{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:02:33Z","timestamp":1790841753006,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Objective<\/jats:title>\n                    <jats:p>Pediatric Home Mechanical Ventilator (HMV) Programs have supported children with chronic respiratory failure since the 1970s, yet optimal caregiver training duration remains unclear. This study evaluated the safety and effectiveness of a standardized 4\u2010week HMV multidisciplinary action plan (HMV MAP) by analyzing hospital length of stay (LOS) and 30\u2010day revisit rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted at a single center, including 59 children (ages 0\u201321) with tracheostomy and chronic home ventilator use who completed the HMV MAP training between 2016 and 2021. Data were extracted from electronic medical records. Existing home ventilator\u2010dependent patients re\u2010admitted for any reason, HMV MAP patients on palliative, hospice and\/or concurrent care for home, as well as patients discharged to long\u2010term care facilities\/subacute care facilities were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 59 eligible patients, the most common indication for long\u2010term mechanical ventilation was chronic respiratory failure due to respiratory insufficiency. The HMV MAP median LOS was 37 days (IQR: 12\u201392). There were 30 patients who had extended LOS (eLOS HMV MAP). Of these, 21 were due to non\u2010respiratory causes, with 14 being medical\u2010related and 7 being social\u2010related. Among patients discharged in 4 weeks, 0% had ED visits within 48\u2009h of discharge, 17% were readmitted within 30 days for respiratory complications and 6.9% for non\u2010respiratory complications; compared to 6.7%, 10% and 10% respectively for eLOS 4\u2009W HMV MAP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The HMV MAP appears safe and effective, with low early ED visits and readmission rates. Most discharge delays were due to non\u2010respiratory factors, suggesting the pathway may benefit from flexibility to accommodate medical and social complexities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71842","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:44:14Z","timestamp":1790840654000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety of a 4\u2010Week Pediatric Home Mechanical Ventilated Pathway\u2014A Single Center's Retrospective Study"],"prefix":"10.1002","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8772-6483","authenticated-orcid":false,"given":"Derek","family":"Corpus","sequence":"first","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8448-0299","authenticated-orcid":false,"given":"Laura Lazzarini","family":"Wo","sequence":"additional","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine","family":"Ellashek","sequence":"additional","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5722-1013","authenticated-orcid":false,"given":"Sarah","family":"Heinonen","sequence":"additional","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Connelly","sequence":"additional","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila","family":"Kun","sequence":"additional","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasha","family":"Singh","sequence":"additional","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Barrios","sequence":"additional","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Costea","sequence":"additional","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Mountan","sequence":"additional","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3030-7754","authenticated-orcid":false,"given":"Manvi","family":"Bansal","sequence":"additional","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4442-8426","authenticated-orcid":false,"given":"Roberta M.","family":"Kato","sequence":"additional","affiliation":[{"name":"Derek Corpus, MBBS, Pediatric Pulmonology Children's Hospital Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/NHH.0b013e3182429243"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2003.09.002"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5123-4"},{"key":"e_1_2_13_5_1","first-page":"A2224","article-title":"Determining the Efficacy of a Multidisciplinary Action Plan in Discharge Planning for Pediatric Home Mechanical Ventilation","volume":"191","author":"Ellashek","year":"2015","journal-title":"American Journal of Respiratory and Critical Care 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