Evidence map›Paper›PMID 21576303›Full record

ArticlePediatrics2011

Inpatient health care utilization for children dependent on long-term mechanical ventilation.

Brian D Benneyworth, Achamyeleh Gebremariam, Sarah J Clark, Thomas P Shanley, Matthew M Davis

Abstract readComparative Study
In one paragraph

Article in Pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Long-term feeding outcomes after infant tracheostomy.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
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  11. Article
  12. Diagnostic Stewardship in the Pediatric Intensive Care Unit.Infectious disease clinics of North America · 2022
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Characteristics and Outcomes of Critical Illness in Children With Feeding and Respiratory Technology Dependence.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Brian D BenneyworthChild Health Evaluation and Research Unit, Division of General Pediatrics, Gerald R. Ford School of Public Policy, University of Michigan, Ann Arbor, Michigan, USA. bbenneyw@umich.edu
Achamyeleh Gebremariam
Sarah J Clark
Thomas P Shanley
Matthew M Davis
University of Michigan–Ann Arbor · US

Funding

PEDIATRIC HEALTH SERVICES RESEARCH TRAININGT32HD007534 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAVIS, MATTHEW M · 2000 to 2014
$3.7M
NICHD NIH HHS T32 HD007534NICHD NIH HHS T32 HD07534
6 · The paper itself

Abstract

objectiveThe objective was to describe the characteristics of pediatric discharges associated with long-term mechanical ventilation (LTMV) compared with those with complex chronic conditions (CCCs), and evaluate trends over time in health care utilization for the discharges associated with LTMV.

methodsThe Kids' Inpatient Database, compiled by the Agency for Healthcare Research and Quality, was used. Routine newborn care was excluded. Discharges associated with LTMV were identified by using the International Classification of Diseases, Ninth Revision, code v46.1x and compared with discharges associated with CCCs in 2006 using simple regression and χ(2) analyses. Trends in LTMV-associated discharges from 2000 to 2006 were assessed using variance-weighted least squares regression.

resultsIn 2006, there were an estimated 7812 discharges associated with LTMV. Compared with discharges for children with CCCs, LTMV discharges had significantly higher mortality, longer lengths of stay, higher mean charges, more emergency department admissions, and more discharges to long-term care. From 2000 to 2006, there was a 55% increase in the number of LTMV discharges and a concurrent 70% increase in aggregate hospital charges. The majority of LTMV discharges occurred in children 4 years old and younger, and ∼50% of the aggregate charges were for children younger than 1 year.

conclusionsDischarges for children associated with LTMV require substantively greater inpatient resource use than other children with CCCs. As the number of discharges and associated aggregate charges increase over time, additional research must examine patterns of care for specific clinical subgroups of LTMV, especially children aged 4 years and younger.

Indexed as

Respiration, ArtificialAdolescentChildChild, PreschoolFemaleFollow-Up StudiesHealth Care CostsHospitalizationHumansInfantInfant, NewbornInpatientsMaleQuality Assurance, Health CareRespiratory InsufficiencyRetrospective Studies

Identifiers

PMID21576303
PMCPMC3103275
OpenAlexW2134276442

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.