{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:42:57Z","timestamp":1777527777694,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2012,11,14]],"date-time":"2012-11-14T00:00:00Z","timestamp":1352851200000},"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":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:p>Background. Long-term outcomes for children who survive on tracheostomy and positive-pressure ventilation (TPPV) at home are not well known. Methods. A retrospective review of 20 years of clinical data at a single institution was performed. Outcome measures included 5-year survival, decannulation rate, and neurocognition. Results. A total of 91 children were categorized under neuromotor dysfunction (52%), chronic lung disease (29%), and congenital anomalies (20%). The 5-year survival rates for these categories were 89% (95% confidence interval [CI] = 80%-99%), 76% (95% CI = 57%-100%), and 94% (95% CI = 83%-100%), respectively. Overall, the 5-year decannulation rate was 25% (95% CI = 14%-35%), with children with chronic lung disease having the highest rate (51%). It was found that 14% were extremely delayed in neurocognition. Conclusion. Most children on TPPV at home survive beyond 5 years, and a significant number are decannulated. Primary care physicians and communities should be prepared to accommodate the increasing number of children on TPPV at home.<\/jats:p>","DOI":"10.1177\/0009922812465943","type":"journal-article","created":{"date-parts":[[2012,11,15]],"date-time":"2012-11-15T20:14:20Z","timestamp":1353010460000},"page":"54-61","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":32,"title":["Outcomes of Children Treated With Tracheostomy and Positive-Pressure Ventilation at Home"],"prefix":"10.1177","volume":"52","author":[{"given":"Gulnur","family":"Com","sequence":"first","affiliation":[{"name":"University of Alabama\u2013Birmingham, Birmingham, AL, USA"},{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis Z.","family":"Kuo","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin L.","family":"Bauer","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire V.","family":"Lenker","sequence":"additional","affiliation":[{"name":"University of Alabama\u2013Birmingham, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria M.","family":"Melguizo-Castro","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd G.","family":"Nick","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher M.","family":"Makris","sequence":"additional","affiliation":[{"name":"University of Alabama\u2013Birmingham, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,11,14]]},"reference":[{"key":"bibr1-0009922812465943","first-page":"43","volume":"72","author":"Mallory GB","year":"1991","journal-title":"Arch Phys Med Rehabil"},{"key":"bibr2-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(16)38766-1"},{"key":"bibr3-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0910"},{"key":"bibr4-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2011.74"},{"key":"bibr5-0009922812465943","first-page":"177","volume-title":"Long-Term Mechanical Ventilation","volume":"2001","author":"Teague GW"},{"key":"bibr6-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1378\/chest.84.4.376"},{"key":"bibr7-0009922812465943","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1542\/peds.80.3.375","volume":"80","author":"Oren J","year":"1987","journal-title":"Pediatrics"},{"key":"bibr8-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.1950110407"},{"key":"bibr9-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)83038-0"},{"key":"bibr10-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1177\/000992289303201201"},{"key":"bibr11-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.1950170102"},{"key":"bibr12-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-2471"},{"key":"bibr13-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.2002.00856.x"},{"key":"bibr14-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2003.47"},{"key":"bibr15-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2004.11753509"},{"key":"bibr16-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2005.00753.x"},{"key":"bibr17-0009922812465943","doi-asserted-by":"publisher","DOI":"10.1159\/000110801"},{"key":"bibr18-0009922812465943","unstructured":"R Development Core Team. 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