Utility of an immunization registry in a pediatric emergency department.

Abstract:

OBJECTIVES:Determine prevalence of participation and underimmunization rate in a regional immunization registry (IR) among patients presenting to a university pediatric emergency department (PED). Rate of agreement between parental report and documented immunization status was also measured. METHODS:A convenience sample of parents of patients younger than 11 years registered in the PED were approached with a short questionnaire. When informed consent was obtained, the Central New York (CNY) IR was accessed via computer to see if the child was in the registry and to ascertain if their immunizations were up-to-date (UTD). Rate of agreement between parental report and immunization status documented in the IR was calculated. RESULTS:698 (97%) of 720 patients consented to participate. Of these, 235 (34%, 95% CI, 30-37) were enrolled in the IR. Eighty-five (36%, 95% CI, 30-42) enrolled patients were under age 2. Sixty-seven (29%, 95% CI, 23-34) were from private group practices, 146 (62%, 95% CI, 56-68) were from university/community health center clinics and the source of primary care for 22 patients (9%) was unknown. Only 67 (29%, 95% CI, 23-34) parents of children in the IR were aware that they were enrolled. Of IR patients, 225 (96%, 95% CI, 93-98) stated they were UTD, while only 143 (61%, 95% CI, 55-67) were documented to be so. CONCLUSIONS:A significant number of patients seen in the PED were in the CNY IR. More than one-half of the parents of enrolled children did not recall that they had previously registered their child. Only 61% of patients were UTD, whereas parents reported that almost all were. In the PED, use of an IR would create an opportunity for intervention in a large number of patients who were not UTD.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Callahan JM,Reed D,Meguid V,Wojcik S,Reed K

doi

10.1097/01.pec.0000125657.05196.55

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

297-301

issue

5

eissn

0749-5161

issn

1535-1815

pii

00006565-200405000-00004

journal_volume

20

pub_type

杂志文章
  • Reduced use of occult bacteremia blood screens by emergency medicine physicians using immunization registry for children presenting with fever without a source.

    abstract:OBJECTIVES:This study examined whether utilization of the Florida State Health Online Tracking System (SHOTS) immunization registry to determine Haemophilus influenzae type B and heptavalent pneumococcal conjugate (PCV7) vaccine status impacts the protocolized decision to perform a screening blood draw for occult bacte...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31825cfd3e

    authors: Zeretzke CM,McIntosh MS,Kalynych CJ,Wylie T,Lott M,Wood D

    更新日期:2012-07-01 00:00:00

  • Pediatric patient safety in the prehospital/emergency department setting.

    abstract::The unique characteristics of the pediatric population expose them to errors in the emergency department (ED) with few standard practices for the safety of care. Young children and high-acuity patients are at increased risk of adverse events both in the prehospital and ED settings. We provide an overview of the proble...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/01.pec.0000278393.32752.9f

    authors: Barata IA,Benjamin LS,Mace SE,Herman MI,Goldman RD

    更新日期:2007-06-01 00:00:00

  • A rare cause of acute abdominal pain: Herlyn-Werner-Wunderlich syndrome.

    abstract::Herlyn-Werner-Wunderlich (HWW) syndrome is a rare müllerian duct anomaly with uterus didelphys, unilateral obstructed hemivagina, and ipsilateral renal agenesis. Patients with this syndrome generally present after menarche with pelvic pain and mass and, rarely, primary infertility in later years. Strong suspicion and ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000052

    authors: Aydin R,Ozdemir AZ,Ozturk B,Bilgici MC,Tosun M

    更新日期:2014-01-01 00:00:00

  • Another angry adolescent: another boxer's fracture?

    abstract::Hand injuries are a common chief complaint in the pediatric population presenting for emergency care. Adolescents, in particular, often present with trauma to their hands after punching objects. The most frequent result of this action is a fracture to one or more of their metacarpals, also known as a boxer's fracture....

