1
40
1
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
February 2021 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
February 2021 List
URL Address
<a href="http://doi.org/10.1177/1357633x19843761" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/1357633x19843761</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Medical complications in a telemedicine home care programme for paediatric ventilated patients
Publisher
An entity responsible for making the resource available
Journal of Telemedicine and Telecare
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
Subject
The topic of the resource
Child; Female; Humans; Male; Child Preschool; Quality of Life; Prospective Studies; Monitoring Physiologic; Hospitalization/statistics & numerical data; Telemedicine; chronic respiratory failure; numerical data; Home Care Services/organization & administration/statistics & numerical data; Intensive Care Units Pediatric/organization & administration/statistics &; invasive mechanical ventilation; life-threatening event; paediatric home care; Respiration Artificial/adverse effects/methods; Telemedicine/organization & administration/statistics & numerical data; Tracheotomy/rehabilitation; ventilator-dependent children
Creator
An entity primarily responsible for making the resource
Muñoz-Bonet JI; López-Prats JL; Flor-Macián EM; Cantavella T; Domínguez A; Vidal Y; Brines J
Description
An account of the resource
INTRODUCTION: Advances in paediatric medicine have increased survival rates for patients with severe chronic illnesses, of which the most complex are ventilator-dependent children (VDCs). Although home care improves their quality of life, morbidity and mortality rates are high. Our aim was to study the medical complications (events) that occur at home and assess the usefulness of telemedicine in their detection and treatment. METHODS: A prospective clinical study (2007-2017) was performed for tracheotomised VDCs. We used a high-density data telemedicine monitoring system from our Paediatric Intensive Care Unit and analysed events during the first two years of home care to study how different variables inter-correlated with the four most common ones: hospital admissions, admissions avoided, event durations and life-threatening events (LTEs); the significance level was set at an alpha of 0.05 in all cases. RESULTS: All our VDCs were included (n = 12); there were 141 events, and these were homogeneously distributed over the study period. The incidence was higher in children who were ventilator dependent for more than 12 h a day (70.9%, p < 0.001) and the main cause was respiratory (69.5%, p < 0.001). Telemedicine was the main initial care and monitoring approach (86.5% and 90.1%, respectively, p < 0.001); 13 events were LTEs, nine were resolved telemedically, four required medicalised transfer to hospital and three resulted in a hospital admission. DISCUSSION: Clinical complications are frequent in VDCs receiving home care, and respiratory decompensation is the most frequent cause. Telemedicine facilitated diagnosis and early treatment, and was useful in managing LTEs.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/1357633x19843761" target="_blank" rel="noreferrer noopener">10.1177/1357633x19843761</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2020
Brines J
Cantavella T
Child
Child Preschool
chronic respiratory failure
Domínguez A
February 2021 List
Female
Flor-Macián EM
Home Care Services/organization & administration/statistics & numerical data
Hospitalization/statistics & numerical data
Humans
Intensive Care Units Pediatric/organization & administration/statistics &
invasive mechanical ventilation
Journal Of Telemedicine And Telecare
life-threatening event
López-Prats JL
Male
Monitoring Physiologic
Muñoz-Bonet JI
numerical data
paediatric home care
Prospective Studies
Quality Of Life
Respiration Artificial/adverse effects/methods
Telemedicine
Telemedicine/organization & administration/statistics & numerical data
Tracheotomy/rehabilitation
ventilator-dependent children
Vidal Y