{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T22:42:45Z","timestamp":1774564965300,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2005,12,5]],"date-time":"2005-12-05T00:00:00Z","timestamp":1133740800000},"content-version":"vor","delay-in-days":5452,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[1991,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Case management is important for successful home care of technology\u2010dependent, respiratory\u2010disabled children. Traditionally, the medical model of hospital\u2010based home care and case management has been used for these children. The outcome may be different from when using independent, community\u2010based home care and case management. We evaluated the results of 28 technology\u2010dependent children [23 receiving mechanical ventilation and 5 receiving continuous positive airway pressure (CPAP)] from 8 hospitals, who utilized an independent, communtiy\u2010based, case management group to coordinate home care. After 26.3 \u00b1 20.6 months of follow\u2010up, 13 children (46%) remained technology\u2010dependent, 10 (36%) were technology\u2010independent, and 5 (18%), all with neurologic dysfunction, had died. Only one death was caused by a complication of technology. All children with congenital anomalies (<jats:italic>n<\/jats:italic> = 4), primary pulmonary disease (<jats:italic>n<\/jats:italic> = 8), and neuromuscular disease (<jats:italic>n<\/jats:italic> = 4) survived, and 9 (56%) were weaned from technological support. Children with chronic respiratory failure secondary to central neurologic dysfunction (n = 12) did poorly: 5 died, 6 remained technology\u2010dependent, and only 1 became independent of technology. Children with neuromuscular diseases tended to use less home care nursing at a lower home care cost. Parent satisfaction was high among those who responded (82%), indicating that the child, siblings, and family were better off with the child at home. These outcomes suggest that community\u2010based home care and case management is a reasonable alternative to the hospital\u2010based model.<\/jats:p>","DOI":"10.1002\/ppul.1950110407","type":"journal-article","created":{"date-parts":[[2007,3,6]],"date-time":"2007-03-06T16:08:27Z","timestamp":1173197307000},"page":"310-317","source":"Crossref","is-referenced-by-count":33,"title":["Outcome of home care for technology\u2010dependent children: Success of an independent, community\u2010based case management model"],"prefix":"10.1002","volume":"11","author":[{"given":"Alan I.","family":"Fields","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah Hardy","family":"Coble","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murray M.","family":"Pollack","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Kaufman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,12,5]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198311243092112"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(16)36180-6"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(85)80372-3"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(84)80969-5"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/141.1.258"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(85)90157-1"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.84.4.376"},{"key":"e_1_2_1_9_2","unstructured":"Report to Congress and the Secretary by the task force on technology\u2010dependent children. U.S. Department of Health and Human Services Health Care Financing Administration. Washington D.C. April1988."},{"key":"e_1_2_1_10_2","first-page":"729","article-title":"Home care cost\u2010effectiveness for respiratory technology\u2010dependent children","volume":"145","author":"Fields AI","year":"1991","journal-title":"Am J Dis Child"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1987.03400230058032"},{"key":"e_1_2_1_12_2","unstructured":"Technology\u2010dependent children: Hospital versus home care\u2014A technical memorandum. U.S. Congress Office of Technology Assessment Health Program. OTA\u2010TM\u2010H\u201038 Washington D.C. U.S. Government Printing Office May1987."},{"key":"e_1_2_1_13_2","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1542\/peds.80.3.375","article-title":"Long term follow\u2010up of children with congenital central hypoventilation syndrome","volume":"80","author":"Oren J","year":"1987","journal-title":"Pediatrics"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(89)80554-2"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fppul.1950110407","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.1950110407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T06:40:33Z","timestamp":1698043233000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.1950110407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,1]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1991,1]]}},"alternative-id":["10.1002\/ppul.1950110407"],"URL":"https:\/\/doi.org\/10.1002\/ppul.1950110407","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,1]]}}}