First name
Erika
Middle name
J
Last name
Mejia

Title

Use of Contrast-Enhanced Ultrasound to Determine Thoracic Duct Patency.

Year of Publication

2020

Date Published

2020 Sep 09

ISSN Number

1535-7732

Abstract

<p>The aim of this study was to determine the feasibility of using contrast-enhanced ultrasound (CEUS) evaluation to determine thoracic duct (TD) outlet patency. Nine patients referred for lymphatic imaging and intervention underwent percutaneous intranodal ultrasound contrast injection and conventional lymphangiography (CL). Eight of 9 patients had a patent TD by CEUS and CL. One patient did not have a patent TD. There was 100% agreement between CEUS and CL. These results suggest that CEUS is an imaging modality that might be as accurate as CL in determining TD patency.</p>

DOI

10.1016/j.jvir.2020.05.022

Alternate Title

J Vasc Interv Radiol

PMID

32919824

Title

Characteristics and Outcomes of Pediatric Heart Failure-Related Emergency Department Visits in the United States: A Population-Based Study.

Year of Publication

2018

Number of Pages

114-118.e3.

Date Published

2018 Feb

ISSN Number

1097-6833

Abstract

<p><strong>OBJECTIVES: </strong>To describe the frequency, characteristics, and outcomes of heart failure-related emergency department (ED) visits in pediatric patients. We aimed to test the hypothesis that these visits are associated with higher admission rates, mortality, and resource utilization.</p>

<p><strong>STUDY DESIGN: </strong>A retrospective analysis of the Nationwide Emergency Department Sample for 2010 of patients ≤18 years of age was performed to describe ED visits with and without heart failure. Cases were identified using International Classification of Disease, Ninth Revision, Clinical Modification codes and assessed for factors associated with admission, mortality, and resource utilization.</p>

<p><strong>RESULTS: </strong>Among 28.6 million pediatric visits to the ED, there were 5971 (0.02%) heart failure-related cases. Heart failure-related ED patients were significantly more likely to be admitted (59.8% vs 4.01%; OR 35.3, 95% CI 31.5-39.7). Among heart failure-related visits, admission was more common in patients with congenital heart disease (OR 5.0, 95% CI 3.3-7.4) and in those with comorbidities including respiratory failure (OR 78.3, 95% CI 10.4-591) and renal failure (OR 7.9, 95% CI 1.7-36.3). Heart failure-related cases admitted to the hospital had a higher likelihood of death than nonheart failure-related cases (5.9% vs 0.32%, P &lt; .001). Factors associated with mortality included respiratory failure (OR 4.5, 95% CI 2.2-9.2) and renal failure (OR 7.8, 95% CI 2.9-20.7). Heart failure-related ED visits were more expensive than nonheart failure-related ED visits ($1460 [IQR $861-2038] vs $778 [IQR $442-1375] [P &lt; .01].)</p>

<p><strong>CONCLUSIONS</strong>: Heart failure-related visits represent a minority of pediatric ED visits but are associated with increased hospital admission and resource utilization.</p>

DOI

10.1016/j.jpeds.2017.10.009

PMID

29221691

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