Showing papers by "Darios Getahun published in 2010"
TL;DR: Extreme obesity in Southern California youth is frequently observed at relatively young ages, and the shift toward extreme body weights is likely to cause an enormous burden of adverse health outcomes once these children and adolescents grow older.
131 citations
TL;DR: Findings suggest that chorioamnionitis at preterm gestation is independently associated with increased risk of childhood asthma.
Abstract: a 1.23-fold (95% CI, 1.02-1.49), 1.51-fold (95% CI, 1.26-1.80), and 1.20-fold (95% CI, 1.03-1.47), respectively, increased risk of asthma compared with children of similar gestational age born after pregnancies not complicated by chorioamnionitis. A preterm pregnancy complicated by chorioamnionitis was associated with increased risk of asthma among white (hazard ratio [HR],1.66; 95% CI, 1.32-2.07), African American (HR,1.98; 95% CI, 1.60-2.44), and Hispanic (HR,1.70; 95% CI, 1.45-2.00), but not Asian/Pacific Islander (HR,1.15; 95% CI, 0.83-1.58) women. Conclusion: Findings suggest that chorioamnionitis at preterm gestation is independently associated with increased risk of childhood asthma.
91 citations
TL;DR: Women with previous PPROM are at increased risk for recurrence, and a short IPI is associated with increased risk, with substantially higher risk for African American women than white women.
59 citations
TL;DR: The results suggest that the quality of racial information obtained from administrative records may benefit from additional supplementation by birth certificate data, and White, Black and Asian race was more accurate among non-Hispanics than Hispanics.
Abstract: Background: To understand racial and ethnic disparities in health care utilization and their potential underlying causes, valid information on race and ethnicity is necessary. However, the validity of pediatric race and ethnicity information in administrative records from large integrated health care systems using electronic medical records is largely unknown. Methods: Information on race and ethnicity of 325,810 children born between 1998-2008 was extracted from health plan administrative records and compared to birth certificate records. Positive predictive values (PPV) were calculated for correct classification of race and ethnicity in administrative records compared to birth certificate records. Results: Misclassification of ethnicity and race in administrative records occurred in 23.1% and 33.6% children, respectively; the majority due to missing ethnicity (48.3%) and race (40.9%) information. Misclassification was most common in children of minority groups. PPV for White, Black, Asian/Pacific Islander, American Indian/Alaskan Native, multiple and other was 89.3%, 86.6%, 73.8%, 18.2%, 51.8% and 1.2%, respectively. PPV for Hispanic ethnicity was 95.6%. Racial and ethnic information improved with increasing number of medical visits. Subgroup analyses comparing racial classification between non-Hispanics and Hispanics showed White, Black and Asian race was more accurate among non-Hispanics than Hispanics. Conclusions: In children, race and ethnicity information from administrative records has significant limitations in accurately identifying small minority groups. These results suggest that the quality of racial information obtained from administrative records may benefit from additional supplementation by birth certificate data.
56 citations
TL;DR: Error rates in weight and height recorded in the electronic medical record during routine medical care are low, raising the potential for this information to be used for population care management and to avoid misclassification of children as obese.
Abstract: Objective. Data entry errors may occur in body weights and heights assessed during routine medical care. These errors may affect data quality markedly and create a large number of biologically impl...
55 citations