ArticleThe open respiratory medicine journal2018
The Effect of Comprehensive Medical Care on the Long-Term Outcomes of Children Discharged from the NICU with Tracheostomy.
Article in The open respiratory medicine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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
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Who cites it
8 citing papers in PubMed, 19 citations in OpenAlex.
- Long-term feeding outcomes after infant tracheostomy.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Health care utilization after enrollment in an outpatient structured clinical program for children with medical complexity.Paediatrics & child health · 2024Article
- Families as partners in neonatal neuro-critical care programs.Pediatric research · 2024Review
- Risk of death at home or on hospital readmission after discharge with pediatric tracheostomy.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Postdischarge Adverse Events Among Neonates Admitted to the Neonatal Intensive Care Unit.Journal of patient safety · 2022Article
- Risk factors for hospital readmission among infants with prolonged neonatal intensive care stays.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- A systematic concept analysis of 'technology dependent': challenging the terminology.European journal of pediatrics · 2021Review
- Complex Care Program Enrollment and Change in ED and Hospital Visits from Medical Device Complications.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
16 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurvival of infants with complex care has led to a growing population of technology-dependent children. Medical technology introduces additional complexity to patient care. Outcomes after NICU discharge comparing Usual Care (UC) with Comprehensive Care (CC) remain elusive.
objectiveTo compare the outcomes of technology-dependent infants discharged from NICU with tracheostomy following UC versus CC.
methodsA single site retrospective study evaluated forty-three (N=43) technology-dependent infants discharged from NICU with tracheostomy over 5½ years (2011-2017). CC provided 24-hour accessible healthcare-providers using an enhanced medical home. Mortality, total hospital admissions, 30-days readmission rate, time-to-mechanical ventilation liberation, and time-to-decannulation were compared between groups.
resultsCC group showed significantly lower mortality (3.4%) versus UC (35.7%), RR, 0.09 [95%CI, 0.12-0.75], P=0.025. CC reduced total hospital admissions to 78 per 100 child-years versus 162 for UC; RR, 0.48 [95% CI, 0.25-0.93], P=0.03. The 30-day readmission rate was 21% compared to 36% in UC; RR, 0.58 [95% CI, 0.21-1.58], P=0.29). In competing-risk regression analysis (treating death as a competing-risk), hazard of having mechanical ventilation removal in CC was two times higher than UC; SHR, 2.19 [95% CI, 0.70-6.84]. There was no difference in time-to-decannulation between groups; SHR, 1.09 [95% CI, 0.37-3.15].
conclusionCC significantly decreased mortality, total number of hospital admissions and length of time-to-mechanical ventilation liberation.
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Registered trials
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