Author: Jenny Fernandez

Our new blog, Discoveries

Our clinical health stories are getting a new home. To keep up with all the latest clinical updates from Boston Children’s Hospital, you can now visit our new all-Boston-Children’s hub, Discoveries.

The new site will also keep you up to date on research and innovation news, patient stories, parenting information, our favorite photos and videos, and happenings within our community.

Visit Discoveries.childrenshospital.org.

Prolonged grief of bereaved parents: How pediatricians can help

Richard Goldstein, MD, an expert on SIDS and prolonged grief, meets with a bereaved family.
Richard Goldstein, MD, program director of Boston Children’s Robert’s Program on Sudden Unexpected Death in Pediatrics, meets with a bereaved family.

Despite worldwide efforts to promote safe sleep over the years, sudden infant death syndrome (SIDS) continues to be the leading cause of post-neonatal infant mortality in every advanced country in the world. More infants die from unexplained infant deaths each year than children zero through 18 die from cancer.

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Quick Note: Odds of hospital readmission increase for children as they become adults

Busy garage as hospital readmission rates increase

As accountable care organizations continue to evolve, primary care pediatricians may increasingly share financial risks with hospitals on quality of care measures, including hospital readmissions.

In an article published in The BMJ, Boston Children’s Hospital readmission experts Jay Berry, MD, MPH, and Emily Bucholz, MD, MPH, PhD, show that the odds of hospital readmission increase substantially for children as they become adolescents and enter adulthood. In fact, their odds of readmission are just as high or higher than elderly, Medicare beneficiaries.

Berry and Bucholz discuss the reasons for those findings and how better systems of care are needed for children — especially those with chronic conditions — as they transition to adulthood.

Read the paper published in The BMJ.

Paper Trail: Challenges for developmental-behavioral workforce, pediatric dentistry trends, implications of herpes zoster and more

Clinical research from Boston Children's

Boston Children’s Hospital is at the forefront of clinical research. Stay connected with Paper Trail — a monthly feature highlighting recently published outcomes data and new approaches to the diagnosis, treatment and prevention of pediatric illnesses.

Implications of herpes zoster in vaccinated children

Researchers including dermatologist Jennifer Huang, MD, describe seven children without a history of primary varicella who presented with herpes zoster that correlated with the original VZV vaccination site and resolved without complications. These cases, published on Feb. 6 in Pediatric Dermatology, highlight the close correlation between the vaccination site and cutaneous eruption.

Trends in pediatric dental care use

Co-authored by Dentist-in-Chief Man Wai Ng and published in the April 2018 issue of Dental Clinics of North America, this article explores trends in three areas of pediatric dental services: access among Medicaid-enrolled children, treatment of oral health conditions, and use of emergency departments for dental needs among U.S. children.

Parents’ perceptions of their child’s health status 

The aim of this study by Nurse Scientists Kristine Maria Ruggiero and Judith A. Vessey, Associate Chief Nurse Patricia Hickey and colleagues, was to examine parents’ perceptions of the health-related quality of life (HRQOL) in their school-age child with congenital heart disease (CHD). The results of this study, published in the Journal for Specialists in Pediatric Nursing, are useful in providing practical recommendations in caring for children with CHDs while informing relevant policies.

Challenges for developmental-behavioral peds

In this Pediatrics paper published Feb. 16, Carolyn Bridgemohan, MD and colleagues surveyed a sample of the developmental-behavioral pediatric workforce and found it struggles to meet current service demands. Clinician burnout was reported with increased patient complexity and female subspecialists spent more time in billable and nonbillable components of clinical care.

For more clinically-actionable insights, bookmark Boston Children’s Notes blog for primary care providers.