ArticleIntensive care medicine2012
Thirty years of home mechanical ventilation in children: escalating need for pediatric intensive care beds.
Article in Intensive care medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- Initiating technology dependence to sustain a child's life: a systematic review of reasons.Journal of medical ethics · 2022Pooled it
- Liberation and mortality outcomes in pediatric long-term ventilation: A qualitative systematic review.Pediatric pulmonology · 2020Pooled it
- An Official American Thoracic Society Clinical Practice Guideline: Pediatric Chronic Home Invasive Ventilation.American journal of respiratory and critical care medicine · 2016Guideline
- Outcomes of children after initiation of home mechanical ventilation via tracheostomy: a single center retrospective study.BMC pulmonary medicine · 2026Article
- Indications for home mechanical ventilation in children: changes over four decades.European journal of pediatrics · 2025Article
- National Registry for Home Mechanical Ventilation in Children from Turkey.Respiration; international review of thoracic diseases · 2025Article
- Home mechanical ventilation in children with chronic respiratory failure: a narrative review.Journal of Yeungnam medical science · 2023Article
- Highlights from the Respiratory Failure and Mechanical Ventilation 2022 Conference.ERJ open research · 2023Article
- At-home end-tidal carbon dioxide measurement in children with invasive home mechanical ventilation.Pediatric pulmonology · 2022Article
- Development of Home Mechanical Ventilation in Poland in 2009-2019 Based on the Data of the National Health Fund.Journal of clinical medicine · 2022Article
- Diagnostic Stewardship in the Pediatric Intensive Care Unit.Infectious disease clinics of North America · 2022Review
- Ventilatory support at home for children: A joint position paper from the Thoracic Society of Australia and New Zealand/Australasian Sleep Association.Respirology (Carlton, Vic.) · 2021Review
- Long-stay patients in pediatric intensive care units. Five-years, 2-points, cross-sectional study.Saudi medical journal · 2020Article
- Long-Term Non-invasive Ventilation in Children: Current Use, Indications, and Contraindications.Frontiers in pediatrics · 2020Review
- Non-invasive Ventilation in Children With Neuromuscular Disease.Frontiers in pediatrics · 2020Review
- Pediatric Home Mechanical Ventilation in Korea: the Present Situation and Future Strategy.Journal of Korean medical science · 2019Article
- Modelling collaboration of primary and secondary care for children with complex care needs: long-term ventilation as an example.European journal of pediatrics · 2019Article
- Quality of life in home-ventilated children and their families.European journal of pediatrics · 2017Article
- Health transition experiences of Canadian ventilator-assisted adolescents and their family caregivers: A qualitative interview study.Paediatrics & child health · 2017Article
- Respiratory Care Considerations for Children with Medical Complexity.Children (Basel, Switzerland) · 2017Review
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo describe trends in pediatric home mechanical ventilation (HMV) and their impact on the use of pediatric intensive care unit (PICU) beds.
methodsReview of all children who had started HMV in a single center for HMV.
resultsBetween 1979 and 2009, HMV was started in 197 patients [100 (51%) with invasive and 97 with noninvasive ventilation], with a median age of 14.7 (range 0.5-17.9) years. Most patients (77%) were males with a neuromuscular disorder (66%). The number of children receiving HMV increased from 8 in the 1979-1988 period to 122 in the 1999-2008 period. This increase occurred foremost in patients aged 0-5 years and was accompanied by a sharp rise in the use of PICU beds. In 150 patients (76%), HMV was initiated on an ICU with a total of 12,440 admission days, of which 10,385 days (83%) could be attributed to 67 patients who started non-electively with invasive HMV. Of the latter, 52 patients had been admitted to a PICU with a total of 9,335 admission days. At the end of the study, 134 patients (68%) were still being ventilated, 43 patients (22%) had died, 11 patients (6%) were weaned from HMV, 4 patients (2%) did not want to continue HMV and 5 patients (3%) were lost to follow-up.
conclusionsOver time, there was an impressive increase in the application of HMV in children. This increase was most obvious in the youngest age group with invasive HMV, and these children had very long stays in the PICU.
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Registered trials
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