Characterizing mortality in pediatric tracheostomy patients

Funamura, Jamie Lauren; Yuen, Sonia N.; Kawai, Kosuke; Gergin, Özgül; Adil, Eelam; Rahbar, Reza; Watters, Karen

doi:10.1002/lary.26361

Cited by 77 publications

(119 citation statements)

References 22 publications

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“…These findings were not related to higher rates of prematurity, lower gestational weights, or younger gestational ages in this group. The findings of increased mortality in infants with CHD are similar to other studies evaluating tracheostomy in pediatric patients of all ages with cardiac disease . For example, Funamura et al reported 27.5% mortality in children with CHD at various periods of follow‐up, which was significantly higher than patients without cardiac disease.…”

Section: Discussionsupporting

confidence: 82%

“…In comparison, older children with tracheostomies are more likely to have underlying medical complexities, which influence both need for tracheostomy placement, and impact mortality. For example, in a cohort of 513 patients, Funamura et al reported 16.6% mortality; however, this group included patients with cystic fibrosis, lung transplant, and oncologic diagnoses.…”

Section: Discussionmentioning

confidence: 99%

“…While some studies report similar or even decreased rates of mortality in patients with BPD compared with other children with tracheostomy . others have found that BPD and prematurity are independent risk factors for mortality in children with tracheostomy …”

Section: Introductionmentioning

confidence: 99%

“…Compared with BPD, overall rates of tracheostomy placement in children with congenital heart disease (CHD) remain relatively low; however, there has been an increase in tracheostomy placement in cardiac patients over the last 15 years . There are a limited number of studies evaluating mortality after tracheostomy in patients with CHD that report higher rates of mortality than non‐cardiac patients . Given the limited data surrounding infant tracheostomy in the modern era, we evaluated mortality in infants ≤12 months of age who had tracheostomy placement, including infants with BPD and CHD.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Risk factor analysis for mortality among infants requiring tracheostomy

Strang

Briddell

Barth

et al. 2018

Pediatric Pulmonology

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Risk factor analysis for mortality among infants requiring tracheostomy

Strang

Briddell

Barth

et al. 2018

Pediatric Pulmonology

View full text Add to dashboard Cite

show abstract

“…Overall 30‐day mortality for all patients was 4.24%, which is similar to previously published short‐term outcomes but less than previously published longer term outcomes, which were 8.9% to 29% . This difference is likely secondary to the morbid and chronic nature of the underlying etiology requiring the tracheostomy.…”

Section: Discussionsupporting

confidence: 75%

Considering a Weight Criterion for Neonatal Tracheostomy: An Analysis of the ACSNSQIP‐P

et al. 2018

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Survival analysis and decannulation outcomes of infants with tracheotomies

et al. 2019

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Objective To evaluate for differences in time to decannulation and survival rates for pediatric tracheotomy patients based on ventilator status upon discharge. Study Design Retrospective longitudinal cohort study. Methods A single‐institution longitudinal study of pediatric tracheostomy patients was conducted. Patients were categorized based on mechanical ventilation status on discharge and principal reason for tracheostomy. Survival rates were determined using the Kaplan‐Meier method. The Wilcoxon's Rank Sum test and Cox regression analysis evaluated differences in survival times and time to decannulation based on primary indication for tracheotomy and ventilation status. Results Chart review identified 305 patients who required a tracheostomy under the age of 3. The median age at the time of tracheotomy was 5.2 months. The indications for tracheotomy in these patients were airway obstruction in 145 (48%), respiratory failure in 214 (70%), and pulmonary toilet in 10 (3.3%). Seventy‐nine percent of patients were ventilator dependent at discharge. At the conclusion of the study period, 55% of patients were alive with tracheostomy in place, 30% patients were decannulated, and 15% patients were deceased. Patients with ventilator dependence at initial discharge, bronchopulmonary dysplasia, or airway obstruction were more likely to be decannulated. Hispanic patients were less likely to be decannulated. Patients had an equal probability of death regardless of ventilator status at discharge. Conclusions This study demonstrated that the time to decannulation and likelihood of decannulation varies based on the indication for the tracheostomy. The majority of patients with a tracheostomy were not decannulated at the conclusion of this study. Median time to decannulation was 2.5 years for patients with a median death time of 6 months. Level of Evidence 2b Laryngoscope, 130:2319–2324, 2020

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Characterizing mortality in pediatric tracheostomy patients

Abstract: 4 Laryngoscope, 127:1701-1706, 2017.

Cited by 77 publications

References 22 publications

Risk factor analysis for mortality among infants requiring tracheostomy

Risk factor analysis for mortality among infants requiring tracheostomy

Considering a Weight Criterion for Neonatal Tracheostomy: An Analysis of the ACSNSQIP‐P

Survival analysis and decannulation outcomes of infants with tracheotomies

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