Technique developed to improve appendicitis care for pediatric patientsMarch 13, 2018
MINNEAPOLIS - Mar. 13, 2018 - Researchers from Children's Minnesota (Children's) and HealthPartners Institute have developed a new pediatric appendicitis risk calculator (pARC) to aid in the diagnosis of appendicitis. The calculator was developed as part of a $3.1 million, five-year grant from the National Institutes of Health (NIH).
In the April issue of Pediatrics, the researchers describe a novel method to calculate a patient's specific risk for appendicitis. With this new method, clinicians will be able to provide tailored medical and surgical guidance to a patient. In the study, researchers used data collected from ten pediatric emergency departments to develop the risk calculator and then independently validated the score using data from a single children's hospital. Potential benefits of using the new risk calculator include a reduction in the use of computed tomography (CT), more judicious utilization of ultrasound and a reduction in healthcare expenditures.
"This method is of great benefit to our patients and the health care system overall," said Dr. Anupam Kharbanda, co-Principal Investigator and chief of critical care services at Children's Minnesota. "In addition to being able to target our care specifically to each patient, we're also reducing the use of unnecessary medical tests and expenses. We're thrilled to have developed a new way to standardize care for children and adolescents with abdominal pain."
Abdominal pain is one of the most common reasons children visit the emergency department and appendicitis is the most frequent surgical emergency in pediatrics. CT is one of the most common ways clinicians diagnose appendicitis and CT scans are not only costly, but can also put pediatric patients at risk for radiation-induced injuries, especially because their bodies are smaller and organs more sensitive than adults. As a result, researchers at Children's and HealthPartners have sought methods to develop a safer, more cost-efficient way to determine the risk for appendicitis when a patient has presented at an emergency department with abdominal pain.
Children's and HealthPartners continue to collaborate on methods to improve the care of children in our community. The same researchers, along with colleagues from Kaiser Permanente Northern California, are conducting a 17-center trial to improve the care of pediatric patients who seek care in general emergency departments, including the six HealthPartners-affiliated emergency departments. This study will utilize the appendicitis risk calculator to guide care in the community setting.
Additional information can be found in the April issue of Pediatrics.
About Children's Minnesota
Children's Minnesota is the seventh largest pediatric health system in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children's serves kids throughout the Upper Midwest at two free-standing hospitals, 12 primary and specialty care clinics and six rehabilitation sites. Additionally, Children's is Minnesota's only Level I pediatric trauma center inside a hospital dedicated solely to children. Children's maintains its longstanding commitment to the community to improve children's health by providing high-quality, family-centered pediatric services and advancing those efforts through research and education. This work is made possible in large part by generous philanthropic and volunteer support from individuals and organizations throughout the state and region. An award-winning health system, Children's is regularly ranked by U.S. News & World Report as a top children's hospital. Please visit childrensMN.org.
About HealthPartners Institute
HealthPartners Institute is part of HealthPartners, the largest consumer-governed, non-profit health care organization in the nation with a mission to improve health and well-being in partnership with members, patients and the community. HealthPartners Institute supports this mission through research, education and practice. The Institute annually conducts 400+ research studies, provides continuing medical education to 24,000 health professionals and trains 575 medical residents and fellows and 1,200 medical and advanced practice students. The Institute also supports clinical quality improvement and patient education programs. Its integration with HealthPartners' hospitals, clinics and health plan strengthens the Institute's ability to discover and develop evidence-based solutions and translate them into practice. Based in the Midwest, the Institute's work has an impact on care, health and well-being locally, nationally and internationally. For more information, visit healthpartnersinstitute.org.
Children's Hospitals and Clinics of Minnesota
Related Emergency Department Articles:
Researchers at the George Washington University published research finding that certain symptoms are more and less predictive of patients' risk for acute coronary syndrome, which includes heart attack, in patients of different gender and race.
A new article published by JAMA Dermatology uses a nationwide database of emergency department (ED) visits to examine herpes zoster (HZ, shingles)-related ED utilization and costs.
As many as 53 percent of cancer patients' Emergency Department visits that do not require admission could be avoided with better symptom management and greater availability of outpatient care tailored to their needs, according to a new study from Fred Hutchinson Cancer Research Center.
A recent study from the Center for Injury Research and Policy at Nationwide Children's Hospital published in the American Journal of Emergency Medicine shows that, while there has been a decrease in the number of children injured by lawn mowers over the last few decades, this cause of serious injury continues to be a concern.
A study conducted by Nationwide Children's Hospital researchers found that over a 21-year period from 1990 through 2010, an estimated 263,000 children younger than 18 years of age were treated in US hospital emergency departments for cotton tip applicator related ear injuries -- that's about 12,500 annually, or about 34 injuries every day.
Regions of the United States with the strictest gun laws also have the fewest emergency department visits for pediatric firearm-related injuries, according to a new study by Children's National Health System researchers.
Among suicidal patients, an intervention that included brief post-discharge phone calls significantly reduced the likelihood of a future suicide attempt, according to a clinical trial conducted at eight hospitals.
From 2006 to 2012, there were approximately 51,000 emergency department visits per year for patients injured by law enforcement in the United States, with this number stable over this time period, according to a study published by JAMA Surgery.
A new study, from researchers at Michigan Medicine, sought to provide emergency department physicians with a new clinical risk index tool to gauge firearm violence risk among urban youth.
