{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T06:26:19Z","timestamp":1769840779870,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,3,13]],"date-time":"2021-03-13T00:00:00Z","timestamp":1615593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To characterize the recommended posthospitalization follow\u2010up by provider type and location after a pediatric critical illness due to respiratory failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Working hypothesis<\/jats:title><jats:p>After pediatric critical illness due to respiratory failure, patients will not have a standard follow\u2010up pattern with regard to provider type or follow\u2010up location.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>A retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subject selection<\/jats:title><jats:p>Children, 18 years or younger, admitted to a quaternary care pediatric intensive care unit with respiratory failure between January 1, 2013\u00a0and December 31, 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>For eligible patients, recommendations for posthospitalization follow\u2010up including provider type (primary care and specialty care) and location (community care center vs. tertiary care center) were characterized from medical chart review. Recommendations were examined for all patients and two patient subgroups (patients who received extracorporeal membrane oxygenation and patients with tracheostomy).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 155 patients alive at hospital discharge, the median age was 2.1 (interquartile range, 0.7\u201310.6) years. Eighty percent of patients were instructed to follow\u2010up with a primary care provider but only 52.9% with a pulmonologist. We found 10 unique follow\u2010up patterns between provider location (community care center, tertiary care center, or both) and global provider type (primary care versus specialty care). Primary care follow\u2010up was recommended more often at community locations (74.2%), whereas specialty care was more often recommended at tertiary care centers (68.6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study findings demonstrate significant variability in the recommendations for follow\u2010up by provider type and location after hospitalization for acute respiratory failure and highlight areas for improvement in follow\u2010up care after pediatric critical illness.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.25343","type":"journal-article","created":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T06:34:27Z","timestamp":1614580467000},"page":"1745-1753","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Posthospitalization follow\u2010up recommendations after pediatric critical illness due to respiratory failure"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1673-5779","authenticated-orcid":false,"given":"Lauren M.","family":"Yagiela","sequence":"first","affiliation":[{"name":"Division of Critical Care, Department of Pediatrics Children's Hospital of Michigan Detroit Michigan USA"},{"name":"Department of Pediatrics Central Michigan University Mount Pleasant Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9785-893X","authenticated-orcid":false,"given":"Marie A.","family":"Pfarr","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Cincinnati Children's Hospital Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4903-3503","authenticated-orcid":false,"given":"Kathleen L.","family":"Meert","sequence":"additional","affiliation":[{"name":"Division of Critical Care, Department of Pediatrics Children's Hospital of Michigan Detroit Michigan USA"},{"name":"Department of Pediatrics Central Michigan University Mount Pleasant Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8001-9630","authenticated-orcid":false,"given":"Fola O.","family":"Odetola","sequence":"additional","affiliation":[{"name":"Division of Pediatric Critical Care Medicine University of Michigan Ann Arbor Michigan USA"},{"name":"Child Health Evaluation and Research Center, Department of Pediatrics University of Michigan Ann Arbor Michigan USA"},{"name":"Department of Pediatrics University of Michigan Ann Arbor Michigan 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