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000188

    authors: Kilbane BJ

    更新日期:2014-08-01 00:00:00

  • Early Ultrasound Follow-Up of Extension-Type Supracondylar Fractures Treated by the Collar-and-Cuff (Blount) Technique.

    abstract:BACKGROUND:Extension-type supracondylar fractures can be treated with external immobilization, with the elbow flexed 100°. However, this technique requires early evaluation by true lateral x-ray of the elbow to detect secondary fracture displacement. QUESTIONS/PURPOSE:The purpose of this work is to evaluate whether ul...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001822

    authors: Choufani C,Blondiaux E,Pietton R,Bachy M,Leroy A,Vialle R

    更新日期:2020-04-01 00:00:00

  • Cost analysis and provider satisfaction with pediatrician in triage.

    abstract:OBJECTIVES:The goals of this study were to (1) conduct a cost-benefit analysis, from a hospital's perspective, of using a pediatrician in triage (PIT) in the emergency department (ED) and (2) assess the impact of a physician in triage on provider satisfaction. METHODS:This was a prospective, controlled trial of PIT (i...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PEC.0b013e31826c6dc4

    authors: Kezirian J,Muhammad WT,Wan JY,Godambe SA,Pershad J

    更新日期:2012-10-01 00:00:00

  • A Pulse Check on Leadership and Teamwork: An Evaluation of the First 5 Minutes of Emergency Department Resuscitation During Pediatric Cardiopulmonary Arrests.

    abstract:OBJECTIVES:Effective leadership and teamwork are imperative during pediatric cardiopulmonary resuscitations (CPR). The initial phase of pediatric CPR, termed the "first 5 minutes," has significant care delivery gaps in both leadership and team performance. The aim of the study was to describe the performance data of em...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001923

    authors: Grimsley EA,Cochrane NH,Keane RR,Sumner BD,Mullan PC,OʼConnell KJ

    更新日期:2019-12-13 00:00:00

  • A trauma series in the injured child: do we really need it?

    abstract:BACKGROUND:To study the use of trauma series radiographs in children that required activation of a trauma call. METHODS:A retrospective review of patients younger than 16 years who presented to The Children's Hospital at Westmead between January and December 2004 with an injury that required activation of the trauma t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000236833.62065.85

    authors: Soundappan S,Smith NF,Lam LT,Holland AJ,McCaskill M,Cass DT

    更新日期:2006-10-01 00:00:00

  • Prenatal Maternal Occupational Exposure and Postnatal Child Exposure to Elemental Mercury.

    abstract:OBJECTIVES:Young children are highly vulnerable to elemental mercury toxicity, and elementary mercury exposure in young children in China unfortunately occurs regularly because of the wide use of fluorescent lamps, glass thermometers, and other mercury-contained items. This study aimed to summarize such recent cases in...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000305

    authors: Xu J,Yan CH,Hu H,Wu MQ,Shen XM

    更新日期:2016-03-01 00:00:00

  • Sudden unexpected infant death: differentiating natural from abusive causes in the emergency department.

    abstract::Sudden unexpected infant deaths (SUIDs) are deaths in infants younger than 12 months that occur suddenly, unexpectedly, and without obvious cause in the emergency department (ED). Sudden infant death syndrome, the leading cause of SUID in the United States, is much more common, but fatal child abuse and neglect have b...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0b013e31826d1e9a

    authors: Bechtel K

    更新日期:2012-10-01 00:00:00

  • Emergency Department Management of Bronchiolitis in the United States.

    abstract:OBJECTIVE:The aim of this study was to examine differences between general and pediatric emergency departments (PEDs) in adherence to the American Academy of Pediatrics bronchiolitis management guidelines. METHODS:We conducted a nationally representative study of ED visits by infants younger than 24 months with bronch...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001145

    authors: Gong C,Byczkowski T,McAneney C,Goyal MK,Florin TA

    更新日期:2019-05-01 00:00:00

  • Nonfatal Pediatric Injuries Associated With Consumer Products and Sports and Recreational Activities in the United States.

    abstract:OBJECTIVE:The aim of this study was to investigate the epidemiology of nonfatal consumer product- and sports and recreational activity-related injuries among US children. METHODS:National Electronic Injury Surveillance System data regarding children younger than 18 years who were treated in US emergency departments (E...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001778

    authors: Kamboj AK,Chounthirath T,Hodges NL,Smith GA

    更新日期:2020-09-01 00:00:00

  • Provider Prediction of Disposition for Children With an Acute Exacerbation of Asthma Presenting to the Pediatric Emergency Department.

