Miami Children's Hospital

Perioperative complications at scale: a multi-center analysis of 1.2 million surgical inpatients and the ethical imperative for risk transparency

Major inpatient surgery is associated with significant postoperative morbidity, yet large-scale contemporary data characterizing complication patterns remain limited. Understanding complication epidemiology is essential for individualized risk assessment and shared decision-makin...

Timing and safety of prone positioning following median sternotomy in infants with single-ventricle physiology

Abstract Background: Prone positioning is an essential component of early rehabilitation and motor development in infants following cardiac surgery involving median sternotomy; however, restrictions remain variable due to concerns regarding sternal healing and safety. Due to a la...

Clinical trial barriers in neurostimulation for pediatric drug‐resistant epilepsy

Abstract Objective The NeuroPace responsive neurostimulation (RNS) System effectively treats focal drug‐resistant epilepsy (DRE) in adults but lacks pediatric regulatory approval. Despite effective off‐label pediatric use, systemic device‐trial challenges have impeded label expan...

Peptic Ulcer Disease in Pediatrics: A Comprehensive Review

Abstract Peptic ulcer disease (PUD) in children, while less prevalent than in adults, poses significant diagnostic and therapeutic challenges because of age-specific presentations and pathophysiology. This review addresses the epidemiology, etiologies, clinical manifestations, an...

Bridging Practice and Publication: Reexamining Quality Improvement in Pediatric Scholarship

Quality improvement (QI) publication rates in pediatrics surged through the early 21st century yet have noticeably plateaued since that time, a paradoxical shift given the volume of ongoing improvement work across pediatric health systems. We propose that the gap lies not in the...

Childhood Attachment Patterns and Disorders

Pediatricians spend a substantial part of patients' visits counseling on development and behavior. In many cases, the root of behavioral challenges is the relationship between the child and their caregiver. Pediatricians need to know the signs of unhealthy relationship patterns t...