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  1. Article ; Online: A case of acquired Ondine's curse secondary to television injury.

    Patra, Kamakshya P

    Journal of paediatrics and child health

    2014  Volume 50, Issue 9, Page(s) 745

    MeSH term(s) Craniocerebral Trauma/etiology ; Humans ; Hypoventilation/etiology ; Infant ; Male ; Respiration, Artificial ; Sleep Apnea, Central/diagnosis ; Sleep Apnea, Central/etiology ; Sleep Apnea, Central/therapy ; Subarachnoid Hemorrhage/diagnostic imaging ; Subarachnoid Hemorrhage/etiology ; Television ; Tomography, X-Ray Computed
    Language English
    Publishing date 2014-09
    Publishing country Australia
    Document type Case Reports ; Letter
    ZDB-ID 1024476-1
    ISSN 1440-1754 ; 1034-4810
    ISSN (online) 1440-1754
    ISSN 1034-4810
    DOI 10.1111/jpc.12703
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  2. Article ; Online: Spirometry.

    Patra, Kamakshya P

    Pediatrics in review

    2012  Volume 33, Issue 10, Page(s) 469–472

    MeSH term(s) Child ; Female ; Humans ; Lung/physiopathology ; Lung Diseases, Obstructive/diagnosis ; Spirometry/methods
    Language English
    Publishing date 2012-10
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.33-10-469
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  3. Article ; Online: Impact of the AAP Guideline on Management of Brief Resolved Unexplained Events.

    Patra, Kamakshya P / Hall, Matthew / DeLaroche, Amy M / Tieder, Joel S

    Hospital pediatrics

    2022  Volume 12, Issue 9, Page(s) 780–791

    Abstract: ... strongly recommended against. There was a positive change in the use of electrocardiogram (+3.5%, P < .001 ... which is recommended by CPG. There was a significant reduction in admissions (-13.7%, P < .001 ... utilization of medications (-8.3%, P < .001), cost (-$1146.8, P < .001), and LOS (-0.2 days, P < .001 ...

    Abstract Objectives: In May 2016, the American Academy of Pediatrics published a clinical practice guideline (CPG) defining apparent life-threatening events (ALTEs) as brief resolved unexplained events (BRUEs) and recommending risk-based management. We analyzed the association of CPG publication on admission rate, diagnostic testing, treatment, cost, length of stay (LOS), and revisits in patients with BRUE.
    Methods: Using the Pediatric Health Information Systems database, we studied patients discharged from the hospital with a diagnosis of ALTE/BRUE from January 2012 to December 2019. We grouped encounters into 2 time cohorts on the basis of discharge date: preguideline (January 2012-January 2016) and postguideline (July 2016-December 2019). We used interrupted time series to test if the CPG publication was associated with level change and change in slope for each metric.
    Results: The study included 27 941 hospitalizations for ALTE/BRUE from 36 hospitals. There was an early decrease in 12 diagnostic tests that the CPG strongly recommended against. There was a positive change in the use of electrocardiogram (+3.5%, P < .001), which is recommended by CPG. There was a significant reduction in admissions (-13.7%, P < .001), utilization of medications (-8.3%, P < .001), cost (-$1146.8, P < .001), and LOS (-0.2 days, P < .001), without a change in the revisit rates. In the postguideline period, there were an estimated 2678 admissions avoided out of 12 508 encounters.
    Conclusions: Publication of the American Academy of Pediatrics BRUE CPG was associated with substantial reductions in testing, utilization of medications, admission rates, cost, and LOS, without a change in the revisit rates.
    MeSH term(s) Brief, Resolved, Unexplained Event ; Child ; Hospitalization ; Humans ; Infant ; Infant, Newborn ; Infant, Newborn, Diseases ; Patient Discharge ; Respiration Disorders ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2022-08-15
    Publishing country United States
    Document type Journal Article
    ISSN 2154-1671
    ISSN (online) 2154-1671
    DOI 10.1542/hpeds.2021-006427
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  4. Article ; Online: Focus on diagnosis: the D-test.

    Patra, Kamakshya P

    Pediatrics in review

    2011  Volume 32, Issue 7, Page(s) 293–295

    MeSH term(s) Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Child ; Disk Diffusion Antimicrobial Tests/methods ; Drug Resistance, Multiple, Bacterial ; Humans ; Lincosamides/pharmacology ; Macrolides/pharmacology ; Practice Guidelines as Topic ; Staphylococcal Infections/drug therapy ; Staphylococcus aureus/drug effects ; Streptogramin B/pharmacology
    Chemical Substances Anti-Bacterial Agents ; Lincosamides ; Macrolides ; Streptogramin B (3131-03-1)
    Language English
    Publishing date 2011-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.32-7-293
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  5. Article ; Online: Electroencephalography: a primer.

