The DECIDE-T project is developing a standardized clinical pathway specifically for pediatric patients who require tracheostomy with or without long-term ventilation (tracheostomy/LTV). These patients represent a small portion of Alberta's population but account for over 50% of pediatric patients hospitalized for more than 180 days. The pathway will include a hospital-to-home directive that incorporates digital health solutions to provide support to families, caregivers, and healthcare professionals. Digital supports will include a Connect Care pathway, resources for informed decision-making, educational modules, high-fidelity simulations for family and caregiver education, an online parental resource center, and access to peer support within the hospital and community, as well as a post-discharge telehealth program. The goal of the DECIDE-T project is to reduce hospital stays and associated costs for children requiring tracheostomy/LTV, as well as to decrease mental distress and burnout experienced by their caregivers and families.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Hospital length of stay
Timeframe: 12 months
ICU length of stay
Timeframe: 12 months
ICU readmission
Timeframe: 12 months
Mortality
Timeframe: 12 months
Decannulation
Timeframe: 12 months
Duration of tracheostomy
Timeframe: 12 months
Tracheostomy adverse events
Timeframe: 12 months
Hospital cost
Timeframe: 12 months
Hospital readmission
Timeframe: 12 months
Net-monetary benefit of DECIDE-T
Timeframe: 12 months