Children's Hospitals Today - Spring 2018 - 10

ROUNDS / RESEARCH

Opioidsʼ effect on kids
PICU admissions nearly doubled over 10 years as
more kids ingest opioids.
BY CHRISTINE BUSH

A

s the number of children seeking
opioid-related medical care continues to rise, hospital leaders want to know
how that growing number affects the
use of pediatric critical care resources.
Research in the journal Pediatrics detailed how the number of children who
required hospitalization for opioid ingestions increased significantly between
2004 and 2015, while opioid-related admissions to the pediatric intensive care unit
(PICU) nearly doubled.
The study of Pediatric Health
Information System (PHIS) data from 31
children's hospitals found:
 3,647 children required opioid-related
hospitalizations
 43 percent of children hospitalized
for opioid-related ingestion required
PICU admission, a 35 percent increase
 Children younger than 6 represented
one-third of hospitalizations for
opioid-related ingestion. The majority
were between 12 and 17 years old.

Doctors also diagnosed opioid ingestion
and poisoning more often. The PHIS data
showed a significant and steady rise in opioid-related diagnoses among all age groups
of children. Matt Hall, Ph.D., a co-author of
the study and principal biostatistician at
Children's Hospital Association, says this
study is a reminder that the United States
opioid crisis is not just an adult problem.
"Almost half of these kids had accidental ingestions," says Hall. "They're getting access
to their parent's opioids, or someone else's.
But it's not intentional."
Front-line caregivers in children's hospitals had anecdotal evidence they were
seeing more kids in the PICU because of
illness related to prescription painkillers
and illegal drugs like heroin. Hall says with
this PHIS data, researchers could quantify
and confirm what caregivers were seeing.
The authors concluded efforts to cut
back on adult prescription opioid use
have not reduced opioid ingestion by children. "We need to think about solutions
for children," says Hall. "The adult interventions are not working, and we need
solutions to dampen this increase that
we're seeing in pediatrics."
Share your hospital's latest research.
Email magazine@childrenshospitals.org.

10

ADMINISTRATOR NEWS
Cincinnati Children's Hospital
named Barbara Tofani CNO.
Children's Hospital in New
Orleans named Matthew
Schaefer COO.
Children's Hospital of Richmond
at VCU named Elias J. Neujahr,
M.H.A., MBA, CEO.
Children's Hospital of San
Antonio named Cris Daskevich
CEO and Charles Hankins, M.D.,
president and chief medical
officer.
Children's Hospital of Wisconsin
named Scott Turner COO.
Johns Hopkins All Children's
Hospital named Chris Whitby
CFO.
Methodist Children's Hospital
of South Texas in San Antonio
named Enrique Bernal CFO and
Lori A. Townsend, M.H.A., B.S.N.,
CCRN-K, chief nursing officer.
Seattle Children's named
Suzanne Beitel senior vice
president and CFO.

HOSPITAL NEWS
Montefiore Health System
in Bronx, New York, received
a $1.3 million grant from the
U.S. Department of Defense
to conduct clinical trials of a
cannabis-based compound in
children with autism spectrum
disorder (ASD). Researchers
hope to alleviate aggressive,
self-injurious or repetitive
behaviors in children with ASD,
and alleviate stress on affected
families inside and outside the
military. "Children with autism
have problem behaviors, which
places a high level of stress
on families, and they need
to have access to a range of
services," says Eric Hollander,
M.D., director of the Autism and
Obsessive Compulsive Spectrum
Program at Montefiore. "That
can impact where families in
the military can serve, thus
impacting military readiness."



Table of Contents for the Digital Edition of Children's Hospitals Today - Spring 2018

Contents
Children's Hospitals Today - Spring 2018 - Intro
Children's Hospitals Today - Spring 2018 - Cover1
Children's Hospitals Today - Spring 2018 - Cover2
Children's Hospitals Today - Spring 2018 - Contents
Children's Hospitals Today - Spring 2018 - 2
Children's Hospitals Today - Spring 2018 - 3
Children's Hospitals Today - Spring 2018 - 4
Children's Hospitals Today - Spring 2018 - 5
Children's Hospitals Today - Spring 2018 - 6
Children's Hospitals Today - Spring 2018 - 7
Children's Hospitals Today - Spring 2018 - 8
Children's Hospitals Today - Spring 2018 - 9
Children's Hospitals Today - Spring 2018 - 10
Children's Hospitals Today - Spring 2018 - 11
Children's Hospitals Today - Spring 2018 - 12
Children's Hospitals Today - Spring 2018 - 13
Children's Hospitals Today - Spring 2018 - 14
Children's Hospitals Today - Spring 2018 - 15
Children's Hospitals Today - Spring 2018 - 16
Children's Hospitals Today - Spring 2018 - 17
Children's Hospitals Today - Spring 2018 - 18
Children's Hospitals Today - Spring 2018 - 19
Children's Hospitals Today - Spring 2018 - 20
Children's Hospitals Today - Spring 2018 - 21
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Children's Hospitals Today - Spring 2018 - 29
Children's Hospitals Today - Spring 2018 - 30
Children's Hospitals Today - Spring 2018 - 31
Children's Hospitals Today - Spring 2018 - 32
Children's Hospitals Today - Spring 2018 - Cover3
Children's Hospitals Today - Spring 2018 - Cover4
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