Research Topics
| M L NanceSummaryAffiliation: The Children's Hospital of Philadelphia Country: USA Publications
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Detail Information
Publications
Homicide and geographic access to gun dealers in the United StatesDouglas J Wiebe
Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia PA, USA
BMC Public Health 9:199. 2009..Whether FFLs contribute to gun-related homicide in areas where they are located, in which case FFLs may be a homicide risk factor that can be modified, is not known...
Variation in pediatric and adolescent firearm mortality rates in rural and urban US countiesMichael L Nance
Children s Hospital of Philadelphia, Department of Surgery, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 4227, USA
Pediatrics 125:1112-8. 2010..We examined whether firearm mortality rates among children varied across US counties along a rural-urban continuum...
Advances in surgery of the newbornM L Nance
Department of Surgery, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA
Scand J Surg 92:185-91. 2003
Optimal restraint reduces the risk of abdominal injury in children involved in motor vehicle crashesMichael L Nance
Department of Surgery, Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
Ann Surg 239:127-31. 2004..While optimal restraint has been shown to reduce the risk of injuries overall, its effect on specific types of injuries, in particular abdominal injuries, has not been demonstrated...
Delta V as a predictor of significant injury for children involved in frontal motor vehicle crashesMichael L Nance
Surgery, Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
Ann Surg 243:121-5. 2006..The objective of this study was to examine the association between delta V and risk of injury to children involved in frontal motor vehicle crashes...
Blunt renal injuries in children can be managed nonoperatively: outcome in a consecutive series of patientsMichael L Nance
Department of Surgery, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
J Trauma 57:474-8; discussion 478. 2004..The role of nonoperative management protocols is less well defined for blunt renal injuries. The purpose of this study was to review the management and outcome of a consecutive series of children with blunt renal injury...
Optimal driving conditions are the most common injury conditions for child pedestriansMichael L Nance
Department of Surgery, Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
Pediatr Emerg Care 20:569-73. 2004..The objective of the current study was to examine the role of driving conditions on the occurrence of motor vehicle crashes involving child pedestrians...
Effect of preextracorporeal membrane oxygenation ventilation days and age on extracorporeal membrane oxygenation survival in critically ill childrenMichael L Nance
Department of Surgery, Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
J Pediatr Surg 44:1606-10. 2009..The aim of the study is to test the effect of age and preextracorporeal membrane oxygenation (pre-ECMO) days of ventilation on ECMO survival in the pediatric population...
Timeline to operative intervention for solid organ injuries in childrenMichael L Nance
Department of Surgery, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
J Trauma 61:1389-92. 2006..Little is know regarding the time to failure for those children requiring operative intervention. We sought to delineate this timeline to operative intervention for the subset of single solid organ injured patients requiring laparotomy...
Factors associated with clinically significant head injury in children involved in motor vehicle crashesMichael L Nance
Department of Surgery and the Center for Injury Research and Prevention, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
Traffic Inj Prev 11:600-5. 2010..The purpose of this study was to identify the frequency of, and risk factors for, clinically significant head injury (CSHI) in child occupants in MVCs...
Neurocognitive evaluation of mild traumatic brain injury in the hospitalized pediatric populationMichael L Nance
Department of Surgery, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
Ann Surg 249:859-63. 2009..To test the feasibility of inpatient neurocognitive testing and measure the degree of disability in children hospitalized with mild traumatic brain injury (MTBI)...
Access to pediatric trauma care in the United StatesMichael L Nance
Department of Surgery, The Children s Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA
Arch Pediatr Adolesc Med 163:512-8. 2009..To catalog trauma center resources and estimate access to age-specific trauma care for children younger than 15 years in the United States...
Nonintracranial fatal firearm injuries in children: implications for treatmentMichael L Nance
Department of Surgery, Children s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
J Trauma 55:631-5. 2003..Understanding the injury characteristics of nonintracranial fatal (NIF) gunshot wounds in children treated in a statewide trauma system will help guide effective treatment strategies...
Pattern of abdominal free fluid following isolated blunt spleen or liver injury in the pediatric patientMichael L Nance
Department of Surgery, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 41910, USA
J Trauma 52:85-7. 2002..This study correlated isolated, blunt liver or spleen injury with the presence, location, and amount of free fluid in the pediatric blunt trauma patient...
The rural-urban continuum: variability in statewide serious firearm injuries in children and adolescentsMichael L Nance
Department of Pediatric Surgery, Children s Hospital of Philadelphia, PA 19104, USA
Arch Pediatr Adolesc Med 156:781-5. 2002..To compare rates of serious firearm injuries among children and adolescents treated in a statewide trauma system...
