An assesment of pediatric tracheostomy in a pediatric intensive care unit

Tolunay, İlknur; Yildizdaş, Riza; Horoz, Özden Özgür; Sürmelioğlu, Özgür; Ekinci, Faruk; Petmezci, Ercüment; Gökay, Naime

doi:10.5505/cayb.2015.09797

Cited by 4 publications

(7 citation statements)

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“…When compared with regard to indications, the highest complication rate was found in children with long-term intubation. The incidence of complications has been reported to range from 17 to 77% in other studies [ 8 – 11 , 13 , 14 , 17 , 18 , 22 ]. Although some studies have reported that the most common complication is pneumothorax [ 3 ], and accidental decanulation [ 14 ], the majority of studies in the literature have reported peristomal granulation as the most common complication [ 7 – 10 , 13 ].…”

Section: Discussionmentioning

confidence: 97%

“…In Turkey, Tolunay et al [ 11 ] and Akcan et al [ 8 ] reported the most common indication for pediatric tracheostomy as neurological disorders. However, Özmen et al, in their exhaustive evaluation of patients, found that airway obstruction was the most frequent indication between 1968 and 1990, while long-term intubation had become the most common indication in the 1990–2005 time period [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Similar results (55.8–64.0%) have been reported in many other studies [ 2 , 3 , 9 , 10 , 18 , 20 , 23 ], with the exception of few in which female gender was more frequent. For instance, Tolunay et al [ 11 ] reported that 52.8% of their cases were female.…”

Section: Discussionmentioning

confidence: 99%

“…Features associated with the use of pediatric tracheostomy (indications, complications, age etc. ), in Turkey have significantly changed over time [7][8][9][10][11]. Understanding these features is important for proper management of patients.…”

Section: Introductionmentioning

confidence: 99%

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Pediatric Tracheostomy at a Tertiary Healthcare Institution: A Retrospective Study Focused on Outcomes

Yukkaldiran

Doblan

2020

Indian J Otolaryngol Head Neck Surg

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The aim of this study was to retrospectively evaluate all pediatric tracheotomies that had been performed at Sanliurfa Training and Research Hospital From September 2016 to July 2019. A retrospective study was performed on pediatric patients who had undergone tracheostomy during the three-year study period. Patient data were reviewed for the following variables: age, gender, age at the time of tracheostomy, primary indication for tracheostomy, length of stay in intensive care unit before and after tracheostomy, complications, mortality and cause of death. The primary indication for tracheostomy was categorized into 4 separate groups: congenital disease, traumatic injury, prolonged intubation and other causes. The study group consisted of 138 children. Seventy-one (51.4%) of the children were male, 67 (48.6%) were female and the mean age of tracheostomy was 13.30 (0.03–192.27) months, and 44.2% were younger than 1 year when tracheotomy was performed. The median age at the time of tracheostomy was highest in children who underwent tracheostomy for traumatic injury. The indication for tracheostomy was prolonged intubation in 73.2% of the children. Complications were observed in 13 (9%) children; bleeding (69.2%) was the most common. Complications were most frequent in children who underwent tracheostomy for prolonged intubation. The overall mortality ratewas 30.4% with cardiac arrest being the most common cause. At our center, the most common indication for tracheostomy in children was long-term intubation, possibly due to our center being a tertiary healthcare institute. Bleeding was the most common complication, while cardiac arrest was the most common cause of death.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pediatric Tracheostomy at a Tertiary Healthcare Institution: A Retrospective Study Focused on Outcomes

Yukkaldiran

Doblan

2020

Indian J Otolaryngol Head Neck Surg

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“…Our findings are further supported by two other studies conducted in Turkey, where the most common indication for tracheostomy was the need for prolonged mechanical ventilation in children with concurrent neurological disease. 16,17 We noted another benefit associated with the use of a standardized questionnaire to examine the health of caregivers for patients requiring ongoing care at home. Specifically, in the current study, parent caregivers of children with a tracheostomy with a period of care greater than 1 year were found to have better physical health compared with those caregivers with a period of care shorter than 1 year.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting the Quality of Life of Parents Caring for Pediatric Patients with a Tracheostomy

