Improving acute care for Primary Mitochondrial Disease: Development of a publicly available clinical care pathway

Mol Genet Metab. 2025 Apr;144(4):109058. doi: 10.1016/j.ymgme.2025.109058. Epub 2025 Feb 21.

Abstract

Primary mitochondrial diseases (PMD) are an increasingly recognized cause of multi-system organ dysfunction. Children frequently require acute care in an inpatient setting, though many hospitals do not have access to metabolic specialists. We developed a publicly available, evidenced-based clinical pathway utilizing expert consensus guidelines to guide the care of PMD patients during an emergency department visit and/or hospitalization. Utilization of the pathway may help improve triage time, clarify therapeutic options, and help initiate disease-specific screening.

Keywords: Acute care; Care pathways; Mitochondrial disease; Rare disease.

MeSH terms

  • Child
  • Critical Pathways*
  • Emergency Service, Hospital
  • Hospitalization
  • Humans
  • Mitochondrial Diseases* / diagnosis
  • Mitochondrial Diseases* / therapy