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  • Title: Outcomes of post-acute hospital episodes for young children requiring airway support.
    Author: O'Brien JE, Haley SM, Dumas HM, Ladenheim B, Mast J, Burke SA, Birnkrant DJ, Whitford K, Coletti DJ, Simpser EF, Pelegano J, Neufeld JA, Kharasch VS.
    Journal: Dev Neurorehabil; 2007; 10(3):241-7. PubMed ID: 17564864.
    Abstract:
    In this descriptive study, we examined changes in invasive and non-invasive airway support; studied the rates of home discharge vs. long-term care or acute hospitalization; and examined the relationship between the level of airway support and discharge to home for 92 children (<3 years of age) with 104 admission-discharge episodes to a consortium of pediatric rehabilitation hospitals over a one-year period. We found a significant reduction (p < 0.001) in the level of airway support between admission and discharge. In 21 of 47 (45%) episodes, children weaned from mechanical ventilation to a less restrictive type of support. Sixty percent of the children had final discharges to home. There was a significant, though fair correlation (Spearman Rho = -0.344, p = 0.001) between home discharge and level of airway support. These outcomes data provide a multi-site baseline for understanding expected changes in airway support and home discharge rates of young children who are admitted to a post-acute inpatient program.
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