Kaiser Permanente Northern California Perinatal Research Unit
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2 News 37 Publications 4 Members

Risk for cerebral palsy in infants with total serum bilirubin levels at or above the exchange transfusion threshold: a p... PDF available through Get Fulltext Research

Wu, Yvonne W Kuzniewicz, Michael W Wickremasinghe, Andrea C Walsh, Eileen M Wi, Soora McCulloch, Charles E Newman, Thomas B

Published in JAMA pediatrics

Exchange transfusion is recommended for newborns with total serum bilirubin (TSB) levels thought to place them at risk for cerebral palsy (CP). However, the excess risk for CP among these infants is unknown. To quantify the risks for CP and CP consistent with kernicterus that are associated with high TSB levels based on the 2004 American Academy of...

Stratification of risk of early-onset sepsis in newborns ≥ 34 weeks' gestation.

Escobar, Gabriel J Puopolo, Karen M Wi, Soora Turk, Benjamin J Kuzniewicz, Michael W Walsh, Eileen M Newman, Thomas B Zupancic, John Lieberman, Ellice Draper, David ...

Published in Pediatrics

To define a quantitative stratification algorithm for the risk of early-onset sepsis (EOS) in newborns ≥ 34 weeks' gestation. We conducted a retrospective nested case-control study that used split validation. Data collected on each infant included sepsis risk at birth based on objective maternal factors, demographics, specific clinical milestones, ...

First-day weight loss predicts eventual weight nadir for breastfeeding newborns.

Flaherman, Valerie J Kuzniewicz, Michael W Li, Sherian Walsh, Eileen McCulloch, Charles E Newman, Thomas B

Published in Archives of disease in childhood. Fetal and neonatal edition

To examine the relationship between high (≥5%) weight loss during the first 24 h after birth and eventual excess weight loss (EWL) of ≥10% of birth weight. Retrospective cohort study. Kaiser Permanente Northern California hospitals. 63 096 infants born at ≥36 weeks in 2009-2010, of whom 59 761 (94.5%) had a weight subsequent to birth weight measure...

The lived experience of community nurses treating clients with leg ulcers

Eileen Walsh Georgina Gethin

Published in British Journal of Community Nursing

Chronic leg ulceration impacts negatively on the quality of life of the sufferer and has financial implications for the economy. Government health policy aims to tackle long-term conditions and restructure services from acute to community care. Community nurses play a pivotal role in managing and co-ordinating care to leg ulcer patients, yet their ...

Risk of childhood asthma following infant bronchiolitis during the respiratory syncytial virus season.

James, Kristina M Gebretsadik, Tebeb Escobar, Gabriel J Wu, Pingsheng Carroll, Kecia N Li, Sherian Xu Walsh, Eileen M Mitchel, Edward F Sloan, Chantel Hartert, Tina V ...

Published in The Journal of allergy and clinical immunology

Persistent recurring wheezing in the fifth year of life after laboratory-confirmed, medically attended respiratory syncy... PDF available through Get Fulltext Research

Escobar, Gabriel J Masaquel, Anthony S Li, Sherian X Walsh, Eileen M Kipnis, Patricia

Published in BMC Pediatrics

BackgroundRespiratory syncytial virus (RSV) infection in infancy is associated with subsequent recurrent wheezing.MethodsA retrospective cohort study examined children born at ≥32 weeks gestation between 1996–2004. All children were enrolled in an integrated health care delivery system in Northern California and were followed through the fifth year...

Black race is not protective against hazardous bilirubin levels.

Wickremasinghe, Andrea C Kuzniewicz, Michael W Newman, Thomas B

Published in The Journal of pediatrics

Although black race is considered protective against hyperbilirubinemia, black infants appear at increased risk of kernicterus. We found that although black infants have a lower risk of developing total serum bilirubin levels ≥ 20 mg/dL than white infants, they appear at greater risk of developing levels ≥ 30 mg/dL. Copyright © 2013 Mosby, Inc. All...

A group-based approach to stabilisation and symptom management in a phased treatment model for refugees and asylum seeke...

Robertson, Mary E A Blumberg, Jocelyn M Gratton, Jacqui L Walsh, Eileen G Kayal, Hamodi

Published in European journal of psychotraumatology

Traumatised asylum seekers and refugees may present with significant and complex mental health problems as a result of prolonged, extreme, and multiple traumatic events. This is further complicated by ongoing complex social circumstances. In our work at the Traumatic Stress Clinic (TSC), the understanding afforded by the concept of complex posttrau...

Frequency, duration and predictors of bronchiolitis episodes of care among infants ≥32 weeks gestation in a large integr... PDF available through Get Fulltext Research

Flaherman, Valerie J Ragins, Arona I Li, Sherian Xu Kipnis, Patricia Masaquel, Anthony Escobar, Gabriel J

Published in BMC Health Services Research

BackgroundBronchiolitis is common in the first two years of life and is the most frequent cause of hospitalization in this age group. No previous studies have used an episode-of-care analysis to describe the frequency, duration, and predictors of bronchiolitis episodes of care during the first two years.MethodsWe conducted a retrospective cohort st...

Total serum bilirubin exceeding exchange transfusion thresholds in the setting of universal screening.

Flaherman, Valerie J Kuzniewicz, Michael W Escobar, Gabriel J Newman, Thomas B

Published in The Journal of pediatrics

To describe the incidence and predictors of total serum bilirubin (TSB) levels that meet or exceed American Academy of Pediatrics (AAP) exchange transfusion (ET) thresholds in the setting of universal screening. We conducted a retrospective cohort analysis of electronic data on 18 089 newborns ≥35 weeks gestation born at Northern California Kaiser ...

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