    Patra, Kamakshya P / Lewis, Donald W

    Pediatrics in review

    2012  Volume 33, Issue 5, Page(s) 226–231

    MeSH term(s) Adolescent ; Anticonvulsants/therapeutic use ; Brain Death/diagnosis ; Child ; Diagnosis, Differential ; Electroencephalography/methods ; Epilepsy/diagnosis ; Epilepsy/drug therapy ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Parasomnias/diagnosis
    Chemical Substances Anticonvulsants
    Language English
    Publishing date 2012-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.33-5-226
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  6. Article ; Online: Improving Discharge Outcomes by Using a Standardized Risk Assessment and Intervention Tool Facilitated by Advanced Pediatric Providers.

    Patra, Kamakshya P / Mains, Nicholas / Dalton, Crystal / Welsh, Jessica / Iheonunekwu, Chizite / Dai, Zheng / Murray, Pamela J / Fisher, Erin S

    Hospital pediatrics

    2020  Volume 10, Issue 2, Page(s) 173–180

    Abstract: Objectives: Pediatric discharge from the inpatient setting is a complex, error-prone process. In this study, we evaluated the outcomes of using a standardized process for hospital discharge of pediatric patients.: Methods: A 1-year pre- and ... ...

    Abstract Objectives: Pediatric discharge from the inpatient setting is a complex, error-prone process. In this study, we evaluated the outcomes of using a standardized process for hospital discharge of pediatric patients.
    Methods: A 1-year pre- and postintervention pilot study was designed to improve discharge transition of care. The bundle intervention, facilitated by advanced practice providers, included risk identification and intervention. Process and outcome metrics included patient satisfaction measures on the discharge domain (overall discharge, speed of discharge process, whether they felt ready for discharge), use of handouts, scheduling of follow-up appointments, and postdischarge phone call.
    Results: Significant improvements were found in all aspects of patient satisfaction, including speed of the discharge process and instructions for discharge, discharge readiness, and the overall discharge process. Length of stay decreased significantly after intervention. The checklist identified ∼4% of discharges without a correct primary care physician. Significant differences were found for scheduled primary care appointment before discharge and patients receiving handouts. The bundle identified risks that may complicate transition of care in approximately half of the patients. Phone communication occurred with almost half of the patients after discharge.
    Conclusions: Integration of an evidence-based discharge checklist can improve processes, increase delivery of patient education, and improve patient and family perceptions of the discharge process. Involvement of key stakeholders, use of evidence-based interventions with local adaptation, and use of a consistent provider responsible for implementation can improve transitions of care.
    MeSH term(s) Adolescent ; Aftercare ; Checklist ; Humans ; Infant ; Infant, Newborn ; Patient Discharge ; Pediatrics ; Pilot Projects ; Risk Assessment/methods
    Language English
    Publishing date 2020-01-22
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ISSN 2154-1671
    ISSN (online) 2154-1671
    DOI 10.1542/hpeds.2019-0109
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  7. Article ; Online: Preparing for a Career in Pediatric Hospital Medicine: A Needs Assessment and Recommendations for Individualized Curricula.

    Patel, Shivani J / Lynn, Justin / Varghese, Sarah / Sanders, Rebecca Dean / Zwemer, Eric / Seelbach, E Berry / Patra, Kamakshya P / Mirchandani, Dipti R / Griego, Elena / Beck, Jimmy

    Hospital pediatrics

    2021  Volume 12, Issue 1, Page(s) e30–e37

    Abstract: Objectives: The individualized curriculum within residency programs allows residents to tailor their elective time toward future career goals and interests. Our objective was to identify experiences and activities that would foster resident interest and ...

    Abstract Objectives: The individualized curriculum within residency programs allows residents to tailor their elective time toward future career goals and interests. Our objective was to identify experiences and activities that would foster resident interest and enhance preparation for a career in pediatric hospital medicine (PHM).
    Methods: Electronic surveys were distributed to pediatric hospitalists, PHM fellowship directors, and graduating PHM fellows. These stakeholders were asked to identify key experiences for residents to explore before entering fellowship or practice. Descriptive statistics and thematic analysis were performed on survey responses.
    Results: Forty-six percent of PHM fellows (16 of 35), 42% of pediatric hospitalists (149 of 356), and 58% of fellowship program directors (35 of 60) completed the survey. All 3 groups identified complex care as the most important clinical experience to gain in residency. Other highly valued clinical experiences included pain management, surgical comanagement, and palliative care. Lumbar puncture, electrocardiograph interpretation, and airway management were identified as essential procedural skills. Nonclinical experiences that were deemed important included quality improvement, development of teaching skills, and research methodology. All groups agreed that these recommendations should be supplemented with effective mentorship.
    Conclusions: Identification of key clinical experiences, nonclinical activities, and mentorship for residents interested in PHM may assist with tailoring the individualized curriculum to personal career goals. Incorporating these suggested experiences can improve preparedness of residents entering PHM.
    MeSH term(s) Child ; Curriculum ; Fellowships and Scholarships ; Hospital Medicine/education ; Hospitals, Pediatric ; Humans ; Internship and Residency ; Needs Assessment ; Surveys and Questionnaires
    Language English
    Publishing date 2021-12-06
    Publishing country United States
    Document type Journal Article
    ISSN 2154-1671
    ISSN (online) 2154-1671
    DOI 10.1542/hpeds.2021-005830
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  8. Article ; Online: Developing an effective inpatient learning climate.

