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Research Studies is a compilation of published research articles funded by 大象APPor authored by 大象APPresearchers.

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1 to 4 of 4 Research Studies Displayed
Scott Wang HH, Hatoun J, Xu J
Adherence to urologic imaging guidelines after febrile urinary tract infection in infants.
This study investigated practice pattern variability and associated factors in pediatric febrile UTI (fUTI) imaging in primary care clinics. In 2011 the American Academy of Pediatrics created guidelines which recommended renal bladder ultrasound (RBUS) after fUTI and voiding cystourethrogram (VCUG) after abnormal RBUS or second fUTI. Overall, post-UTI imaging was adherent to the AAP guideline in 82 cases. Significant predictors of guideline adherence were commercial insurance, more providers in the practice, and younger provider age after adjusting for patient's age, sex, maximal temperature during fUTI.
AHRQ-funded; HS029526.
Citation: Scott Wang HH, Hatoun J, Xu J . Adherence to urologic imaging guidelines after febrile urinary tract infection in infants. J Pediatr Urol 2025 Jun; 21(3):700-05. doi: 10.1016/j.jpurol.2025.02.024..
Keywords: Newborns/Infants, Urinary Tract Infection (UTI), Imaging, Guidelines
Alpert E, Wood JN, Shults J
Variation in use of neuroimaging in the care of infants undergoing subspecialty evaluations for abuse: a multicenter study.
The purpose of this cross-sectional study was to quantify hospital-level differences in the utilization of neuroimaging to evaluate for intracranial injury in infants undergoing subspecialty evaluations for physical abuse who did not show symptoms of head trauma. Variations were not linked to race/ethnicity or insurance type but were associated with younger age, rib fractures, and hospital practices, suggesting a need for standardized care guidelines.
AHRQ-funded; HS028847.
Citation: Alpert E, Wood JN, Shults J . Variation in use of neuroimaging in the care of infants undergoing subspecialty evaluations for abuse: a multicenter study. Acad Pediatr 2025 Mar; 25(2):102597. doi: 10.1016/j.acap.2024.10.009..
Keywords: Newborns/Infants, Imaging, Brain Injury, Trauma
Henry MK, Feudtner C, Fortin K
Occult head injuries in infants evaluated for physical abuse.
Abusive head injuries in infants may be occult but clinically or forensically important. Data conflict regarding yield of neuroimaging in detecting occult head injuries in infants evaluated for physical abuse, with prior studies identifying yields of 4.3-37.3 %. The objectives of this study were (1) To quantify yield of computed tomography or magnetic resonance imaging in identification of occult head injuries in infants with concerns for physical abuse and (2) To evaluate risk factors for occult head injuries.
AHRQ-funded; HS024194.
Citation: Henry MK, Feudtner C, Fortin K . Occult head injuries in infants evaluated for physical abuse. Child Abuse Negl 2020 May;103:104431. doi: 10.1016/j.chiabu.2020.104431..
Keywords: Newborns/Infants, Brain Injury, Domestic Violence, Imaging, Diagnostic Safety and Quality, Injuries and Wounds
Varda BK, Finkelstein JB, Wang HH
The association between continuous antibiotic prophylaxis and UTI from birth until initial postnatal imaging evaluation among newborns with antenatal hydronephrosis.
This study examined whether the routine use of continuous antibiotic prophylaxis (CAP) before initial postnatal imaging is effective to prevent urinary tract infection (UTI) in infants with a history of antenatal urinary tract dilation (AUTD). A single-institution, retrospective cohort study of infants with a history of AUTD was conducted. A random sample of 500 infants was selected with six excluded for other congenital anomalies. Of the 494 remaining, 157 (32%) received CAP. There was no difference found in UTI incidence among those treated with CAP and those who were not.
AHRQ-funded; HS000063.
Citation: Varda BK, Finkelstein JB, Wang HH . The association between continuous antibiotic prophylaxis and UTI from birth until initial postnatal imaging evaluation among newborns with antenatal hydronephrosis. J Pediatr Urol 2018 Dec;14(6):539.e1-39.e6. doi: 10.1016/j.jpurol.2018.04.022..
Keywords: Antibiotics, Antimicrobial Stewardship, Urinary Tract Infection (UTI), Newborns/Infants, Imaging, Medication, Prevention

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