ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2019
Characteristics and Outcomes of Critical Illness in Children With Feeding and Respiratory Technology Dependence.
Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Delineating family needs in the transition from hospital to home for children with medical complexity: part 2, a phenomenological study.Orphanet journal of rare diseases · 2023Pooled it
- Trends in Regionalization of Pediatric Inpatient and Critical Care by Medical Complexity.Hospital pediatrics · 2026Article
- Evaluation of discharge to palliative care following critical care: a pediatric intensive care perspective.European journal of pediatrics · 2026Article
- Functional Status Scale as a Measure of Functional Impairment and Residual Morbidity in Pediatric Intensive Care Unit Survivors: A Single-center Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- Machine Learning for Predicting Critical Events Among Hospitalized Children.JAMA network open · 2025Article
- Social support for family caregivers of children and youth with special health care needs for home care: a scoping review.Revista da Escola de Enfermagem da U S P · 2025Article
- Trajectory and Risk Factors of Persistent Decline in Health-Related Quality of Life after Septic Shock in Children with Preexisting Neurologic Disability.Journal of pediatric intensive care · 2024Article
- National Characteristics of Emergency Care for Children with Neurologic Complex Chronic Conditions.The western journal of emergency medicine · 2024Article
- Design and rationale of the Post-Intensive Care Syndrome - paediatrics (PICS-p) Longitudinal Cohort Study.BMJ open · 2024Observational
- Delineating family needs in the transition from hospital to home for children with medical complexity: part 1, a meta-aggregation of qualitative studies.Orphanet journal of rare diseases · 2023Review
- Healthcare Professionals' Attitudes towards and Knowledge and Understanding of Paediatric Palliative Medicine (PPM) and Its Meaning within the Paediatric Intensive Care Unit (PICU): A Summative Content Analysis in a Tertiary Children's Hospital in Scotland-"An In Vitro Study".Healthcare (Basel, Switzerland) · 2023Article
- Poor Functional Outcomes in Pediatric Intensive Care Survivors in Brazil: Prevalence and Associated Factors.Journal of pediatric intensive care · 2023Article
- Long Stay and Frequent Readmission in the Pediatric Intensive Care in The Netherlands; 15-Year Time Trends.Critical care explorations · 2022Article
- Pediatric Ventilation Liberation: A Survey of International Practice Among 555 Pediatric Intensivists.Critical care explorations · 2022Article
- Physical Functioning After Admission to the PICU: A Scoping Review.Critical care explorations · 2021Article
- Long-Term Outcomes and the Post-Intensive Care Syndrome in Critically Ill Children: A North American Perspective.Children (Basel, Switzerland) · 2021Review
- Outcome Measures Following Critical Illness in Children With Disabilities: A Scoping Review.Frontiers in pediatrics · 2021Article
- Social Factors Predictive of Intensive Care Utilization in Technology-Dependent Children, a Retrospective Multicenter Cohort Study.Frontiers in pediatrics · 2021Article
- A systematic concept analysis of 'technology dependent': challenging the terminology.European journal of pediatrics · 2021Review
- Physical Rehabilitation in Critically Ill Children: A Multicenter Point Prevalence Study in the United States.Critical care medicine · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesChildren with dependence on respiratory or feeding technologies are frequently admitted to the PICU, but little is known about their characteristics or outcomes. We hypothesized that they are at increased risk of critical illness-related morbidity and mortality compared with children without technology dependence.
designSecondary analysis of prospective, probability-sampled cohort study of children from birth to 18 years old. Demographic and clinical characteristics were assessed. Outcomes included death, survival with new morbidity, intact survival, and survival with functional status improvement.
settingGeneral and cardiovascular PICUs at seven participating children's hospitals as part of the Trichotomous Outcome Prediction in Critical Care study. SUBJECTS: Children from birth to 18 years of age as part of the Trichotomous Outcome Prediction in Critical Care study.
interventionsNone. MEASUREMENTS AND MAIN
resultsChildren with technology dependence composed 19.7% (1,989/10,078) of PICU admissions. Compared with those without these forms of technology dependence, these children were younger, received more ICU-specific therapeutics, and were more frequently readmitted to the ICU. Death occurred in 3.7% of technology-dependent patients (n = 74), and new morbidities developed in 4.5% (n = 89). Technology-dependent children who developed new morbidities had higher Pediatric Risk of Mortality scores and received more ICU therapies than those who did not. A total of 3.0% of technology-dependent survivors (n = 57) showed improved functional status at hospital discharge.
conclusionsChildren with feeding and respiratory technology dependence composed approximately 20% of PICU admissions. Their new morbidity rates are similar to those without technology dependence, which contradicts our hypothesis that children with technology dependence would demonstrate worse outcomes. These comparable outcomes, however, were achieved with additional resources, including the use of more ICU therapies and longer lengths of stay. Improvement in functional status was seen in some technology-dependent survivors of critical illness.
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