Adolescents with autism spectrum disorder (ASD) use emergency-department services four times as often as their peers without autism, according to Penn State College of Medicine researchers.
Related Emergency Department Reading:
Strauss and Mayer’s Emergency Department Management
by Robert W. Strauss (Author), Thom A. Mayer (Author)
A Comprehensive, Practical Text on Effectively Running an Emergency Department
Emergency Department Management is a real-world, pragmatic guide designed to help emergency department managers efficiently handle the many complex issues that arise in this challenging clinical environment. Written by professionals who have spent their entire careers in the service of emergency department patients, this unique text delivers practical solutions to virtually any problem that may arise in running an emergency department or acute care center.
COMPLETE, EXPERT COVERAGE OF EVERY... View Details
Avoiding Common Errors in the Emergency Department
by Amal Mattu MD (Editor), Arjun S. Chanmugam MD MBA (Editor), Stuart P. Swadron MD FRCP(C) FACEP (Editor), Dale Woolridge MD PhD (Editor), Michael Winters (Editor)
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product.
In a conversational, easy-to-read style, Avoiding Common Errors in the Emergency Department, 2nd Edition, discusses 365 errors commonly made in the practice of emergency medicine and gives practical, easy-to-remember tips for avoiding these pitfalls. Chapters are brief, approachable, and evidence-based, suitable for reading immediately before the start of a rotation, used for quick... View Details
Fast Facts for the ER Nurse, Third Edition: Emergency Department Orientation in a Nutshell (Volume 3)
by Jennifer Buettner RN CEN (Author)
The newly revised third edition of the bestselling orientation guide for novice ER nurses delivers important clinical updates across body systems in an easy-to-read on the move bullet-point format. Including a new chapter on hematologic emergencies with evidence-based practice for sickle cell care management, all sections of this new edition have been thoroughly updated to supplement the ER nurse's busy day-to-day orientation process.
The only book of its kind, this quick-access guide prepares ER nurses for the most common illnesses they will encounter by alphabetically organizing... View Details
Emergency Department Resuscitation of the Critically Ill, 2nd Edition
by MD, FACEP, FAAEM Michael E. Winters (Author)
ACEP's ultimate resuscitation guide is packed with succinct evidence-based chapters written by the nation's foremost authorities. Read this book and you will save lives. View Details
Emergency Department Resusitation of the Critically Ill
by Michael E Winters (Author)
Book by Winters, Michael E. View Details
Physician Assistant Acute Care Protocols - FOURTH EDITION: For Emergency Departments, Urgent Care Centers, and Family Practices
by Donald C. Correll (Author)
This is the Fourth Edition of the first compendium of acute care protocols created for the Physician Assistant. Over 140 concise, fast-reading protocols for Physician Assistants working in acute care within an emergency department, urgent care center, or family practice. Covers cardiovascular, respiratory, endocrine, toxicology, neurology, musculoskeletal, gastrointestinal, genitourinary disorders, electrolyte and acid/base disturbances, HEENT, trauma, pediatrics, geriatrics, gynecology, infectious disease, dermatology, hematology, psychiatric and social, environmental, medications, and... View Details
Safe and Effective Medication Use in the Emergency Department
by Victor Cohen Pharm.D. BCPS CGP (Editor)
Pharmacists can make a critical difference in the quality of emergency care. Always unpredictable, often overcrowded with "boarded" patients, and a 24/7 high- stress environment, the Emergency Department can be an area of the hospital most prone to medication errors, many which can result in adverse drug events.Safe and Effective Medication Use in the Emergency Departmentis an important new work developed to improve medication safety and direct patient care in the Emergency Department.It is an informative and practical "how-to" guide for pharmacy directors, clinical... View Details
Excellence in the Emergency Department: How to Get Results
by Stephanie J. Baker (Author)
The No Excuses ED: Yes You Can Create Excellence in the Emergency Department!
For years healthcare professionals believed creating excellence in the emergency departments was next to impossible. And it s true that too many patients, too few resources and too few hours in the day add up to big challenges. Yet where there s a will and a team of passionate, caring staff members there s most defi nitely a way.
By implementing proven, evidence-based tools and techniques, leaders can overcome the excuses and create an ED where employees and physicians want to work and patients want to receive... View Details
U.S. Army Survival Manual: FM 21-76
by Department Of Army (Author)
2010 Reprint of 1957 edition. The Army Survival Manual is the finest single source for self-reliance for all extreme circumstances. It is considered essential for anyone who wants to survive in primitive conditions. The book is straightforward and profusely illustrated with drawings and illustrations. It is written in easy to understand language. Includes information on survival in all climates: arctic, tropics, temperate forest, savannah or desert. Also includes information on all types of terrain survival tactics. Topics covered include: the will to survive, identification of poisonous... View Details
Tarascon Emergency Department Quick Reference Guide
by D. Brady Pregerson (Author)
Tarascon Emergency Department Quick Reference Guide, Second Edition is a concise and easy-to-use reference book filled with essential resources for physicians, nurses, and EMTs working in an emergency setting. Numerous tables, lists, and figures allow for quick and easy retrieval of vital information. The Second Edition features a a new section on empiric antibiotics. This essential resource also includes sections on physical exam diagnostic tests, procedures and sedation, diagnoses, risk management, med-legal and billing, practical advice, and much more. View Details