Objectives:To d e termine wWch factors contribute to ear1y comp1ications when intubated chi1dren show macroscopic lesions at extubation. Study De· sign; Retrospective review of 96 consecutive medical r cords of children aged 1 day to 15 years. Patients were divided into three groups depending on the extent of the subsequent treatment required: medical, r eintubation, and surgical. Methods: Age, sex, cHnical history, and macroscopic features of the lesions were coUected and data were compared in each group. Results: Underlying non.infectious respiratory diseases and young age were found to b e risk factors for higher incidence of complications, but not pro]onged or multip]e intubations. Edema, especially in the glottio area, was a risk factor for surgical treatment. Multi· pie l ions w e re risk factors for reintubation. Conclu· sions: History of intubation, its cause, and lesions discovered at extubation can provide the basis for definition of an "at risk" profile for intubated chilclren.
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