Appendicitis in the young child: a continuing diagnostic challengeM L Nance
Department of Pediatric Surgery, Children s Hospital of Philadelphia, Pennsylvania 19104, USA
Pediatr Emerg Care 16:160-2. 2000..In addition, we sought to determine the rate of perforation of the appendix and the effect on outcome in this age group...
Nonoperative management of solid abdominal organ injuries from blunt trauma: impact of neurologic impairmentM B Shapiro
Division of Trauma and Surgical Critical Care, Hospital of the University of Pennsylvania, Philadelphia, USA
Am Surg 67:793-6. 2001..No differences were noted in the rates of delayed laparotomy or survival between normal, mild to moderately head-injured, and severely head-injured patients...
Use of laparoscopic cholecystectomy for biliary dyskinesia in the childAdam J Kaye
Department of General Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
J Pediatr Surg 43:1057-9. 2008..We sought to correlate the results of cholecystokinin-diisopropyl iminodiacetic acid (CCK-DISIDA) scanning, the basis for diagnosis of BD, with outcome after laparoscopic cholecystectomy...
Suboptimal restraint affects the pattern of abdominal injuries in children involved in motor vehicle crashesNicolas Lutz
Department of Pediatric General and Thoracic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA
J Pediatr Surg 38:919-23. 2003..This suggests that the mechanism of injury for hollow viscus may be directly related to the improper positioning of the restraint...
Urban-rural shifts in intentional firearm death: different causes, same resultsCharles C Branas
Department of Biostatistics and Epidemiology, University of Pennsylvania, 829 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104 6021, USA
Am J Public Health 94:1750-5. 2004..We analyzed urban-rural differences in intentional firearm death...
The significance of contrast blush on computed tomography in children with splenic injuriesNicolas Lutz
Department of Surgery, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA
J Pediatr Surg 39:491-4. 2004..Management should be based primarily on physiological response to injury rather than the radiologic features of the injury...
Incidence and clinical significance of abdominal wall bruising in restrained children involved in motor vehicle crashesNicolas Lutz
Department of Pediatric General and Thoracic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA
J Pediatr Surg 39:972-5. 2004..It is imperative to pursue intraabdominal injury in children with a bruise of the abdominal wall after MVC...
Clinical clearance of the cervical spine in blunt trauma patients younger than 3 years: a multi-center study of the american association for the surgery of traumaRafael Pieretti-Vanmarcke
Department of Pediatric Surgery, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
J Trauma 67:543-9; discussion 549-50. 2009..We examined whether simple clinical criteria can be used to safely rule out CSI in patients younger than 3 years...
Severe blunt hepatic trauma in childrenJ P Pryor
Department of Pediatric General and Thoracic Surgery, The Children's Hospital of Philadelphia, and the Division of Traumatology and Surgical Critical Care, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
J Pediatr Surg 36:974-9. 2001..For those patients whose physiologic response to resuscitation permitted nonoperative management, a good outcome was achieved...
Hypoxic-ischemic injury complicates inflicted and accidental traumatic brain injury in young children: the role of diffusion-weighted imagingRebecca N Ichord
Department of Neurology, Children s Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA
J Neurotrauma 24:106-18. 2007..HII predicted need for in-patient rehabilitation in a large majority of children...
Evaluation of child safety seat checkpoint eventsGina P Duchossois
Safe Kids Southeastern Pennsylvania Coalition, The Children s Hospital of Philadelphia, Trauma Program, and Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA 19104, USA
Accid Anal Prev 40:1908-12. 2008..To determine the effectiveness of child safety seat checkpoints in generating change in child restraint practice to reduce the prevalence and extent of misuse...
Schistosomiasis: an unexpected finding in an inguinal hernia sacBruce R Pawel
Department of Pathology and Laboratory Medicine, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
Pediatr Dev Pathol 11:402-4. 2008..This unusual finding in a "routine" specimen, otherwise destined for the incinerator without pathologic evaluation, reinforces the importance of surgical vigilance in recognizing unusual or atypical features in these specimens...
Neuropsychological status in children after repair of acyanotic congenital heart diseaseMichael D Quartermain
Divisions of Cardiology, Department of Anesthesia, Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
Pediatrics 126:e351-9. 2010..We sought to limit confounding variables and isolate potential independent effects of CPB by describing neuropsychological function in school-aged children after repair of acyanotic CHD...
Subcutaneous sumatriptan in an adolescent with acute posttraumatic headacheNicholas S Abend
Division of Neurology, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
J Child Neurol 23:438-40. 2008..We describe an adolescent with acute posttraumatic headache that did not respond to several initial medications but had rapid and sustained improvement in headache and associated migrainous features with subcutaneous sumatriptan...
