Trial reportPediatrics2018
Complex Care Hospital Use and Postdischarge Coaching: A Randomized Controlled Trial.
Trial report in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Integrated care for children and young people with special health and care needs: a systematic review.Archives of disease in childhood · 2024Pooled it
- Comprehensive care programmes for children with medical complexity.The Cochrane database of systematic reviews · 2024Pooled it
- Hospital-to-home transitions for children with medical complexity: part 1, a systematic review of reported outcomes.European journal of pediatrics · 2023Pooled it
- Preventing respiratory illness in cerebral palsy: Results of a pilot randomized controlled trial.PloS one · 2025Trial
- Hospital Readmissions by Variation in Engagement in the Health Care Hotspotting Trial: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2023Trial
- Hospital Consultation From Outpatient Clinicians for Medically Complex Children: A Randomized Clinical Trial.JAMA pediatrics · 2021Trial
- An Innovative Transitional Care Unit for Hospital to Home Transition of Children With Medical Complexity: A Qualitative Study of Parents' Experiences.Child: care, health and development · 2026Article
- Supporting discharge preparation for children with medical complexity: a scoping review.BMC nursing · 2025Article
- Article
- Validation of 30-Day Pediatric Hospital Readmission Risk Prediction Models.JAMA network open · 2025Article
- Navigation Support during Transitions in Care for Persons with Complex Care Needs: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Adaptive Intervention to Prevent Respiratory Illness in Cerebral Palsy: Protocol for a Feasibility Pilot Randomized Controlled Trial.JMIR research protocols · 2024Article
- Hospital-to-home transitions for children with medical complexity: part 2-a core outcome set.European journal of pediatrics · 2023Article
- Barriers to and facilitators of a just-in-time adaptive intervention for respiratory illness in cerebral palsy: a qualitative study.BMJ open · 2023Article
- Predictive Modeling to Identify Children With Complex Health Needs At Risk for Hospitalization.Hospital pediatrics · 2023Article
- Admitting what is needed: How the health system and society can reduce hospitalizations for children with medical complexity.Journal of hospital medicine · 2023Article
- Caregiving and Confidence to Avoid Hospitalization for Children with Medical Complexity.The Journal of pediatrics · 2022Article
- Programmes to support transitions in community care for children with complex care needs: a scoping review.BMJ open · 2022Article
- Feasibility Testing of Tubes@HOME: A Mobile Application to Support Family-Delivered Enteral Care.Hospital pediatrics · 2022Article
- Readmissions Following Hospitalization for Infection in Children With or Without Medical Complexity.Journal of hospital medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
objectivesWe sought to examine the effect of a caregiver coaching intervention, Plans for Action and Care Transitions (PACT), on hospital use among children with medical complexity (CMC) within a complex care medical home at an urban tertiary medical center.
methodsPACT was an 18-month caregiver coaching intervention designed to influence key drivers of hospitalizations: (1) recognizing critical symptoms and conducting crisis plans and (2) supporting comprehensive hospital transitions. Usual care was within a complex care medical home. Primary outcomes included hospitalizations and 30-day readmissions. Secondary outcomes included total charges and mortality. Intervention effects were examined with bivariate and multivariate analyses.
resultsFrom December 2014 to September 2016, 147 English- and Spanish-speaking CMC <18 years old and their caregivers were randomly assigned to PACT (
conclusionsAmong CMC within a complex care program, a health coaching intervention designed to identify, prevent, and manage patient-specific crises and postdischarge transitions appears to lower hospitalizations and charges. Future research should confirm findings in broader populations and care models.
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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.