Factors associated with tracheostomy decannulation in infants with bronchopulmonary dysplasia

Lloyd, Ashley M.; Behzadpour, Hengameh K.; Rana, Md Sohel; Espinel, Alexandra G.

doi:10.1016/j.ijporl.2023.111754

Cited by 1 publication

(1 citation statement)

References 25 publications

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“…Furthermore, they discovered a considerably greater 90-day mortality rate in patients who were not decannulated than in those who could be decannulated, demonstrating that decannulation may have an impact on patient outcomes. This study's ndings focus on adult patients undergoing tracheostomy in Rwanda, whereas (14) investigated the factors associated with decannulation and discovered that among infants with BPD who were successfully decannulated, the mean and median time to decannulation were 37.9 and 27.8 months, respectively. This signi cant disparity in decannulation times is most likely due to the diverse patient groups and underlying medical problems being evaluated.…”

Section: Discussionmentioning

confidence: 99%

Time to decannulation failure among patients undergone tracheostomy in Rwanda. Survival Analysis

Kubahoniyesu,

Tuyishime

2024

Preprint

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Background Tracheostomy is essential for patients needing prolonged ventilation but studies on decannulation in Sub-Saharan Africa including Rwanda are limited. This study assesses decannulation success rates and identifying factors influencing the outcomes at the University Teaching Hospital of Kigali (CHUK). Methodology: This was a cross-sectional study, data on 62 patients who underwent tracheostomy at CHUK from October 2022 to September 2023 and reached decannulation were analyzed. Survival analysis was conducted using R, employing Kaplan-Meier (KM) curves to estimate median time to decannulation and Cox proportional hazards models to determine factors affecting outcomes. Results Decannulation failure observed from 22 patients (36.7%). The median time to decannulation was 60 days. KM indicated less decannulation median times for emergency tracheostomies (60 days) compared to elective ones (68 days) and less for females (60 days) Compared to males (68 days). Elective tracheostomy significantly improved decannulation success, with an Adjusted Hazard Ration (AHR) of 0.19 (95% CI:0.04–0.91, P = 0.039) indicating lower hazard for decannulation failure compared to emergency type. Age of a patient increased with less hazard to decannulation failure, however, the association was not statistically significant. Conclusion Decannulation times at CHUK are influenced significantly by the nature of the tracheostomy, with elective procedures faring better. There is a need for strategic planning in the timing and management of tracheostomies to enhance patient outcomes.

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Section: Discussionmentioning

confidence: 99%