Injury causation scenarios in belt-restrained nearside child occupantsMatthew R Maltese
The Children s Hospital of Philadelphia, PA 19104, USA
Stapp Car Crash J 51:299-311. 2007..These data provide important guidance for the development of rear row safety systems for belt-restrained children with no side airbags in nearside crashes...
Sustainability of an in-home fire prevention interventionGina P Duchossois
Safe Kids Southeastern Pennsylvania Coalition, The Children s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA
J Trauma Nurs 16:194-8; quiz 199-200. 2009....
Postconcussive symptoms in hospitalized pediatric patients after mild traumatic brain injuryThane A Blinman
Department of Surgery, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
J Pediatr Surg 44:1223-8. 2009..The symptom complex that might be expected in children after MTBI is not well documented. We sought to clarify the frequency and severity of concussive symptoms reported by children who required hospitalization for MTBI...
Evaluation of a child with pre-existing disabilities after a traumatic eventShannon D Morris
TraumaLink, The Children's Hospital of Philadelphia, Pennsylvania 19104, USA
Pediatr Emerg Care 18:197-9. 2002
Enhanced CT perfusion cut-off sign in midgut volvulusStephen M Henesch
Department of Radiology, The Children s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 4399, USA
Pediatr Radiol 36:355-7. 2006..We present a case of malrotation with midgut volvulus in an infant in which we discovered a unique CT sign called the perfusion cut-off sign. We hope this case will help establish this crucial diagnosis in other cases...
The utility of the pelvic radiograph in the assessment of pediatric pelvic fracturesOscar D Guillamondegui
Division of Trauma and Surgical Critical Care, Hospital of the University of Pennsylvania, Philadelphia, USA
J Trauma 55:236-9; discussion 239-40. 2003..Screening pelvic radiography should be reserved for the rare unstable patient or the patient in whom an abdominopelvic CT scan is not otherwise indicated...
Distinguishing inflicted versus accidental abdominal injuries in young childrenJoanne Wood
The Center for Child Protection and Health, Division of General Pediatrics, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
J Trauma 59:1203-8. 2005....
Practical points in evaluation and resuscitation of the injured childPerry W Stafford
Children s Hospital of Philadelphia, University of Pennsylvania School of Medicine, 19104, USA
Surg Clin North Am 82:273-301. 2002..With careful and compulsive communication and coordination, injured children can be returned to their families in better mental and physical condition than pre-injury with reasonable expectation of a full and productive life...
Effective radiation dose from radiologic studies in pediatric trauma patientsPatrick K Kim
Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, 3440 Market Street, First Floor, Philadelphia, PA 19104, USA
World J Surg 29:1557-62. 2005....
Estimates of the incidence and costs associated with handlebar-related injuries in childrenFlaura K Winston
TraumaLink, The Children's Hospital of Philadelphia, 10th Floor, 34th Street and Civic Center Blvd, Philadelphia, PA 19104, USA
Arch Pediatr Adolesc Med 156:922-8. 2002..Requirements for safer handlebar designs may provide one avenue to achieve a health and economic benefit...
Fatal child cervical spine injuries in motor vehicle collisions: Analysis using unique linked national datasetsS Peter Stawicki
Department of Surgery, Division of Critical Care, Trauma and Burn, Ohio State University Medical Center, 395 West 12th Avenue, Columbus, OH 43210, USA
Injury 40:864-7. 2009..To improve insight into fatal child cervical spine injuries (CSI) caused by motor vehicle collisions...
Assessment of pain after injury in the pediatric patient: child and parent perceptionsChiara Baxt
Children's Hospital of Philadelphia, TraumaLink, Philadelphia, PA 19104, USA
J Pediatr Surg 39:979-83; discussion 979-83. 2004..Because pain was not correlated with injury severity, pain assessment and intervention for all children with traumatic injuries is strongly recommended...
Penetrating trauma in childrenBryan A Cotton
From the Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Semin Pediatr Surg 13:87-97. 2004..Management approaches have been adopted in large part from the more robust adult experience. However, application of these strategies to similar life-threatening injuries in the pediatric population appears appropriate...
Passenger compartment intrusion as a predictor of significant injury for children in motor vehicle crashesSusan L Evans
Children s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
J Trauma 66:504-7. 2009..Data to support intrusion as a proxy for injury severity in child occupants are lacking. The purpose of this study was to examine the association between intrusion and injury to children in motor vehicle crashes...
The failure of nonoperative management in pediatric solid organ injury: a multi-institutional experienceJames H Holmes
Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA 19104, USA
J Trauma 59:1309-13. 2005..CONCLUSIONS: Failure of NOM is un common (5%) and typically occurs within the first 12 hours after injury. Failure is associated with injury severity and multiplicity, as well as isolated pancreatic injuries...
