The ROUTT-B (Reduce Over-Utilized Tests and Treatments in Bronchiolitis) Study: Developing a Roadmap for De-Implementation

Bronchiolitis is a common respiratory condition that primarily affects infants and young children, typically occurring in children under two years old. It is characterized by wheezing, coughing, and difficulty breathing. Long-term effects can include recurrent wheezing or increased risk of asthma.

Treatments for bronchiolitis include supportive care, such as hydration and oxygen therapy. These treatments aim to alleviate symptoms and improve overall breathing. However, there can be challenges, such as the overuse of diagnostic tests and treatments, which may not provide additional benefits and could lead to unnecessary complications.

In this study, the research team is assessing the effectiveness of a new strategy called ROUTT-B to reduce unnecessary medical interventions in bronchiolitis. The team will evaluate healthcare use, stakeholder perceptions, and preliminary outcomes related to the use of chest x-rays, bronchodilators, and viral testing among children receiving care at different hospitals.

Vasoactive Selection in Pediatric Septic Shock and the Use of Cardiac Point-of-Care Ultrasound: A Retrospective Registry Analysis Across Multicenter Pediatric Emergency Medicine and Pediatric Critical Care

Pediatric septic shock requires rapid recognition of cardiovascular failure and timely treatment to restore adequate tissue perfusion. Vasoactive medications are central to management, yet considerable uncertainty remains regarding the optimal first‑line agent. Although guidelines recommend tailoring vasoactive choice to a…

Childhood Neighborhood Exposures and Pediatric Multiple Sclerosis

Question 1: How can we identify children with MS using ICD-10 codes in the PEDSnet dataset Question 2: How do neighborhood exposures influence the risk of pediatric MS development Aim 1: Validate a computable phenotype to identify pediatric MS. Aim…

Preventing Suicide among Sexual and Gender Diverse Youth

Suicide is the second leading cause of death among young adults in the United States. Sexual and gender diverse young adults (SGDYA) are at particularly high risk. SGDYA includes individuals who are lesbian, gay, bisexual, transgender, queer, or of another…

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