Koker,

Tekerek,

Nalbant

et al. 2023

J Pediatr Intensive Care

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Objectives This study aimed to evaluate factors affecting the quality of life (QOL) of parents of children who underwent placement of a tracheostomy while in the pediatric intensive care unit (PICU) through postdischarge use of a standardized questionnaire, Functional Status Scale (FSS) for patients, and WHOQoL-BREF (a QOL scale) for parents. Methods The parents were initially contacted by telephone, postdischarge, during which the standardized questionnaire was completed. The functional status of the patients was evaluated using the FSS, and the QOL of parents was determined through use of the WHOQoL-BREF scale. Results From 2011 to 2021, tracheostomy was performed in 119 PICU patients. Overall, 93 patients were excluded due to death in 66 (56%), decannulation in 24 (20%) and, 3 (2%) were not available for follow-up. The parents of 26 (22%) patients were available for follow-up and for which the standardized questionnaire FSS and WHOQoL-BREF QOL scales were completed. The mean FSS score of the patients was elevated at 17.84. In comparison, reduced mean scores were observed for parental physical health of 20.61, psychological health of 20.57, social health of 11.15, and environmental health of 29.00. As a result, a moderate (r < 0.80), yet significant (p ≤ 0.004) negative correlation was found between the FSS scores of patients and the physical, social relationships, environmental, and psychological health QOL scores of parents. Conclusion This study is unique in that, to our knowledge, it is the first to compare parental QOL with the FSS of pediatric patients who have undergone a tracheostomy while hospitalized in the PICU. Our findings indicate that the parental QOL was reduced in four areas and correlates with an elevation in FSS score (indicating a greater functional disorder) of pediatric patients who had previously undergone a tracheostomy while hospitalized in the PICU.

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Çocuk Yoğun Bakım Ünitesinde Trakeostomi Uygulamaları, Tek Merkez Deneyimi

HAVAN,

TUNÇ,

ERSOY

et al. 2023

Journal of Contemporary Medicine

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Background/Aims: Tracheostomy is one of the most frequently performed surgical procedures in the pediatric intensive care unit (PICU). While it used to be an emergency treatment method in patients with laryngeal obstruction, it is now mostly used in patients with prolonged mechanical ventilation under elective conditions. In this study, we aimed to evaluate patients who underwent tracheostomy in our PICU, indications, and complications. Methods: This retrospective study was conducted from February 2018 through April 2022. Data was collected from the patient’s records and analyzed. Results: Forty-three patients were included in the study. The median age of the patients was 5±4.99 (0-17 years) and 30 patients (69.8%) were male. During the four-year study period, the tracheostomy rate was 2.4% and the decannulation rate was 7%. All of the patients were discharged home with the home ventilator. The most common indication for tracheostomy was prolonged mechanical ventilation (88.3%). The median time of mechanical ventilation before tracheostomy was 111.6±57.22 (range 0-240) days. No surgical complications were observed during the PICU follow-up. All patients were discharged from PICU with a home-type mechanical ventilator. The median number of outpatient controls after discharge was 7.28±1.89 (range 3-10), and the median number of annual cannula replacements was 3.62±0.76 (range 1-5). 14 patients died after discharge from the PICU. None of the patients died due to tracheostomy complications. The median time of death was 30±13.97 (range 11-56) days after discharge from the PICU. When the surviving and deceased patients were compared according to age, mechanical ventilation time, and length of stay in the PICU, no significant difference was found (p=0.291, p=0.115, and p=0.291, respectively). Conclusions: In our study, long mechanical ventilation time was the most common indication for tracheostomy, and our result is consistent with the literature. Although the timing of tracheostomy was long, no significant correlation was observed with mortality.

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An assesment of pediatric tracheostomy in a pediatric intensive care unit

Cited by 4 publications

References 1 publication

Pediatric Tracheostomy at a Tertiary Healthcare Institution: A Retrospective Study Focused on Outcomes

Pediatric Tracheostomy at a Tertiary Healthcare Institution: A Retrospective Study Focused on Outcomes

Factors Affecting the Quality of Life of Parents Caring for Pediatric Patients with a Tracheostomy

Çocuk Yoğun Bakım Ünitesinde Trakeostomi Uygulamaları, Tek Merkez Deneyimi

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