Garro, Aris

selected

Garro A, Chodobski A, Szmydynger-Chodobska J, Shan R, Bialo SR, Bennett J, Quayle K, Rewers A, Schunk JE, Casper TC, Kuppermann N, Glaser N, Pediatric Emergency Care Applied Research Network (PECARN). Circulating matrix metalloproteinases in children with diabetic ketoacidosis. Pediatric diabetes. 2016 . full text PubMed
Wu DJ, Hipolito E, Bilderback A, Okelo SO, Garro A. Predicting future emergency department visits and hospitalizations for asthma using the Pediatric Asthma Control and Communication Instrument - Emergency Department version (PACCI-ED). The Journal of asthma : official journal of the Association for the Care of Asthma. 2016; 53 (4) : 387-91 . full text PubMed
Choo E, Ranney M, Wetle T, Morrow K, Mello M, Squires D, Tapé C, Garro A, Zlotnick C. Attitudes Toward Computer Interventions for Partner Abuse and Drug Use Among Women in the Emergency Department. Addictive Disorders & Their Treatment. 2015; 14 (2) : 95-104 . full text PubMed
Ranney ML, Meisel ZF, Choo EK, Garro AC, Sasson C, Morrow Guthrie K. Interview-based Qualitative Research in Emergency Care Part II: Data Collection, Analysis and Results Reporting Academic Emergency Medicine. 2015; 22 (9) : 1103-1112 . full text PubMed
Choo EK, Garro AC, Ranney ML, Meisel ZF, Morrow Guthrie K. Qualitative Research in Emergency Care Part I: Research Principles and Common Applications Academic Emergency Medicine. 2015; 22 (9) : 1096-102 . full text PubMed
Canares TL, Tucker C, Garro A. Going with the flow: respiratory care in the pediatric emergency department. Rhode Island medical journal (2013). 2014; 97 (1) : 23-6 . PubMed
Wylie MC, Merritt C, Clark M, Garro AC, Rutman MS. Imaging of pediatric head injury in the emergency department. Pediatric Emergency Care. 2014; 30 (10) : 680-5 . full text PubMed
Goldberg EM, Laskowski-Kos U, Wu D, Gutierrez J, Bilderback A, Okelo SO, Garro A. The Pediatric Asthma Control and Communication Instrument for the Emergency Department (PACCI-ED) improves physician assessment of asthma morbidity in pediatric emergency department patients. The Journal of asthma : official journal of the Association for the Care of Asthma. 2014; 51 (2) : 200-8 . full text PubMed
Canares TL, Brown L, Slotkin RM, Garro A. Treating children at Urgent Care Centers: a qualitative study to determine how providers perceive managing pediatric patients. Rhode Island medical journal (2013). 2014; 98 (1) : 48-53 . PubMed
Jackson TL, Gjelsvik A, Garro A, Pearlman DN. Correlates of smoking during an economic recession among parents of children with asthma. The Journal of asthma : official journal of the Association for the Care of Asthma. 2013; 50 (5) : 457-62 . full text PubMed
Garro AC, Jandasek B, Turcotte-Benedict F, Fleming JT, Rosen R, McQuaid EL. Caregiver expectations of clinicians during the asthma diagnostic process in young children: thematic analysis of focus groups. The Journal of asthma : official journal of the Association for the Care of Asthma. 2012; 49 (7) : 703-11 . full text PubMed
Canino G, Garro A, Alvarez MM, Colón-Semidey A, Esteban C, Fritz G, Koinis-Mitchell D, Kopel SJ, Ortega AN, Seifer R, McQuaid EL. Factors associated with disparities in emergency department use among Latino children with asthma. Annals of Allergy, Asthma & Immunology. 2012; 108 (4) : 266-70 . full text PubMed
McQuaid EL, Garro A, Seifer R, Hammond SK, Borrelli B. Integrating asthma education and smoking cessation for parents: financial return on investment. Pediatric pulmonology. 2012; 47 (10) : 950-5 . full text PubMed
Pearlman DN, Jackson TL, Gjelsvik A, Viner-Brown S, Garro A. The impact of the 2007-2009 US recession on the health of children with asthma: evidence from the national Child Asthma Call-Back Survey. Medicine and health, Rhode Island. 2012; 95 (12) : 394-6 . PubMed
Garro AC, Asnis L, Merchant RC, McQuaid EL. Frequency of prescription of inhaled corticosteroids to children with asthma in U.S. emergency departments. Academic Emergency Medicine. 2011; 18 (7) : 767-70 . full text PubMed
Garro AC, Rutman MS, Simonsen K, Jaeger JL, Chapin K, Lockhart G. Prevalence of Lyme meningitis in children with aseptic meningitis in a Lyme disease-endemic region. The Pediatric Infectious Disease Journal. 2011; 30 (11) : 990-2 . full text PubMed
Garro AC, Fearon D, Koinis-Mitchell D, McQuaid EL. Does Pre-hospital Telephone Communication with a Clinician result in more appropriate Medication Administration by Parents during Childhood Asthma Exacerbations? The Journal of asthma : official journal of the Association for the Care of Asthma. 2009; 46 (9) : 916-20 .
Garro AC, Rutman M, Simonsen K, Jaeger JL, Chapin K, Lockhart G. Prospective validation of a clinical prediction model for Lyme meningitis in children. PEDIATRICS. 2009; 123 (5) : e829-34 . full text PubMed
Garro AC, Klein RB. The Interplay between Pulmonary Function and Quality of Life Disease Management and Health Outcomes. 2008; 16 : 297-303 .
Bond GR, Garro AC, Gilbert DL. Dyskinesias associated with atomoxetine in combination with other psychoactive drugs. Clinical Toxicology. 2007; 45 (2) : 182-5 . full text PubMed

