• Int. J. Pediatr. Otorhinolaryngol. · Oct 2016

    Observational Study

    Pediatric tracheostomy: Survival and long-term outcomes.

    • Norihiko Tsuboi, Kentaro Ide, Nao Nishimura, Satoshi Nakagawa, and Noriko Morimoto.
    • Critical Care Medicine, National Center for Child Health and Development, Tokyo, Japan. Electronic address: tsuboi-n@ncchd.go.jp.
    • Int. J. Pediatr. Otorhinolaryngol. 2016 Oct 1; 89: 81-5.

    ObjectivesThe objective of this study was to investigate if there were any differences in survival and long-term outcomes between pediatric patients with and without neurological impairment who underwent tracheostomy.MethodsA retrospective chart review of pediatric patients (age 0-15 years) who underwent tracheostomy between March 2002 and December 2013 was conducted. Patients were categorized into two groups: those who were neurologically impaired (NI) (pediatric cerebral performance category, 3-6) and those who were not neurologically impaired (NN) (pediatric cerebral performance category, 1-2). Survival rates and cumulative incidence of weaning from mechanical ventilation or decannulation were calculated using the Kaplan-Meier method.ResultsA total of 212 patients were included. Among them, 141 were categorized into NI group and 71 into NN group. Between the two groups, there were no significant differences in survival rates and cumulative incidence of weaning from mechanical ventilation. In total patients, one-year survival rate was 0.86 (95%CI 0.80-0.90) and five-year survival rate was 0.71 (0.62-0.78). One-year weaning rate was 0.58 (0.51-0.65) and five-year weaning rate was 0.66 (0.59-0.74). Decannulation rates were significantly lower in NI group than in NN group (p < 0.001). One-year and five-year decannulation rates were 0.04 (0.01-0.09) and 0.17 (0.10-0.29), respectively, in NI group, and 0.20 (0.12-0.33) and 0.54 (0.40-0.69), respectively, in NN group.ConclusionsIn children who underwent tracheostomy, the decannulation rate was lower in those with neurological impairment compared with that in those without neurological impairment. There were no significant differences in survival or ventilator weaning between the two groups.Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…