Abdominal compartment syndrome in the pediatric blunt trauma patient treated with paracentesis: report of two casesRichard P Sharpe
Department of Pediatric General and Thoracic Surgery, Children's Hospital of Philadelphia, Pennsylvania, 19104, USA
J Trauma 53:380-2. 2002
Determining objective injury prevention prioritiesD J Wiebe
Firearm and Injury Center at Penn, University of Pennsylvania, Philadelphia, PA, USA
Inj Prev 12:347-50. 2006..Toward this end, the US National Trauma Data Bank (NTDB) for 2000 to 2004 was accessed and four injury prevention priority scores (one previously defined and three new scores) were computed...
Mild traumatic brain injury in the pediatric population: the role of the pediatrician in routine follow-upAdam J Kaye
Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
J Trauma 68:1396-400. 2010..Appropriate guidelines for follow-up care are not well established. We sought to determine practice experience and preferences of general pediatricians related to follow-up care of MTBI...
Access to pediatric trauma care: alignment of providers and health systemsBrendan G Carr
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Curr Opin Pediatr 22:326-31. 2010..We seek to describe in this review the current state of pediatric trauma care and suggest next steps required to ensure the efficient delivery of pediatric trauma care...
Cervical spine injury in young children: a National Trauma Data Bank reviewAlison Polk-Williams
Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
J Pediatr Surg 43:1718-21. 2008..Blunt cervical spine injury (CSI) is rare in the pediatric population. The objective of this study was to better characterize the incidence and type of CSI in young children (age <3 years) using a large, trauma center-based data set...
Nonoperative management of blunt extrahepatic biliary duct transection in the pediatric patient: case report and review of the literatureRichard P Sharpe
Department of Pediatric General and Thoracic Surgery, The Children's Hospital of Philadelphia, PA 19104, USA
J Pediatr Surg 37:1612-6. 2002..The patient has had a complete recovery, resumed all activities, and currently is 20 months after his injury with no sequelae...
Right congenital diaphragmatic hernia: Prenatal assessment and outcomeHolly L Hedrick
Center for Fetal Diagnosis and Treatment, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399, USA
J Pediatr Surg 39:319-23; discussion 319-23. 2004....
Blunt solid organ injury: do adult and pediatric surgeons treat children differently?Carrie A Sims
Division of Traumatology and Surgical Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
J Trauma 65:698-703. 2008..To investigate differences in management, adult and pediatric surgeons were presented the same hypothetical pediatric trauma "patient" and asked a series of treatment questions...
Management of mild head injury in the pediatric patientAhmed G Mami
Children s Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA
Adv Pediatr 55:385-94. 2008..Determining the optimal timing for return to play can be difficult, but adherence to guidelines may reduce the risk of compounding the injury...
Behavioral assessment of child-directed canine aggressionIlana R Reisner
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104 6010, USA
Inj Prev 13:348-51. 2007..To characterize behavioral circumstances of bites to children by dogs presented to a veterinary behavior clinic...
Ureteral stenting in the management of urinoma after severe blunt renal trauma in childrenJonathan M Philpott
Division of Trauma and Surgical Critical Care, University of Pennsylvania, Philadelphia, PA, USA
J Pediatr Surg 38:1096-8. 2003..The authors describe 2 pediatric cases in which urinomas associated with grade IV renal lacerations were treated successfully utilizing internal ureteral stents...
Management of penetrating colon and rectal injuries in the pediatric patientElliott R Haut
Division of Traumatology and Surgical Critical Care, Department of Surgery, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Dis Colon Rectum 47:1526-32. 2004..In the absence of these associated factors, primary repair appears justified...
Successful management of concommitant blunt injury to the trachea, esophagus, and cervical spine in a 6-year-old girlOscar D Guillamondegui
Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
J Pediatr Surg 39:1130-2. 2004..A cervical spinal injury was fixated with halo traction and a femur fracture with internal fixation...
Managing pediatric solid organ injuryPerry W Stafford
J Am Coll Surg 194:394-5. 2002
Pediatric blunt abdominal injury: age is irrelevant and delayed operation is not detrimentalMonika Tataria
Lucille Packard Children s Hospital, Stanford University, Palo Alto, California, USA
J Trauma 63:608-14. 2007..Additionally, we asked whether attempted nonoperative management, when failed, put children at higher risk for mortality or morbidities such as increased blood product transfusions or lengths of stays...
Skateboard-associated injuries: participation-based estimates and injury characteristicsSusan B Kyle
Epidemiology and Health Statistics, Consumer Product Safety Commission, Bethesda, Maryland, USA
J Trauma 53:686-90. 2002..This new methodology that uses participation-based injury rates might contribute to more effective injury control initiatives...
Pediatric trauma is a surgical diseaseMichael L Nance
Ann Emerg Med 41:423-4; author reply 424-5. 2003