scholarly work

Garro AC, Chun T. Trauma Emergencies, Book Chapter in Practical Guide to the Care of the Pediatric Patient. Alario A - author, Elsevier - 2007

Garro AC, Linakis J. Umbilical Vessel Catheterization Book Chapter in Textbook of Pediatric Emergency Procedures, King & Henritig - editors, Lippincott Williams & Wilkins – 2007

Garro AC. Lyme Disease. First Consult online reference. Updated February 2012.

Garro AC. “Management of asthma exacerbations in the home: Analysis of current guidelines, barriers to implementation and potential solutions”. Thesis May 2007; Submitted in partial fulfillment of the requirements for the degree of Master of Public Health in the division of Biology and Medicine at Brown University

research overview

Dr. Garro's is a clinical researcher in the Hasbro Children's Hospital emergency department. He is a clinical trialist who focuses on two disease processes; asthma and Lyme disease. His work in asthma includes point-of-care interventions at an ED visit for children with asthma to improve disease management. Dr. Garro was a co-founder of Pedi Lyme Net, a consortium of pediatric hospitals developing novel diagnostics and treatment for children with Lyme disease. In addition, Dr. Garro is the site investigator at Hasbro Children's Hospital for the PECARN Fluid Therapy in DKA study, and is performing ancillary work on biomarkers of cerebral injury in DKA.

research statement

Dr. Garro's research focuses on preventive interventions after an ED visit for children with asthma to improve disease management, and Lyme meningitis. He is currently funded on several research grants, notably as the principal investigator on an NIH sponsored grant (NICHD R21HD082621 ), which is a clinical trial of a novel computer-based intervention to improve adherence with asthma medications in a setting where children often have low medication adherence. Dr. Garro is also a member of the Children's Asthma Research Program (CARP), a multi-disciplinary group of researchers at Brown.

Dr. Garro is a co-founder of Pedi Lyme Net and has published studies on Lyme meningitis, focusing on decision-making to identify children with undifferentiated aseptic meningitis vs. children with Lyme meningitis. "Prospective Validation of a Clinical Prediction Model for Lyme Meningitis in Children" validated the clinical prediction rule derived by Avery, et al., and also resulted in the rule of 7's.
Recently Dr. Garro is currently is the lead investigator planning a trial of oral doxycycline for the treatment of Lyme meningitis in children.

funded research

1. Diagnosing Asthma in Young Children: Parents' Perceptions of Barriers. University Emergency Medicine Foundation Junior Faculty Research Development Grant (PI Garro), $31,478 FY 2009, role: Principal Investigator

Grant description: The goal of this study was to identify the expectations that caregivers have during the diagnostic process, and provide guidance to clinicians on how to incorporate these expectations in caregiver education. We addressed these research goals using thematic analysis of caregiver focus groups that occurred within one year of a child's asthma diagnosis.

2. Rhode Island Department of Health Asthma Control Program: Addressing Asthma from a Public Health Perspective, Rhode Island Department of Health CAP Contract: Emergency Department Diversion Project (PI: Klein / McQuaid) 2011 to present, $70,000 FY 2011, role: Sub-contracted Investigator

Grant description: The CDC is funding the health department in Rhode Island to conduct asthma surveillance, maintain and expand partnerships, implement statewide comprehensive asthma plans, implement interventions to reduce the burden of asthma, and develop and implement an evaluation plan.

3. Improving Pediatric Resuscitation: A Simulation Program for the Community ED. Agency for Health Research and Quality R18 (PI Brown), 2011 to present, $243,101 (all years), role: Consultant on Qualitative Methods

Grant description: This study proposes to utilize high-fidelity in situ medical simulation to assess Rhode Island's community emergency departments' ability to perform pediatric resuscitations. The study also aims to develop a simulation-enhanced educational intervention to assist Rhode Island's community emergency departments and staff members in improving their skills and optimizing the systems required to effectively perform pediatric resuscitations

4. Optimizing Use of Inhaled Corticosteroids after Emergency Department Visits for Children with Uncontrolled Asthma. American Lung Association / Chest Foundation Grants Program (PI Garro) 2012-2014, $76,980 (all years), role: Principal Investigator
Grant description: The objectives of the project are to develop a systematized method to prescribe inhaled corticosteroids to children with uncontrolled asthma after an emergency department visit, and to identify factors associated with medication adherence to develop an educational component to accompany prescriptions.

