{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:50:57Z","timestamp":1777427457813,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T00:00:00Z","timestamp":1603238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      To assess the effect of Passy-Muir\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Valve (PMV) tolerance on respiratory illness and respiratory related hospital admissions in tracheostomy-dependent children.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective cohort study of 262 patients who underwent tracheostomy placement between 2012 and 2018 at a tertiary free-standing children\u2019s hospital. Outcome measures studied were number of reported upper respiratory infections and respiratory related hospitalizations per year (RRH\/year).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>About 135 (51.5%) tracheostomy-dependent children underwent PMV trials, and 106 (78.5%) of these children were able to tolerate PMV for at least 1\u2009hour daily. When comparing children who tolerated PMV versus those who did not, the latter group had significantly higher rates of subglottic stenosis but no significant differences in RRH\/year or average age. In those children who tolerated PMV and achieved routine use of PMV\u2009&gt;\u20091\u2009hour\/day, an average of 1.14\u2009RRH\/year occurred prior to PMV tolerance, as compared with 0.57\u2009RRH\/year after PMV tolerance ( P\u2009=\u2009.003). Multivariate analysis shows that in patients &lt;2\u2009years, there is a significant decrease in RRH\/year after PMV tolerance is attained (1.53 vs 0.76, P\u2009=\u2009.001), independent of indication for tracheostomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In tracheostomy-dependent children who tolerate PMV use routinely &gt;1\u2009hour\/day there are decreased rates of respiratory related hospitalizations (RRH). Children &lt;2\u2009years of age have the most impact of RRH, with rates that are significantly lower with routine use of the PMV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489420966612","type":"journal-article","created":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T08:43:37Z","timestamp":1603269817000},"page":"623-628","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Decrease in Respiratory Related Hospitalizations in Tracheostomy-Dependent Children Who Tolerate Passy-Muir Valve Use"],"prefix":"10.1177","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8478-7522","authenticated-orcid":false,"given":"Lilun","family":"Li","sequence":"first","affiliation":[{"name":"Division of Pediatric Otolaryngology, Children\u2019s National Hospital, Washington, DC, USA"},{"name":"Division of Otolaryngology, George Washington University, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Wikner","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology, Children\u2019s National Hospital, Washington, DC, USA"},{"name":"Division of Otolaryngology, George Washington University, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hengameh","family":"Behzadpour","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology, Children\u2019s National Hospital, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geovanny","family":"Perez","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonary Medicine, Children\u2019s National Hosptial, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela","family":"Mudd","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology, Children\u2019s National Hospital, Washington, DC, USA"},{"name":"Division of Otolaryngology, George Washington University, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,21]]},"reference":[{"key":"bibr1-0003489420966612","doi-asserted-by":"publisher","DOI":"10.1080\/13638490400021503"},{"key":"bibr2-0003489420966612","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05599"},{"key":"bibr3-0003489420966612","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(95)01258-3"},{"key":"bibr4-0003489420966612","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880170405"},{"key":"bibr5-0003489420966612","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199602000-00024"},{"key":"bibr6-0003489420966612","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-003-0022-x"},{"key":"bibr7-0003489420966612","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199304000-00009"},{"key":"bibr8-0003489420966612","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.3803.549"},{"key":"bibr9-0003489420966612","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24457"},{"key":"bibr10-0003489420966612","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(99)00245-1"},{"issue":"6","key":"bibr11-0003489420966612","volume":"23","author":"Engleman S","year":"1997","journal-title":"Pediatr Nurs"},{"issue":"4","key":"bibr12-0003489420966612","first-page":"20","volume":"17","author":"Torres LiY","year":"2004","journal-title":"Neonatal Intensive Care"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489420966612","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003489420966612","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489420966612","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:34:14Z","timestamp":1777376054000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003489420966612"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,21]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1177\/0003489420966612"],"URL":"https:\/\/doi.org\/10.1177\/0003489420966612","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,21]]}}}