Monroe Carell Jr. Children's Hospital

Global burden of moyamoya syndrome in pediatric sickle cell disease and implications for the neurosurgical workforce: a systematic review

Abstract Objective The aims of the study were twofold: 1) quantify the global burden of pSCD|MMS, and 2) estimate the number of children who warrant specialist evaluation for possible surgical revascularization. Methods A systematic review was conducted following PRISMA guideline...

Five-Year Cost-Effectiveness Analysis of Endoscopic Third Ventriculostomy With Choroid Plexus Cauterization Versus Ventriculoperitoneal Shunting in Postinfectious Hydrocephalus in a Low-Income Setting

BACKGROUND AND OBJECTIVES: For over 2 decades, an emerging body of data has established endoscopic third ventriculostomy with choroid plexus cauterization (ETV/CPC) as a viable option in the treatment of postinfectious hydrocephalus (PIH) in low-resource settings with similar out...

Improving Goal Feeding and Discharge Time in Pediatrics After G-Tube Placement: A QI Project

BACKGROUND: Gastrostomy tube (GT) placement is a common pediatric surgical procedure. Prior to implementation of a standardized clinical practice guideline (CPG), there was considerable practitioner variability in postoperative care and discharge preparation of this patient popul...

Making It Count: A Quality Improvement Project to Improve Pediatric Hospital Billing at a Community Hospital

BACKGROUND AND OBJECTIVES: Community pediatric hospital units are closing nationwide because of financial strain. Appropriate designation of hospitalized patients as inpatient (IP), rather than observation, increases hospital revenue. Clinicians often lack knowledge of bed status...

Validation of AACN’s Healthy Work Environment Assessment Tool–Team

Background In 2024, the American Association of Critical-Care Nurses (AACN) updated the Healthy Work Environment Assessment Tool (HWEAT), renamed HWEAT-Team. Objective Validating HWEAT-Team for interprofessional use. Methods This was a multisite, descriptive, nonexperimental corr...

Why Not Antivirals? Reconsidering Influenza Treatment in Children

In this issue of Pediatrics, Huang et al1 shed important light on the association between antiviral use and reduced influenza-related hospitalizations in children. Using a large national health care database from Taiwan and accounting for a number of clinically relevant factors,...

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...

Effect of time to palliative epilepsy surgery on outcomes

Abstract Objective Epilepsy duration is a modifiable risk factor in the outcome of definitive epilepsy surgery; however, an analogous effect in palliative procedures has not been shown. We reviewed the Pediatric Epilepsy Surgery Database data for an association between epilepsy d...