Division of Emergency Medicine | In the News

Boston Children’s Hospital ranked #1 by U.S. News & World Report

The 2020-21 edition of U.S. News & World Report's "Best Children's Hospitals" has been released, and we are proud to announce they named Boston Children's Hospital the #1 ranked children's hospital in the nation for the seventh year in a row.

Recent Research Publications

Association of State-Level Opioid-Reduction Policies With Pediatric Opioid Poisoning

Pediatric opioid poisoning remains a significant source of morbidity and mortality in the United States, with over 200,000 children poisoned by opioids over the past 15 years. To combat this, states have enacted a variety of policies aimed at decreasing opioid use by adults. This study found that both prescription drug monitoring programs and pain clinic legislation were associated with significant reductions in opioid poisonings, particularly among young children and adolescents.

Toce MS, Michelson K, Hudgins J, Burns MM, Monuteaux MC, Bourgeois FT.
JAMA Pediatr. 2020 Jul 13:e201980. doi: 10.1001/jamapediatrics.2020.1980. Online ahead of print. PMID: 32658263

This is the age distribution of pediatric opioid poisoning reported to the National Poison Data System between 2005 and 2017.

Trends in Use of Advanced Imaging in Pediatric Emergency Departments, 2009-2018

There is increased awareness of radiation risks from computed tomography (CT) in pediatric patients. This study found that advanced imaging increased from 2009 to 2018 across US Emergency Departments. Although CT use decreased, there was an increase in the use of MRI and ultrasound.

Marin JR, Rodean J, Hall M, Alpern ER, Aronson PL, Chaudhari PP, Cohen E, Freedman SB, Morse RB, Peltz A, Samuels-Kalow M, Shah SS,
Simon HK, Neuman MI. Trends in Use of Advanced Imaging in Pediatric Emergency Departments, 2009-2018.
JAMA Pediatr. 2020 Aug 3:e202209. doi: 10.1001/jamapediatrics.2020.2209. Online ahead of print. PMID: 32761186 Free PMC article.

There appears to be substantial variation in practice and a need to standardize imaging practices.