    Harper, Beth D / Buchanan, April O / Cramton, Rachel Em / Gourishankar, Anand / King, Marta / Molas-Torreblanca, Kira / Patra, Kamakshya P / Pomeroy, Brian / Potisek, Nicholas M / Seelbach, Elizabeth / Tomaszewski, Jessica L / Fromme, H Barrett

    The clinical teacher

    2019  Volume 17, Issue 4, Page(s) 366–372

    MeSH term(s) Hospitalization ; Humans ; Learning ; Patient Education as Topic/methods ; Patient Education as Topic/organization & administration
    Language English
    Publishing date 2019-12-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2151518-9
    ISSN 1743-498X ; 1743-4971
    ISSN (online) 1743-498X
    ISSN 1743-4971
    DOI 10.1111/tct.13121
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  9. Article ; Online: Diabetic ketoacidosis preceding thrombocytopenia associated multiple organ failure in a child.

    Patra, Kamakshya P / Scott, L Keith

    JOP : Journal of the pancreas

    2011  Volume 12, Issue 1, Page(s) 40–43

    Abstract: Context: Thrombocytopenia associated multiple organ failure is a rare but increasingly recognized condition in children. Diabetic ketoacidosis preceding thrombocytopenia associated multiple organ failure is previously unreported in pediatric patients.!## ...

    Abstract Context: Thrombocytopenia associated multiple organ failure is a rare but increasingly recognized condition in children. Diabetic ketoacidosis preceding thrombocytopenia associated multiple organ failure is previously unreported in pediatric patients.
    Case report: A 12-year-old female presented with diabetic ketoacidosis along with acute pancreatitis. She further developed thrombocytopenia and renal failure over the next two days. Although hemolytic uremic syndrome/thrombotic thrombocytopenic purpura spectrum was considered, the clinical picture seemed most consistent with thrombocytopenia associated multiple organ failure. The patient was treated with serial therapeutic plasma exchanges and made a complete recovery.
    Conclusion: A high index of suspicion of thrombocytopenia associated multiple organ failure is required in patients with diabetic ketoacidosis or pancreatitis who present with thrombocytopenia and renal failure. Plasma exchange is a life-saving intervention in such cases.
    MeSH term(s) Acute Disease ; Child ; Diabetic Ketoacidosis/complications ; Diagnosis, Differential ; Female ; Hemolytic-Uremic Syndrome/diagnosis ; Humans ; Multiple Organ Failure/diagnosis ; Multiple Organ Failure/etiology ; Multiple Organ Failure/therapy ; Pancreatitis/complications ; Plasma Exchange ; Purpura, Thrombocytopenic/diagnosis ; Thrombocytopenia/diagnosis ; Thrombocytopenia/etiology ; Thrombocytopenia/therapy ; Treatment Outcome
    Language English
    Publishing date 2011-01-05
    Publishing country Italy
    Document type Case Reports ; Journal Article
    ZDB-ID 2039637-5
    ISSN 1590-8577 ; 1590-8577
    ISSN (online) 1590-8577
    ISSN 1590-8577
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  10. Article ; Online: Pediatric MRI of the brain: a primer.

    Patra, Kamakshya P / Lancaster, Jeffrey D / Hogg, Jeffery / Carpenter, Jeffrey S

    Pediatrics in review

    2014  Volume 35, Issue 3, Page(s) 106–11; quiz 112–3

    MeSH term(s) Adolescent ; Brain/diagnostic imaging ; Brain/pathology ; Brain Diseases/diagnostic imaging ; Brain Diseases/pathology ; Cerebellar Neoplasms/pathology ; Cerebral Infarction/pathology ; Child ; Child, Preschool ; Female ; Hematoma, Subdural/pathology ; Humans ; Infant ; Infant, Newborn ; Magnetic Resonance Imaging ; Male ; Medical History Taking ; Medulloblastoma/pathology ; Multiple Sclerosis/pathology ; Orbital Cellulitis/pathology ; Physical Examination ; Tomography, X-Ray Computed
    Language English
    Publishing date 2014-03
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 774515-1
    ISSN 1526-3347 ; 0191-9601
    ISSN (online) 1526-3347
    ISSN 0191-9601
    DOI 10.1542/pir.35-3-106
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