    abstract:OBJECTIVE:The aim of this study was to evaluate the accuracy of the initial impression of emergency department providers on the disposition of children with asthma exacerbation. METHODS:We conducted a prospective survey of physicians and other providers in the emergency department of a children's hospital and parents ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001723

    authors: Caperell K,Pettigrew J,Gerughty A,Stevenson M

    更新日期:2019-02-01 00:00:00

  • Epidemic Adolescent Binge Drinking at Lollapalooza, A Music Festival in Chicago.

    abstract:OBJECTIVES:Lollapalooza (LP) is an annual 3-day outdoor music festival in Chicago. Underage drinking and drug use are believed to be common, but the burden on emergency departments (EDs) has not been documented. We assessed the burden on health care resources associated with this music festival. METHODS:We performed a...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001072

    authors: McAndrew SE,Smith TL,Groothuis E,Koressel LR,Unti SM,Powell EC,Tanz RR

    更新日期:2019-06-01 00:00:00

  • Mass illness at an intermediate school: toxic fumes or epidemic hysteria?

    abstract::The report of an acute illness involving a large number of clustered children will undoubtedly provoke an urgent emergency care response or, in some instances, a mass casualty or disaster response. While responding to the perceived needs of those involved, the professionals caring for these children must consider epid...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199210000-00008

    authors: Krug SE

    更新日期:1992-10-01 00:00:00

  • Intussusception in association with childhood cocaine intoxication: a case report.

    abstract::A case report of an 11-month-old infant with cocaine intoxication and intussusception is presented. We present this case because there are no prior reports in the literature of cocaine intoxication associated with intussusception. The diagnosis was not initially considered in this patient. We feel the association is b...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199412000-00010

    authors: Ottolini MC,Foster KE

    更新日期:1994-12-01 00:00:00

  • Salmonella vertebral osteomyelitis and epidural abscess in a child with sickle cell anemia.

    abstract::A case of Salmonella vertebral osteomyelitis with epidural abscess in a child with sickle cell anemia is presented. Spinal osteomyelitis is a rare event in children. Although osteomyelitis in sickle cell anemia may occur in any bone, it has most often been documented as beginning in the medullary cavity of the long an...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:

    authors: Gardner RV

    更新日期:1985-06-01 00:00:00

  • Ability of hospitals to care for pediatric emergency patients.

    abstract:CONTEXT:The needs of children in emergency situations differ from those of adults and require special attention, yet there has been no study of the ability of U.S. hospitals to care for emergently or critically ill children. OBJECTIVE:To estimate the distribution of pediatric services available at U.S. hospitals with ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-200106000-00005

    authors: Athey J,Dean JM,Ball J,Wiebe R,Melese-d'Hospital I

    更新日期:2001-06-01 00:00:00

  • Clonidine Overdose in a Toddler Due to Accidental Ingestion of a Compounding Cream.

    abstract::A 22-month-old girl without any significant medical history accidentally consumed a small amount of a therapeutic compounding cream that contained camphor, gabapentin, clonidine, ketoprofen, and lidocaine. Upon presentation to the emergency department, the child exhibited immediate onset of altered mental status with ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000790

    authors: Cates AL,Wheatley SM,Katz KD

    更新日期:2018-04-01 00:00:00

  • An 18-month-old girl with recurrent apneic spells.

    abstract::We describe the case of an 18-month-old child with recurrent apneic episodes, often requiring resuscitation, who was admitted to an academic pediatric medical center after previous evaluations had been unrevealing. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318180ff44

    authors: Meehan WP 3rd,Merschman KM,Chiang VW

    更新日期:2008-08-01 00:00:00

  • Dexmedetomidine sedation: uses in pediatric procedural sedation outside the operating room.

    abstract::As the field of pediatric procedural sedation continues to expand, so does the exploration of medications that have a role in such invasive and noninvasive procedures. One such medication that has emerged during the last decade is dexmedetomidine, a drug approved for use in the adult intensive care setting. Its role i...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0b013e3182495e1b

    authors: McMorrow SP,Abramo TJ

    更新日期:2012-03-01 00:00:00

  • Aeromedical Transport in Children: A Descriptive Analysis of 96 Cases.

