ArticleCanadian respiratory journal
Patient transitions relevant to individuals requiring ongoing ventilatory assistance: a Delphi study.
Article in Canadian respiratory journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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
8 citing papers in PubMed.
- Global Research Trends in Home Mechanical Ventilation: A Bibliometric Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Evaluation of the incidence, characteristics, and outcomes of pediatric chronic critical illness.PloS one · 2021Article
- Rethinking Delivery of Care for Patients Requiring Prolonged Mechanical Ventilation.American journal of respiratory and critical care medicine · 2020Article
- Validation of the Multi-INdependence Dimensions (MIND) questionnaire for prolonged mechanically ventilated subjects.BMC pulmonary medicine · 2019Observational
- Patient and Family Centered Actionable Processes of Care and Performance Measures for Persistent and Chronic Critical Illness: A Systematic Review.Critical care explorations · 2019Review
- Patient- and family-centered performance measures focused on actionable processes of care for persistent and chronic critical illness: protocol for a systematic review.Systematic reviews · 2017Article
- Building a Comprehensive System of Services to Support Adults Living with Long-Term Mechanical Ventilation.Canadian respiratory journal · 2016Article
- Long-term mechanical ventilation and transitions in care: A narrative review.Chronic respiratory diseaseReview
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundVarious terms, including 'prolonged mechanical ventilation' (PMV) and 'long-term mechanical ventilation' (LTMV), are used interchangeably to distinguish patient cohorts requiring ventilation, making comparisons and timing of clinical decision making problematic.
objectiveTo develop expert, consensus-based criteria associated with care transitions to distinguish cohorts of ventilated patients.
methodsA four-round (R), web-based Delphi study with consensus defined as >70% was performed. In R1, participants listed, using free text, criteria perceived to should and should not define seven transitions. Transitions comprised: T1 - acute ventilation to PMV; T2 - PMV to LTMV; T3 - PMV or LTMV to acute ventilation (reverse transition); T4 - institutional to community care; T5 - no ventilation to requiring LTMV; T6 - pediatric to adult LTMV; and T7 - active treatment to end-of-life care. Subsequent Rs sought consensus.
resultsExperts from intensive care (n=14), long-term care (n=14) and home ventilation (n=10), representing a variety of professional groups and geographical areas, completed all Rs. Consensus was reached on 14 of 20 statements defining T1 and 21 of 25 for T2. 'Physiological stability' had the highest consensus (97% and 100%, respectively). 'Duration of ventilation' did not achieve consensus. Consensus was achieved on 13 of 18 statements for T3 and 23 of 25 statements for T4. T4 statements reaching 100% consensus included: 'informed choice', 'patient stability', 'informal caregiver support', 'caregiver knowledge', 'environment modification', 'supportive network' and 'access to interprofessional care'. Consensus was achieved for 15 of 17 T5, 16 of 20 T6 and 21 of 24 T7 items.
conclusionCriteria to consider during key care transitions for ventilator-assisted individuals were identified. Such information will assist in furthering the consistency of clinical care plans, research trials and health care resource allocation.
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Registered trials
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