Journal of pediatric surgery
-
Clinical Trial
Improving operating room efficiency in academic children's hospital using Lean Six Sigma methodology.
Lean Six Sigma (LSS) is a process improvement methodology that utilizes a collaborative team effort to improve performance by systematically identifying root causes of problems. Our objective was to determine whether application of LSS could improve efficiency when applied simultaneously to all services of an academic children's hospital. ⋯ Prospective comparative study, Level II.
-
In severe tracheomalacia, aortopexy addresses anterior vascular compression, but does not directly address posterior membranous tracheal intrusion. We review patient outcomes of posterior tracheopexy for tracheomalacia with posterior intrusion to determine if there were resolution of clinical symptoms and bronchoscopic evidence of improvement in airway collapse. ⋯ Level III, treatment study.
-
The purpose of this study was to determine if nonoperative management of acute appendicitis in children is more cost effective than appendectomy. ⋯ 3b.
-
Clinical Trial
Cervical spine imaging for young children with inflicted trauma: Expanding the injury pattern.
The purpose of this study was to document the incidence and pattern of cervical spine (c-spine) injuries in children below 36months with inflicted trauma. ⋯ Level 2 A- This is a prospective cohort study with complete follow-up to hospital discharge or death. In all cases, inflicted trauma was confirmed. Owing to the nature of child abuse, the precise time of injury is not known. All children underwent a strict imaging protocol on arrival to hospital that was supervised on a prospective basis.
-
In 2004-2005, legislation restricting all-terrain vehicle (ATV) use by children and an extensive social marketing campaign intended to reduce pediatric ATV-related morbidity. The frequency, nature, and severity of pediatric ATV-associated trauma were compared before and after such interventions. ⋯ Level IV.