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Deployed: One Pediatric Department's Experience of Adult Care During COVID-19

Hodo, Laura Nell; Douglas, Lindsey C; Lee, Diana S; Bhadriraju, Srividya; Wilson, Karen M
OBJECTIVES:The number of hospitalized coronavirus disease 2019 patients in March 2020 to April 2020 in our New York City hospital required increased physician staffing, including deployment of pediatricians to adult care. To improve the deployment process, we sought to understand the mindset, preparations for, and experience during deployment of pediatric faculty in our institution. METHODS:test were used to compare groups. Free-text responses were categorized by topic. Survey responses were shared with leadership in real time and adjustments to the deployment process made. RESULTS:= 16). Dissemination of details about schedules and role clarification before deployment were areas for improvement. CONCLUSIONS:Pediatric faculty facing deployment to adult care have concerns about the process of deployment as well as the work itself. Specific information distributed in advance, along with consistent and frequent communication, may help mitigate these fears.
PMID: 34117092
ISSN: 2154-1671
CID: 5477442

3% Hypertonic Saline Versus Normal Saline in Inpatient Bronchiolitis: A Randomized Controlled Trial

Silver, Alyssa H; Esteban-Cruciani, Nora; Azzarone, Gabriella; Douglas, Lindsey C; Lee, Diana S; Liewehr, Sheila; Nazif, Joanne M; Agalliu, Ilir; Villegas, Susan; Rhim, Hai Jung H; Rinke, Michael L; O'Connor, Katherine
BACKGROUND AND OBJECTIVES/OBJECTIVE:Bronchiolitis, the most common reason for hospitalization in children younger than 1 year in the United States, has no proven therapies effective beyond supportive care. We aimed to investigate the effect of nebulized 3% hypertonic saline (HS) compared with nebulized normal saline (NS) on length of stay (LOS) in infants hospitalized with bronchiolitis. METHODS:We conducted a prospective, randomized, double-blind, controlled trial in an urban tertiary care children's hospital in 227 infants younger than 12 months old admitted with a diagnosis of bronchiolitis (190 completed the study); 113 infants were randomized to HS (93 completed the study), and 114 to NS (97 completed the study). Subjects received 4 mL nebulized 3% HS or 4 mL 0.9% NS every 4 hours from enrollment until hospital discharge. The primary outcome was median LOS. Secondary outcomes were total adverse events, subdivided as clinical worsening and readmissions. RESULTS:Patient characteristics were similar in groups. In intention-to-treat analysis, median LOS (interquartile range) of HS and NS groups was 2.1 (1.2-4.6) vs 2.1 days (1.2-3.8), respectively, P = .73. We confirmed findings with per-protocol analysis, HS and NS groups with 2.0 (1.3-3.3) and 2.0 days (1.2-3.0), respectively, P = .96. Seven-day readmission rate for HS and NS groups were 4.3% and 3.1%, respectively, P = .77. Clinical worsening events were similar between groups (9% vs 8%, P = .97). CONCLUSIONS:Among infants admitted to the hospital with bronchiolitis, treatment with nebulized 3% HS compared with NS had no difference in LOS or 7-day readmission rates.
PMID: 26553190
ISSN: 1098-4275
CID: 5825662

Cross-Cultural Differences in Attitudes about Aging: Moving beyond the East-West Dichotomy

Chapter by: Lockenhoff, Corinna E; Lee, Diana S; Buckner, Katherine ML; Moreira, Rashidat O; Martinez, Stephanie J; Sun, Mary Q
in: Successful aging : Asian perspectives by Cheng, Sheung-Tak; et al (Eds)
Dordrecht : Springer, [2015]
pp. 321-337
ISBN: 9789401793308
CID: 5266662