptability, cognitive abilities, and other predictors for children’s reactions to surgery. Journal Of Clinical Anesthesia 2000, 12: 549-554. PMID: 11137417, DOI: 10.1016/s0952-8180(00)00214-2.Peer-Reviewed Original ResearchConceptsCognitive abilitiesSocial adaptabilityParental anxietyPerioperative anxietyGroup of childrenChild temperamentChildren's reactionsAnxious parentsCorrelational analysisParental stateAdaptive behaviorPersonality characteristicsHigh intelligenceAnxietyAge 3TemperamentChildrenStylePredictorsSurgical childrenPersonalityAbilityRegression analysisHigh levelsIntelligenceMidazolam: Effects on Amnesia and Anxiety in Children
Kain Z, Hofstadter M, Mayes L, Krivutza D, Alexander G, Wang S, Reznick J. Midazolam: Effects on Amnesia and Anxiety in Children. Anesthesiology 2000, 93: 676. PMID: 10969300, DOI: 10.1097/00000542-200009000-00016.Peer-Reviewed Original ResearchConceptsOral midazolamMidazolam administrationAnterograde amnesiaGood anterograde amnesiaSignificant anterograde amnesiaInduction of anesthesiaSignificant anxiolytic effectMidazolam groupGeneral anesthesiaSignificant group differencesAnxiolytic effectsBusy operating roomSurgical proceduresPostintervention testingDrug AdministrationControl groupMidazolamBaseline testingAnxiety measurement toolAnxiety of childrenOperating roomAdministrationGroup differencesPicture cardsAnesthesiaSedation and Analgesia for Procedures in Children
McClain B, Bell C, Kain Z. Sedation and Analgesia for Procedures in Children. New England Journal Of Medicine 2000, 343: 302-303. PMID: 10928882, DOI: 10.1056/nejm200007273430415.Peer-Reviewed Original ResearchParental Presence and a Sedative Premedicant for Children Undergoing Surgery
Kain Z, Mayes L, Wang S, Caramico L, Krivutza D, Hofstadter M. Parental Presence and a Sedative Premedicant for Children Undergoing Surgery. Anesthesiology 2000, 92: 939-946. PMID: 10754612, DOI: 10.1097/00000542-200004000-00010.Peer-Reviewed Original ResearchConceptsPPIA groupSedative groupOverall careParental presenceParental satisfactionOperating roomParental anxietyInduction of anesthesiaPrimary endpointSecondary endpointsPerioperative periodOral midazolamOral sedativesPreoperative anxietySedative premedicantsAnesthesia maskChildrenSedativesAnxietyAdditive effectChild anxietyEndpointCareStandardized measuresInterventionPreoperative Anxiety and Postoperative Nausea and Vomiting in Children: Is There an Association?
Wang S, Kain Z. Preoperative Anxiety and Postoperative Nausea and Vomiting in Children: Is There an Association? Anesthesia & Analgesia 2000, 90: 571-575. PMID: 10702439, DOI: 10.1097/00000539-200003000-00014.Peer-Reviewed Original ResearchConceptsPostanesthesia care unitPostoperative nauseaPreoperative holding areaPreoperative anxietyOpioid consumptionPredictive valueMultivariate logistic regression modelAbsence of PONVOccurrence of PONVPerioperative opioid consumptionIncidence of nauseaOccurrence of nauseaAbsence of vomitingInduction of anesthesiaCross-sectional studyLogistic regression modelsChild anxietyHolding areaCare unitGeneral anesthesiaOutpatient surgeryPotential confoundersUnivariate analysisNauseaVomitingPostoperative maladaptive behavioral changes in children: incidence, risks factors and interventions.
Kain Z. Postoperative maladaptive behavioral changes in children: incidence, risks factors and interventions. Acta Anaesthesiologica Belgica 2000, 51: 217-26. PMID: 11129622.Peer-Reviewed Original Research
1999
Establishment of a pediatric surgery center: increasing anesthetic efficiency
Kain Z, Fasulo A, Rimar S. Establishment of a pediatric surgery center: increasing anesthetic efficiency. Journal Of Clinical Anesthesia 1999, 11: 540-544. PMID: 10624636, DOI: 10.1016/s0952-8180(99)00080-x.Peer-Reviewed Original Research