Pediatricians from Johns Hopkins Children’s Center will be at PAS 2018 to present on a wide variety of research.

When: May 5-8, 2018

Where: Metro Toronto Convention Centre, North & South Buildings, Toronto, Canada.

Results of the Reducing Variation in the Infant Sepsis Evaluation (REVISE) National QI Collaborative
Part of 4640 Hospital Medicine III 
Where: Convention Center 104 AB
When: Tuesday, May 8, 12:15-12:30 p.m.

Across the country, there is wide variability in how infants with fever symptoms are managed when they present at the hospital. In an attempt to standardize care, the American Academy of Pediatrics sponsored a national quality improvement initiative entitled Reducing Excessive Variation in the Infant Sepsis Evaluation (REVISE), which was launched in September 2016 and included more than 19,000 infants across 133 hospital systems. Results of REVISE, which consisted of educational webinars, a change package of order sets, algorithms, a mobile app, evidence-based reviews, a listserv and run charts with peer benchmarking for clinicians, improved care for infants with fever symptoms by increasing appropriate hospitalization and appropriate length of stay. Eric Biondi, M.D., M.S., associate professor of pediatrics at the Johns Hopkins University School of Medicine, was a leader of the REVISE initiative and will present the results with co-authors.

Gender Differences in Effects of School-Based Mindfulness in Urban Minority Youth
Presented as part of 4630 General Pediatrics: Primary Care II
Where: Convention Center 201 E-F
When: Tuesday, May 8, 1:30-1:45 p.m.

Erica Sibinga, M.D., M.H.S., associate professor of pediatrics at the Johns Hopkins University School of Medicine, along with co-authors, will present the results of a 12-week school-based mindfulness program and its effect by gender. The results show that the program was not only effective at improving psychological symptoms, coping and post-stress symptoms, but male students seemed to experience additional benefit, with lower hostility, higher levels of mindfulness and a trend toward lower stress.

Promoting Bike Helmet Safety for Urban Children Through a Culturally Tailored Educational Video Intervention
Presented as part of 3655 Injury Prevention
Where: Convention Center 105
When: Monday, May 7, 4:30-4:45 p.m.

Use of bicycle helmets substantially reduces risk of severe traumatic brain injury, but compliance with this safety practice is particularly low in minority and lower income children. Leticia Ryan, M.D., M.P.H., assistant professor of pediatrics, Barry Solomon, M.D., M.P.H., associate professor of pediatrics, and Susan Ziegfeld, C.R.N.P., manager of the pediatric trauma and burn program, all of the Johns Hopkins University School of Medicine, and co-authors created an education video specifically for Baltimore City youth to demonstrate proper helmet fitting and promote helmet youth in children. The pilot results show a significant increase in helmet use after the video was shown and free helmets were distributed with fit instructions and a parent guidance document.

Effectiveness of Obesity Prevention and Control Policies and Programs for Children: A Systematic Review of Natural Experiments
Presented as part of 1444 Obesity and Disordered Eating: Prevention and Environmental Influences 
Where: Convention Center Exhibit Hall DE
When: Saturday, May 5, 1:15 p.m.-2:30 p.m.

To evaluate the effectiveness of policies and programs from natural experiments for pediatric obesity prevention and control, Carolyn Bramante, M.D., M.P.H., general pediatrics fellow, and Rachel Thornton, M.D., Ph.D., assistant professor of pediatrics, both of the Johns Hopkins University School of Medicine, and co-authors examined 33 studies from 2000 to 2017 for population-based programs and policies evaluated in a natural experiment. The researchers found that most of these natural experiments occurred in schools and focused primarily on food/beverage. School-based interventions that focused on both food/beverage and physical activity environments were most effective in reducing body mass index. These findings support pediatric obesity prevention policies that create multicomponent, population-level interventions that create healthier environments for children.

Admitted Pediatric Trauma Patients Arriving by Private Vehicle Have Lower Trauma Activation Rates Than Those Arriving by Emergency Medical Services
Presented as part of 1429 Emergency Medicine: Trauma 
Where: Convention Center Exhibit Hall DE
When: Saturday, May 5, 1:15 p.m.-2:30 p.m.

To determine whether private vehicle transportation to a pediatric trauma center had an effect on trauma activation status, Dylan Stewart, M.D., and Leticia Ryan, M.D., M.P.H., assistant professors of pediatrics at the Johns Hopkins University School of Medicine, conducted a retrospective study that examined data for patients younger than 15 years from trauma registries at two level I pediatric trauma centers from 2014 to 2016. Their study found that almost half of admitted pediatric trauma patients arrived by privately owned vehicle, a factor significantly associated with lack of trauma activation (2 percent versus 86 percent of children arriving by emergency medical services). These findings suggest both a need for developing a higher threshold for trauma activation for patients arriving by private vehicle and perhaps the potential overuse of trauma activation for patients arriving by emergency medical services.