Pediatric tracheostomies in patients less than 2 years of age: Analysis of complications and long-term follow-up

Esianor, Brandon I.; Jiang, Zhenqi; Diggs, Pauleatha; Yüksel, Sancak; Roy, Soham; Huang, Zhen

doi:10.1016/j.amjoto.2019.102368

Cited by 14 publications

(11 citation statements)

References 27 publications

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“… 17 , 23 , 39 , 40 Underlying cardiopulmonary disease and premature birth are factors associated with increased mortality in pediatric tracheostomy patients under 2 years of age. 41 , 42 …”

Section: Resultsmentioning

confidence: 99%

Tracheostomy practices in children on mechanical ventilation: a systematic review and meta-analysis

Araújo

Azevedo

Oliveira

et al. 2022

Jornal de Pediatria

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“… 17 , 23 , 39 , 40 Underlying cardiopulmonary disease and premature birth are factors associated with increased mortality in pediatric tracheostomy patients under 2 years of age. 41 , 42 …”

Section: Resultsmentioning

confidence: 99%

Tracheostomy practices in children on mechanical ventilation: a systematic review and meta-analysis

Araújo

Azevedo

Oliveira

et al. 2022

Jornal de Pediatria

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“…There are few directly comparable studies to examine long‐term mortality rate infant tracheostomy patients given that the majority of studies vary in range of ages included in analysis, tracheotomy indications, and length of follow‐up. Our mortality rate (15.13%) falls within the lower end of the studies on preterm and infant tracheostomy, who cite a mortality rate ranging from 14.2% to 23.53% 4,7,25,26 . However, it remains at upper limit of overall all‐cause mortality rates associated with all ages of pediatric tracheostomy ranging from 1.5% to 18.9% 11,26–30 .…”

Section: Discussionmentioning

confidence: 64%

“…Our mortality rate (15.13%) falls within the lower end of the studies on preterm and infant tracheostomy, who cite a mortality rate ranging from 14.2% to 23.53%. 4,7,25,26 However, it remains at upper limit of overall all-cause mortality rates associated with all ages of pediatric tracheostomy ranging from 1.5% to 18.9%. 11,[26][27][28][29][30] Interestingly, there appears to be a lack of consensus on long-term outcomes in children with tracheostomy and BPD.…”

Section: Discussionmentioning

confidence: 99%

Comparing Long‐Term Outcomes in Tracheostomy Placed in the First Year of Life

et al. 2021

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Objectives//Hypothesis To characterize long‐term outcomes in pediatric patients requiring tracheotomy in the first year of life. Study Design Retrospective case series. Methods A retrospective longitudinal registry of tracheostomy patients was queried for patients who underwent tracheotomy from birth to 11 months. Primary outcomes were decannulation and survival. Secondary outcomes included neurocognitive quality of life assessed with the PedsQL Family Impact Module (scored from worst to best, 0 to 100 points). Results The study included 337 children. Thirty (8.90%) were neonates and 307 (91.10%) were infants. The population was 56.08% male (n = 189), and the racial and ethnicity composition were equally distributed (29.97% White, 31.45% Black, and 31.16% Hispanic). Significant differences between neonates and postneonates included birth weight in grams (2,731.40 vs. 1,950.44, P < .05), extreme prematurity (13.33% vs. 38.88%, P = .01), upper airway obstruction (80.00% vs. 42.67%, P < .05), and the need for mechanical ventilation (40.00% vs. 83.71%, P < .05). Despite these differences, long‐term outcomes were similar: decannulation (X2 = 2.19, P = .14), death (X2 = 2.63, P = .11), and neurocognitive quality of life (X2 = 2.63, P = .27). Having a child with a tracheostomy caused the most problems with being physically tired (mean = 75.32 ± 3.90), emotional frustration (mean = 77.31 ± 5.05), and worry (mean standard deviation = 74.23 ± 6.48). Conclusion There were demographic differences between neonatal and infantile tracheostomy patients, but they did not affect long‐term outcomes. The presence of a tracheostomy caused a significant impact on a family's quality of life. Level of Evidence 3 Laryngoscope, 131:2115–2120, 2021

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“…[1][2][3] Unfortunately, 8% to 65% of patients with long-term presence of a tracheostomy tube experience at least 1 adverse event including tube obstruction, hemorrhage, airway granulation, and accidental decannulation. [4][5][6][7] The common adverse events in children were similar to adults with roughly double the incidence of tube obstruction. 5 Therefore, ongoing follow up by a multidisciplinary team is required to ensure appropriate care and minimization of tracheostomy-related complications.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Home Tracheostomy Care: The Importance of Knowledge Assessment

Boonjindasup

Syananondh

Somboon

et al. 2021

Home Health Care Management & Practice

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Assessment of caregiver knowledge is an essential part of home healthcare education for pediatric tracheostomy care, however, there is a paucity of evidence in long term. This study aims to determine how caregiver knowledge and misconceptions, as assessed by our knowledge test, changed over a 12-month period following our educational program and whether the test score was associated with any demographics of the caregivers and children with tracheostomy. A prospective cohort study was undertaken to evaluate the knowledge at 3 timepoints after tracheostomy education: baseline (T1), 6 months (T2), and 12 months (T3). Test scores were analyzed for trend and relationship with demographics. Items for which less than 80% caregivers gave correct responses at T1 were considered common misconceptions. Fifty-four caregivers were enrolled. Out of a maximum score of 25, the median (IQR) scores were 22 (21-23), 23 (22-24), and 23 (22-25), at T1, T2, and T3, respectively. The scores at T2 and T3 were significantly higher than at T1 ( P ≤ .01). One common misconception “how to manage when suction got less secretion than expected” was found at all timepoints. Caregivers of children with >2 comorbidities scored slightly higher than those of children with 0 to 2 comorbidities ( P = .01). In conclusion, our caregivers achieved high knowledge scores which increased over the 12-month study period potentially because of repeated assessment and practical experience. Common misconceptions and a factor associated with the knowledge were also identified. These advantages highlighted the importance of knowledge assessment for quality improvement.

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Pediatric tracheostomies in patients less than 2 years of age: Analysis of complications and long-term follow-up

Cited by 14 publications

References 27 publications

Tracheostomy practices in children on mechanical ventilation: a systematic review and meta-analysis

Tracheostomy practices in children on mechanical ventilation: a systematic review and meta-analysis

Comparing Long‐Term Outcomes in Tracheostomy Placed in the First Year of Life

Pediatric Home Tracheostomy Care: The Importance of Knowledge Assessment

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