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Transition to Adult Care in Children on Long-Term Ventilation

Alessandro Onofri1, Alexander Broomfield2, Hui-Leng Tan3

  • 1Pediatric Pulmonology & Respiratory Intermediate Care Unit, Sleep and Long-Term Ventilation Unit, Academic Department of Pediatrics, Bambino Gesü Children's Hospital IRCCS, Rome, Italy.

Frontiers in Pediatrics
|October 26, 2020
PubMed

Insights

The number of children requiring long-term ventilation (LTV) is growing. This review explores effective transition strategies from pediatric to adult care for these young individuals.

Area of Science:

  • Pediatric critical care medicine
  • Pulmonology
  • Healthcare transition

Background:

  • Increasing survival rates for children on long-term ventilation (LTV) necessitate improved healthcare transition processes.
  • The shift from pediatric to adult healthcare presents unique challenges for young people with LTV.
  • Existing transition models for chronic childhood conditions offer a potential framework.

Purpose of the Study:

  • To provide an overview of healthcare transition for children on long-term ventilation.
  • To adapt successful transition models from other chronic conditions for LTV patients.
  • To highlight unique considerations for LTV patients during transition.

Main Methods:

  • Literature review synthesizing current findings on LTV transition.
  • Analysis of transition models in comparable childhood-onset chronic conditions.
  • Emphasis on multidisciplinary team roles in the transition process.

Main Results:

  • Effective transition requires tailored approaches, considering the specific needs of LTV patients.
  • A multidisciplinary team is crucial for successful navigation of the pediatric to adult care shift.
  • Adaptation of best practices from other chronic conditions can inform LTV transition protocols.

Conclusions:

  • Successful transition of pediatric LTV patients to adult care is achievable with structured planning.
  • A coordinated, multidisciplinary approach is essential for optimizing outcomes.
  • Further research into specialized transition programs for LTV is warranted.

Keywords:
Home mechanical ventilationbarriers and facilitatorslong term ventilationpediatric to adult servicestransition

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