ArticlePediatric pulmonology2020
Readmission drivers for children with medical complexity: Home nursing shortages cause health crises.
Article in Pediatric pulmonology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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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
22 citing papers in PubMed, 50 citations in OpenAlex.
- Practices and outcomes of multidisciplinary collaboration to support the integration of healthcare into the daily lives of technology-dependent children.Japan journal of nursing science : JJNS · 2026Article
- Complex Care Needs of People with Technology Dependence in Disaster Situations: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- When external factors limit care options for complex fetal and neonatal diagnoses.Journal of perinatology : official journal of the California Perinatal Association · 2025Review
- The Impact of COronaVIrus Disease of 2019 Pandemic on Home Health Nursing Availability in Pediatric Patients After Tracheostomy Placement.Pediatric pulmonology · 2025Article
- Home Health Care Providers' Readiness to Care for Children and Youth With Complex Medical Conditions: Protocol for a Scoping Review.JMIR research protocols · 2025Article
- Risk factors associated with unplanned readmissions and frequent out-of-hour emergency department visits after pediatric tracheostomy: a nationwide inpatient database study in Japan.European journal of pediatrics · 2025Article
- Magic Mothers: How Parents of Children with Invasive Mechanical Ventilation Can Make Health System Crises Disappear.Journal of developmental and physical disabilities · 2025Article
- Review
- Parents' Trigger Tool for Children with Medical Complexity - PAT-CMC: Development of a recognition tool for clinical deterioration at home.Journal of advanced nursing · 2025Article
- Children with medical complexity receiving home healthcare devices in Japan: a retrospective cohort study.BMJ paediatrics open · 2024Article
- Paying Family Medical Caregivers for Children's Home Healthcare in Colorado: A Working Medicaid Model.The Journal of pediatrics · 2023Article
- Characteristics and Outcomes of Patients Discharged Directly Home From the Pediatric Intensive Care Unit.Journal of intensive care medicine · 2023Article
- Implementation and Evaluation of a Wraparound Virtual Care Program for Children with Medical Complexity.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023Article
- Early childhood developmental skills of children with tracheostomies and ventilators recently discharged home.Pediatric pulmonology · 2023Article
- Length of Stay and Barriers to Discharge for Technology-Dependent Children During the COVID-19 Pandemic.Hospital pediatrics · 2023Article
- Home-Based Care for Children with Serious Illness: Ecological Framework and Research Implications.Children (Basel, Switzerland) · 2022Article
- The Role of Care Coordinators for Children with Respiratory Technologies and Home Nursing.Pediatric allergy, immunology, and pulmonology · 2022Article
- Home Health Care Utilization in Children With Medicaid.Pediatrics · 2022Article
- Developing a family-reported measure of experiences with home-based pediatric palliative and hospice care: a multi-method, multi-stakeholder approach.BMC palliative care · 2021Article
- Home nursing for children with home mechanical ventilation in the United States: Key informant perspectives.Pediatric pulmonology · 2020Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveChildren with medical technology dependence (MTD) are frequently readmitted to the hospital. However, due to their medical fragility, it is often difficult to untangle the root causes for readmissions to identify the most effective preventive approaches. We sought to explore environmental and family factors driving hospital readmissions for children with MTD.
designSemi-structured, in-person interviews were conducted with state-wide care coordinators for children with MTD in Illinois with at least 1 year of experience. Interview topics related to children with MTD transitioning from hospital-to-home, essential supports for living in the community, and factors which influenced and prevented hospital readmission. The interview guide served as an initial codebook which was iteratively modified as themes emerged.
resultsFifteen care coordinators with on average 6.6 years of experience were interviewed. They described that lack of home nursing was one of the primary drivers of readmissions due to parental exhaustion and lack of medical expertize in the home. Unavoidable medical admissions, a lack of a plan for emergencies, and home environmental factors also contributed to readmissions.
conclusionHospital readmission is an expected occurrence for children with MTD, yet still may be substantially reduced through consistent, quality home health nursing to bolster family capacity and allow for respite from constant caregiving. Improved incentives for the home health workforce to increase manpower would be ultimately offset by reduced hospitalizations for children with MTD. Additionally, more research is needed to understand which home nursing structures and skills optimally support families in the reality of manpower scarcity.
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