About

Nicholas Jabre, MD, is a pediatric pulmonologist at Johns Hopkins All Children’s Hospital and an assistant professor of pediatrics at the Johns Hopkins University School of Medicine. His work focuses on improving parent-clinician communication during complex decision-making in pediatric care, particularly around tracheostomy and home mechanical ventilation. He specializes in the care of children with chronic respiratory failure and technology dependence, providing clinical services in the hospital’s ventilator clinic and muscular dystrophy clinic. Dr. Jabre is also passionate about ethics education and leads a longitudinal ethics curriculum for pediatric residents at Johns Hopkins All Children’s. His approach to medicine emphasizes compassionate, patient-centered care grounded in humanism, empathy, and shared decision-making.

Research topics

• Intensive care medicine
• Medicine
• Family medicine
• Pediatrics
• Medical emergency

Selected publications

• ADVERSE NEUROPSYCHIATRIC EVENTS ASSOCIATED WITH MONTELUKAST AMONG CHILDREN WITH PSYCHIATRIC CONDITIONS

  Annals of Allergy Asthma & Immunology · 2025-11-01

  articleSenior author
  PublisherDOI

• Association Between Timing of Albuterol and Care Escalation to the Pediatric Intensive Care Unit Within 24 Hours of Admission for Status Asthmaticus

  Respiratory Care · 2025-04-29

  articleSenior author

  Background: Children admitted to the general in-patient unit for status asthmaticus may not receive the first albuterol treatment on schedule. We sought to determine if a difference in timing between the scheduled and actual first dose of albuterol is associated with care escalation to the pediatric intensive care unit (PICU).

  PublisherDOI

• 584 Multidisciplinary behavioral screening in preschool-aged children starting elexacaftor/tezacaftor/ivacaftor

  Journal of Cystic Fibrosis · 2024-09-01

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  PublisherDOI

• Association between Timing of Albuterol and Care Escalation to the intensive care unit Among Pediatric Patients admitted with Status Asthmaticus

  2024-03-11 · 1 citations

  preprintOpen accessSenior author

  Children admitted to the ward for status asthmaticus may not receive the first albuterol treatment on schedule. We sought to determine if a difference in timing between scheduled and actual first dose of albuterol is associated with care escalation to the pediatric intensive care unit (PICU). We conducted a single-center case-control study of children 2-18 years admitted from the emergency department (ED) to the ward for status asthmaticus. Cases required transfer to the PICU within 24 hours of admission. Groups were compared using Fisher’s exact or Mann-Whitney U tests. Firth multivariable logistic regression estimated the association between dose timing and odds of transfer to the PICU. Groups did not differ by demographics, comorbidities, or asthma severity risk factors. The median (IQR) time difference between scheduled and administered first dose of albuterol was 0 (-14 to 63) minutes for cases and 16 (-6 to 42) minutes for controls ( p =.4). Fifty percent of cases received delayed treatment compared to 63% of controls ( p =.28). The adjusted analyses demonstrated that as the time difference between scheduled and administered albuterol increased by 1 minute, odds of care escalation to the PICU remained the same (OR=1.0, 95% CI: 0.9 to 1.0; p =.2). Receiving first albuterol treatment on the ward at a time different than scheduled was not associated with increased odds of transfer to PICU. Delayed albuterol administration did not vary with PICU transfer. Delays in treatment, when taken in the context of evidence-based asthma pathways, did not significantly impact hospital course or quality of care.

  PublisherOA PDFDOI

• The NICU tracheostomy team: multidisciplinary collaboration for improvement in survival of complex patients

  Journal of Perinatology · 2024-06-24 · 3 citations

  article
  PublisherDOI

• Timing of Albuterol and Transfer to the Pediatric Intensive Care Unit in Patients Admitted for Status Asthmaticus: A Matched Case-control Study

  2023-05-01

  articleSenior author
  PublisherDOI

• Family-Reflections.com: Creating a parent-to-parent web-based tool regarding pediatric home ventilation

  Patient Education and Counseling · 2023-06-15 · 7 citations

  article
  PublisherDOI

• 647 Impact of newborn screening program with NextGen sequencing on direct patient care

  Journal of Cystic Fibrosis · 2023-10-01

  articleOpen access
  PublisherOA PDFDOI

• Management of Uncertainty in Everyday Pediatric Care

  Pediatric Clinics of North America · 2023-09-11 · 1 citations

  review1st authorCorresponding
  PublisherDOI

• “What Would Give Her the Best Life?”: Understanding Why Families Decline Pediatric Home Ventilation

  Journal of Palliative Medicine · 2023-01-20 · 7 citations

  article

  Background: Families who must decide about pediatric home ventilation rely on the clinicians who counsel them for guidance. Most studies about pediatric home ventilation decisions focus on families who opt for this intervention, leaving much unknown about the families who decline. Objective: To describe the rationales of families who decline home ventilation. Design: Semi-structured interview study. Setting/Subjects: We interviewed 16 families in hospitals across 3 U.S. states, identified by their clinicians as previously deciding to not pursue home ventilation via tracheostomy within the past five years. Measurements: Targeted content and narrative analyses were used to understand family intentions and reasons for declining. Results: The clinical and social context varied among the 16 families in this study. Families' intentions in saying “no” fell into two categories: (1) definitive “No”: Families who stood firm on in their decision and (2) contingent “No”: Families who may consider this in the future. Families described four reasons why their child did not receive home ventilation: (1) concern about medical impacts, (2) concern about physical and/or communication restrictions, (3) concern that there would be no clear health benefit, and (4) concern about no clear meaningful life. Most families mentioned all four reasons, but concern about no clear meaningful life predominated. Conclusions: Though these families did not see home ventilation as an appropriate option, each reported a complex interplay of intentions behind and reasons for declining. Clinicians who counsel families about home ventilation could share the reasons that families commonly decline this intervention to facilitate a balanced discussion.

  PublisherDOI

Frequent coauthors

• Renee D. Boss

  Johns Hopkins Medicine

  67 shared

• Carrie M. Henderson

  Louisiana State University

  49 shared

• Benjamin S. Wilfond

  University of Washington

  43 shared

• Jessica C. Raisanen

  Ashland (United States)

  24 shared

• Holly Vo

  University of Washington

  18 shared

• Kelly J. Shipman

  University of Pennsylvania

  18 shared

• Jamie L. Fierstein

  Johns Hopkins All Children's Hospital

  12 shared

• John M. Morrison

  8 shared

Awards & honors

• Hecht-Levi Fellowship, Johns Hopkins Berman Institute of Bio…
• Fellowship, Pediatric Pulmonology, Johns Hopkins University…