Evidence map›Paper›PMID 27082538›Full record

GuidelineAmerican journal of respiratory and critical care medicine2016

An Official American Thoracic Society Clinical Practice Guideline: Pediatric Chronic Home Invasive Ventilation.

Laura M Sterni, Joseph M Collaco, Christopher D Baker, John L Carroll, Girish D Sharma, Jan L Brozek, Jonathan D Finder, Veda L Ackerman, Raanan Arens, Deborah S Boroughs and 13 more

Abstract readPractice Guideline
In one paragraph

Guideline in American journal of respiratory and critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

80 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
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  3. Pooled it
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  19. Transitioning medically complex infants home: lessons learned from quality improvement efforts.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  20. Article

20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Laura M Sterni
Joseph M Collaco
Christopher D Baker
John L Carroll
Girish D Sharma
Jan L Brozek
Jonathan D Finder
Veda L Ackerman
Raanan Arens
Deborah S Boroughs
Jodi Carter
Karen L Daigle
Joan Dougherty
David Gozal
Katharine Kevill
Richard M Kravitz
Tony Kriseman
Ian MacLusky
Katherine Rivera-Spoljaric
Alvaro J Tori
Thomas Ferkol
Ann C Halbower
ATS Pediatric Chronic Home Ventilation Workgroup

Funding

Impaired angiogenesis in preterm infants after maternal complications of pregnancyK23HL121090 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BAKER, CHRISTOPHER D · 2015 to 2017
$542k
NHLBI NIH HHS K23 HL121090
6 · The paper itself

Abstract

backgroundChildren with chronic invasive ventilator dependence living at home are a diverse group of children with special health care needs. Medical oversight, equipment management, and community resources vary widely. There are no clinical practice guidelines available to health care professionals for the safe hospital discharge and home management of these complex children. PURPOSE: To develop evidence-based clinical practice guidelines for the hospital discharge and home/community management of children requiring chronic invasive ventilation.

methodsThe Pediatric Assembly of the American Thoracic Society assembled an interdisciplinary workgroup with expertise in the care of children requiring chronic invasive ventilation. The experts developed four questions of clinical importance and used an evidence-based strategy to identify relevant medical evidence. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology was used to formulate and grade recommendations.

resultsClinical practice recommendations for the management of children with chronic ventilator dependence at home are provided, and the evidence supporting each recommendation is discussed.

conclusionsCollaborative generalist and subspecialist comanagement is the Medical Home model most likely to be successful for the care of children requiring chronic invasive ventilation. Standardized hospital discharge criteria are suggested. An awake, trained caregiver should be present at all times, and at least two family caregivers should be trained specifically for the child's care. Standardized equipment for monitoring, emergency preparedness, and airway clearance are outlined. The recommendations presented are based on the current evidence and expert opinion and will require an update as new evidence and/or technologies become available.

Indexed as

Home Care ServicesPatient DischargeRespiration, ArtificialCaregiversChildChronic DiseaseHumansPediatricsSocietiesUnited Stateschildrendischarge planningmechanical ventilatorsmedical homerespiratory insufficiency

Identifiers

PMID27082538
PMCPMC5439679

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.