Female doctor with child

Encounters From Device Complications Among Children With Medical Complexity

Encounters From Device Complications Among Children With Medical Complexity

Children with medical complexity (CMC) are commonly assisted by medical devices to support essential body functions, although complications may lead to preventable emergency department (ED) and hospital use. HIP Investigator, Dr. Ryan Coller et al. identified predictors of device-complicated ED visits and hospitalizations. The team of authors found that device-complicated ED visits and hospitalizations comprised a substantial proportion of total hospital and ED use. Developing interventions to prevent device complications may be a promising strategy to reduce overall CMC use.

Read the article

Doctor standing with laptop

Telehealth with remote blood pressure monitoring for postpartum hypertension

Telehealth with remote blood pressure monitoring for postpartum hypertension

Postpartum hypertension is a leading indication for hospital readmissions within the first 6 weeks after delivery. Authors including HIP Investigator, Dr. Heather Johnson investigate feasibility of telehealth with remote blood pressure monitoring for management of hypertension in postpartum women at risk of severe hypertension after hospital discharge.

Read the article

Doctor and overweight patient

Blood Pressure Control and Other Quality of Care Metrics for Patients with Obesity and Diabetes

Blood Pressure Control and Other Quality of Care Metrics for Patients with Obesity and Diabetes

There are no population-level estimates in the United States for achievement of blood pressure goals in patients with diabetes and hypertension by obesity weight class. A team of authors, including HIP Investigator, Dr. Maureen Smith examined the relationship between the extent of obesity and the achievement of guideline-recommended blood pressure goals and other quality of care metrics among patients with diabetes.

Read the article

Diabetic child self manage

The relationship of Type 1 diabetes self-management barriers to child and parent quality of life: a US cross-sectional study

The relationship of Type 1 diabetes self-management barriers to child and parent quality of life: a US cross-sectional study

Type 1 diabetes can reduce health‐related quality of life (QOL) for children, adolescents and their parents. Families of children and adolescents with Type 1 diabetes experience self-management challenges that negatively impact diabetes control. A team of authors, including HIP Investigator Dr. Elizabeth Cox, assessed whether self-management challenges are also associated with quality of life (QOL) for children and adolescents with Type 1 diabetes and their parents.

Read the article

Eye exam

Factors influencing patient adherence with diabetic eye screening in rural communities: A qualitative study

Factors influencing patient adherence with diabetic eye screening in rural communities: A qualitative study

Diabetic retinopathy remains the leading cause of blindness among working-age U.S. adults largely due to low screening rates. Rural populations face particularly greater challenges to screening because they are older, poorer, less insured, and less likely to receive guideline-concordant care than those in urban areas. Current patient education efforts may not fully address multiple barriers to screening faced by rural patients. HIP Investigator, Dr. Yao Liu et al. sought to characterize contextual factors affecting rural patient adherence with diabetic eye screening guidelines.

Read the article

Senior woman waiting for treatment in hospital

Increasing SBP variability is associated with an increased risk of developing incident diabetic foot ulcers.

Increasing SBP variability is associated with an increased risk of developing incident diabetic foot ulcers.

Excessive SBP variability may offer a potential new target for mitigating end-organ damage associated with microvascular and macrovascular disease, such as diabetic foot ulcers. Targeting SBP variability in addition to the absolute value, may help reduce the high risk of vascular complications faced by patients with diabetes. The goal of this study by HIP Investigator, Dr. Meghan Brennan et al. is to determine whether the risk of incident diabetic foot ulceration increases as SBP variability increases.

Read the article

Doctor talking to older woman

If We Don't Ask, They Won't Tell: Screening for Urinary and Fecal Incontinence by Primary Care Providers.

If We Don't Ask, They Won't Tell: Screening for Urinary and Fecal Incontinence by Primary Care Providers.

More than half of older adults experience urinary (UI) or fecal incontinence (FI), but the majority have never discussed symptoms with health care providers. Little is known about primary care providers' (PCPs') screening for UI and FI. Given the prevalence and significant negative impact of UI and FI, availability of effective treatment options, and the limited rates of spontaneous care seeking for these conditions, HIP Investigator, Dr. Heidi Brown et al. sought to quantify screening rates, attitudes, beliefs, and behaviors for these conditions among PCPs in our health care system.

Read the article

Medics and patient

Transitioning from General Pediatric to Adult-Oriented Inpatient Care: National Survey of US Children's Hospitals.

Transitioning from General Pediatric to Adult-Oriented Inpatient Care: National Survey of US Children's Hospitals.

Hospital charges and lengths of stay may be greater when adults with chronic conditions are admitted to children's hospitals. Despite multiple efforts to improve pediatric-adult healthcare transitions, little guidance exists for transitioning inpatient care. In this study, HIP Investigator Dr. Ryan Coller et al. sought to characterize pediatricadult inpatient care transitions across general pediatric services at US children's hospitals.

Read the article

young boy patient

Complex Care Hospital Use and Postdischarge Coaching: A Randomized Controlled Trial.

Complex Care Hospital Use and Postdischarge Coaching: A Randomized Controlled Trial.

Complex care programs seek to influence key health outcomes for children with medical complexity (CMC), and investment in program infrastructure is often justified by anticipating savings from lower health care use. HIP Investigator, Dr. Ryan Coller et al. sought to examine the effect of a caregiver coaching intervention, Plans for Action and Care Transitions (PACT), on hospital use among children with medical complexity (CMC) within a complex care medical home. Among CMC within a complex care program, a health coaching intervention designed to identify, prevent, and manage patient-specific crises and postdischarge transitions appears to lower hospitalizations and charges.

Read the article

Doctor explaining prescription

Longitudinal trends and predictors of statin use among patients with diabetes.

Longitudinal trends and predictors of statin use among patients with diabetes.

Patients with diabetes have a well-established elevated risk of cardiovascular disease. Statins reduce morbidity and mortality among patients with diabetes, but their use remains suboptimal. In this study, HIP Investigator Dr. Meghan Brennan et al. sought to understand trends in statin use to inform strategies for improvement. They found that Statin use is slowly increasing among patients with diabetes, and at varying rates within subgroups of this population. Policies that prioritize these subgroups for statin promotion may help guide future, intervention-based research to increase compliance with current guidelines.

Read the article

Pages