5. New England Asthma Innovations Collaborative. Center for Medicaid & Medicare Services / Health Resources in Action, Health Care Initiative Challenge Award (PI: Chacker), 2012 to 2015, $4,040,657 (all years), role Sub-contracted Investigator
Grant description: This program is a multi-state, multi-sector partnership that includes health care providers, payers, and policy makers aimed at creating an innovative Asthma Marketplace in New England that will increase the supply and demand for high-quality, cost-effective health care services. Over the three year funding period, services will be delivered to over 1400 children ages 2-17 with persistent asthma to lower costs of asthma care by delivering cost-effective prevention oriented care in clinics and at home to reduce preventable pediatric-related emergency visits and hospital admissions with estimated savings of over $4 million.

6. Fluid Therapy and Cerebral Injury in Pediatric Diabetic Ketoacidosis. NICHD U01HD062417 (PIs: Kupperman/Glaser), 2011 to 2016, $600,784 FY 2012, Role: Clinical Center Investigator
Grant description: This is a multi-center factorial-design randomized controlled trial comparing four ﬂuid treatment protocols for pediatric DKA to determine the optimal fluid therapy for reducing the incidence of cerebral injury in pediatric diabetic ketoacidosis.

7. Vital Signs: A Quality Improvement Project to Improve Patient Outcomes and Reduce Return Visits in the Pediatric ED. Lifespan Risk Management Grant (PI: Jacobs), 2012, $17,893 FY 2012, role: Co-investigator.
Grant description: The objectives of this 12 month project are to gather data regarding baseline documentation of and response to vital signs in the pediatric emergency department, to describe behaviors of clinicians regarding potential barriers to documentation and follow-up of abnormal vital signs, to identify strategies for educational and system-based interventions to improve documentation and recognition of and response to abnormal vital signs, and to institute interventions, through PDSA cycles, to achieve improved documentation of vital signs in the Pediatric ED.

education and training

awards and honors

1998 2001 Microbes and Defense Society, Vanderbilt's honor society for excellence in immunology, microbiology and virology

2004 Pediatric Resident Teaching Award, Cincinnati Children's Hospital Medical Center, June 2004

2011 Dean's Excellence in Teaching Award, The Warren Alpert Medical School of Brown University, June 2011

2013 National Institutes of Health Loan Repayment Program Award to support American Lung Association grant

2013 Outstanding Physician Award, University Emergency Medicine Foundation

2015 National Institutes of Health Loan Repayment Program Award to support NIH (NICHD) grant

collaborator

Brown, Linda Associate Professor of Emergency Medicine, Associate Professor of Pediatrics
Chodobski, Adam Associate Professor of Emergency Medicine (Research)
Choo, Esther Associate Professor of Emergency Medicine, Associate Professor of Health Services, Policy and Practice
Chun, Thomas Associate Professor of Emergency Medicine, Associate Professor of Pediatrics
Jandasek, Barbara Assistant Professor of Psychiatry and Human Behavior (Research)
McQuaid, Elizabeth Professor of Psychiatry and Human Behavior (Research), Professor of Pediatrics (Research)
Merritt, Christopher Assistant Professor of Emergency Medicine
Ranney, Megan Associate Professor of Health Services, Policy and Practice, Associate Professor of Emergency Medicine
Rosen, Rochelle Assistant Professor of Behavioral and Social Sciences (Research)
Szmydynger-Chodobska, Joanna Assistant Professor of Emergency Medicine (Research)

affiliations

2006 - Present Rhode Island Public Health Association

2008 - Present Society for Academic Emergency Medicine, Section of Pediatrics

2008 - Present Academic Pediatric Association

2008 - Present Rhode Island Medical Society

2010 - Present Project HARP (Home Asthma Response Plan) steering committee member. This collaboraton between the Centers for Disease Control, Rhode Island Department of Health, and Hasbro Children's Hospital uses home-based interventions to improve disease management after children visit the emergency department for an asthma exacerbation.

2011 - Present The Pediatric Emergency Care Applied Research Network site investigator for the Fluid Therapy and Cerebral Injury in Pediatric Diabetic Ketoacidosis.

2015 - Present Co-founder of Pedi Lyme Net, a consortium of pediatric hospitals studying novel diagnostics and treatment for children with Lyme disease

teaching overview

Clinical teaching occurs in the Hasbro Children's Hospital Emergency Department, where he is an instructor for emergency medicine, pediatric, and family practice residents as well as medical students during his clinical shifts.

Researchers @ Brown

Aris C. Garro Associate Professor of Emergency Medicine, Associate Professor of Pediatrics

Brown Affiliations

Research Areas

Publications