    abstract:OBJECTIVE:Pediatric aeromedical transport (AT) is highly challenging. We aim to describe a series of 96 cases of children requiring medical transport in terms of the indication, modalities, and related adverse events. METHODS:In this single-center retrospective study, we included air-transported patients less than 18 ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001308

    authors: Mortamet G,Harrington K,Raffin H,Menat Y,Oualha M,Renolleau S

    更新日期:2020-01-01 00:00:00

  • Barriers to care among US school-aged children with disabilities.

    abstract:OBJECTIVE:We examined financial barriers to care experienced by US school-aged children with disabilities. METHODS:Data from the 2005 National Health Interview Survey were analyzed. Children aged 5 to 17 years were classified into 4 health condition groups: children with activity limitations, disabling conditions, chr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318180fda3

    authors: Scurlock C,Yu S,Zhang X,Xiang H

    更新日期:2008-08-01 00:00:00

  • Holiday hazards.

    abstract::Presented is a selective review of the toxicities of various plants, decorations, and miscellaneous items popularly used during the holiday season. Particularly hazardous agents include mistletoe, holly, bubble lights, fireplace flame colors, alkaline batteries, and mothballs. Specific questions regarding management o...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198512000-00011

    authors: Baker MD

    更新日期:1985-12-01 00:00:00

  • Diagnosis of Ingested Foreign Body in the Stomach by Point-of-Care Ultrasound in the Upright and Slightly Forward Tilting Position (Bowing Position).

    abstract::We report a case involving accidental ingestion of a marble that was detected by point-of-care ultrasonography of the abdomen with the patient in the upright and slightly forward tilting position, which we term the "bowing position." Using this position for abdominal ultrasonography may be more useful than the usual s...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001125

    authors: Yamamoto M,Koyama T,Agata M,Ouchi K,Kotoku T,Mizuno Y

    更新日期:2017-05-01 00:00:00

  • Investigating the reliability of substance toxicity information found on the Internet in pediatric poisonings.

    abstract:OBJECTIVES:The Internet may be the first source of information used by parents during a suspected poisoning of their children. Our primary aim was to assess the reliability of the Internet as a resource for information for parents to initially manage a suspected poisoning involving their child without outside consultat...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000022

    authors: Kearney TE,Lieu D,Singer N,Tsutaoka B,Ho R,Olson K

    更新日期:2013-12-01 00:00:00

  • Oncology and transport. Beware of the presentation and anticipate the clinical course.

    abstract::These cases demonstrate a few of the presentations that may occur with new onset oncologic problems. While the transport phase of these children's care was not extraordinary, the development and management of the clinical issues might have been influenced by earlier interventions. Would the outcome of Case 1 have been...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199612000-00019

    authors: Moore KJ,Needle MN

    更新日期:1996-12-01 00:00:00

  • Postpartum depression screening in the pediatric emergency department.

    abstract:PURPOSE:This study aimed to determine the prevalence of and risk factors for postpartum depression (PPD) in mothers of young infants presenting to the pediatric emergency department (PED). METHODS:This was a prospective, observational study to evaluate the prevalence of PPD in a sample of mothers of young infants pres...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000260

    authors: Emerson BL,Bradley ER,Riera A,Mayes L,Bechtel K

    更新日期:2014-11-01 00:00:00

  • Discitis and epidural abscess after dental extraction in a pediatric patient: a case report.

    abstract::Neck pain is a relatively common pediatric complaint. Most is of benign etiology. We present an unusual case of epidural abscess with associated discitis in the cervical spine of a 12-year-old after a dental extraction. This potentially dangerous complication was diagnosed before neurological complications developed a...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181c8c60b

    authors: Henton JM,Dabis HS

    更新日期:2009-12-01 00:00:00

  • The nature and characteristics of abdominal injuries sustained during children's sports.

    abstract:OBJECTIVE:To increase the evidence base by characterizing various features of pediatric sports-related abdominal injuries. DESIGN:A review of the trauma database at The Children's Hospital at Westmead was undertaken for all abdominal injuries presenting to the emergency department between 2001 and 2006. SETTING:The C...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181cd7f3f

    authors: Noaman F,Lam LT,Soundappan SV,Browne GJ

    更新日期:2010-01-01 00:00:00