Children's Hospital at Montefiore

Ventricular Arterial Coupling as a Marker of Early Cardiotoxicity in Survivors of Childhood Cancer

Abstract Improved childhood cancer survival has been accompanied by substantial late morbidity and mortality related to cardiotoxic cancer therapies. We conducted a retrospective study of childhood cancer survivors (CCS) diagnosed before age 21 and followed at The Children’s Hosp...

Decreasing Prescriber Errors in a Tertiary Care Pediatric Intensive Care Unit via QI Methodology.

Introduction: Medication errors are a significant source of preventable adverse drug events for pediatric patients, particularly those with a complex chronic condition (CCC). In our pediatric intensive care unit (PICU), medication errors often occurred during admission or as medi...

Healthcare Providers' Prescription Practices for Spacer Devices and Mask Sizes in Pediatric Asthma Care

BACKGROUND: Asthma guidelines recommend that children use a valve-holding chamber or spacer with inhalers for optimal delivery of asthma medications. Spacers with correct-fitting face masks should be used to deliver the full dose of medication. OBJECTIVE: To evaluate healthcare p...

AI at the Bedside: An Argument for a Training Wheels Approach

Bedside use of artificial intelligence (AI) platforms is increasingly common. Busy clinicians may welcome these generative AI (Gen AI) tools, which have the potential to streamline many time-consuming tasks and aid in patient care. Trainees may find them useful to quickly evaluat...

Infectious Adverse Events in Pediatric Paracorporeal Ventricular Assist Devices: An Analysis of the Advanced Cardiac Therapies Improving Outcomes Network (ACTION) Registry

Infectious adverse events (IAEs) are common in children supported with paracorporeal ventricular assist devices (VADs). This study aimed to identify risk factors for IAEs from the Advanced Cardiac Therapy Improving Outcomes Network (ACTION) registry. We conducted a retrospective...

Quality Improvement Initiative to Increase Newborn RSV Immunization

BACKGROUND: Respiratory syncytial virus (RSV) is a major cause of respiratory illness in infants. In 2023, the Food and Drug Administration approved 2 methods of RSV prevention: birthing parent bivalent RSVpreF vaccine and infant nirsevimab monoclonal antibody. During the 2023-20...

Reception and Assessment of Immigrant Children and Families Seeking US Humanitarian Protection: Upholding the Best Interest of the Child: Policy Statement

Unaccompanied migrant children and families seeking humanitarian protection face health and well-being risks throughout the migration journey. US immigration policies and enforcement practices that subject children and families to detention and separation compound these risks. Gr...

Safety and Tolerability of Chronic Carvedilol in Pediatric Dilated Cardiomyopathy: A Report from the Pediatric Cardiomyopathy Registry

Long-term studies on safety of beta-blockers in pediatric heart failure (HF) are scant. We describe the safety profile, dose ranges, and tolerability of carvedilol in pediatric dilated cardiomyopathy (DCM). The Pediatric Cardiomyopathy Registry (PCMR) was used to identify patient...

Something Doesn’t Look Right: Recognizing and Managing Limb-Length Discrepancy

Leg length discrepancy (LLD) is a frequently encountered yet often underrecognized musculoskeletal condition in children. Minor differences in leg length are common and typically benign; however, more significant discrepancies may reflect underlying congenital, developmental, or...

Standardizing Fertility Preservation Counseling for Pediatric Hematology–Oncology and Transplant and Cellular Therapy Patients: A Quality Improvement Initiative

BACKGROUND: Infertility following gonadotoxic chemotherapy is among the most distressing late effects experienced by childhood cancer survivors, highlighting the importance of fertility preservation (FP) counseling at the time of diagnosis. We aimed to improve the frequency and c...