{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:04:55Z","timestamp":1777935895924,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,12,11]],"date-time":"2018-12-11T00:00:00Z","timestamp":1544486400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Fundaci\u00f3n para la Investigaci\u00f3n del Hospital Cl\u00ednico Universitario de Valencia (INCLIVA). To request any further information about this please contact the Biomedical Research Institute","award":["Research Fellowship GV05\/285"],"award-info":[{"award-number":["Research Fellowship GV05\/285"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Medical care for ventilator-dependent children must avoid hospital confinement, which is detrimental to the patient, their family and Paediatric Intensive Care Unit. Our objective was to assess the role of telemedicine in facilitating early and permanent discharge of such patients to home care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective clinical study (2007\u20132017) in tracheotomised ventilator-dependent children. We used a Big Data Telemedicine home system (Medlinecare 2.1) from the Paediatric Intensive Care Unit. Specialised home-nursing services were available. Clinical events were analysed using the Chi-square test (significance p\u2009&lt;\u20090.05). Families subsequently completed a satisfaction survey. The Paediatric Intensive Care Unit management indicators were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All of our ventilator-dependent children were included ( n=12). At time of discharge from the Paediatric Intensive Care Unit, they all required continuous mechanical ventilation and met the criteria of groups I\u2013III of the OTA classification. In the first two years there were 141 events; the main cause was respiratory (69.5%, p\u2009&lt;\u20090.001) and telemedicine was the main care approach (86.5%, p\u2009&lt;\u20090.001). Eleven events required hospitalisation (7.8%) but 38 (27.0%) hospitalisations were avoided. The emergency readmission time accounted for 0.99% of the total time. Six patients were decannulated, and one patient died due to primary cardiac arrest. All the families considered that the telemedicine had helped to avoid hospital visits, was not an intrusion into their privacy, and improved the child\u2019s safety and quality of life. An improvement in Paediatric Intensive Care Unit indicators was achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Telemedicine facilitated early and permanent discharge of our ventilator-dependent children to home care without affecting their quality of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x18811751","type":"journal-article","created":{"date-parts":[[2018,12,11]],"date-time":"2018-12-11T21:52:52Z","timestamp":1544565172000},"page":"207-215","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":36,"title":["Usefulness of telemedicine for home ventilator-dependent children"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4392-6834","authenticated-orcid":false,"given":"Juan I","family":"Mu\u00f1oz-Bonet","sequence":"first","affiliation":[{"name":"Paediatric Intensive Care Unit, Hospital Cl\u00ednico Universitario de Valencia, Spain"},{"name":"Department of Paediatrics, Obstetrics and Ginecology, Universidad de Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 L","family":"L\u00f3pez-Prats","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care Unit, Hospital Cl\u00ednico Universitario de Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva M","family":"Flor-Maci\u00e1n","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care Unit, Hospital Cl\u00ednico Universitario de Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Cantavella","sequence":"additional","affiliation":[{"name":"Paediatric Home Hospitalization Unit, Hospital Cl\u00ednico Universitario de Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Bonet","sequence":"additional","affiliation":[{"name":"Paediatric Home Hospitalization Unit, Hospital Cl\u00ednico Universitario de Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amparo","family":"Dom\u00ednguez","sequence":"additional","affiliation":[{"name":"Paediatric Home Hospitalization Unit, Hospital Cl\u00ednico Universitario de Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Brines","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Obstetrics and Ginecology, Universidad de Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,12,11]]},"reference":[{"key":"bibr1-1357633X18811751","unstructured":"US Congress, Office of Technology Assessment.\n                      Technology-Dependent Children: Hospital v. 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