دورية أكاديمية
أعرض في EDS

Survival analysis and decannulation outcomes of infants with tracheotomies.

التفاصيل البيبلوغرافية
العنوان: Survival analysis and decannulation outcomes of infants with tracheotomies.
المؤلفون: Salley J; Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas., Kou YF; Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas., Shah GB; Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas.; Department of Pediatric Otolaryngology, Children's Medical Center, Dallas, Texas, U.S.A., Mitchell RB; Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas.; Department of Pediatric Otolaryngology, Children's Medical Center, Dallas, Texas, U.S.A., Johnson RF; Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas.; Department of Pediatric Otolaryngology, Children's Medical Center, Dallas, Texas, U.S.A.
المصدر: The Laryngoscope [Laryngoscope] 2020 Oct; Vol. 130 (10), pp. 2319-2324. Date of Electronic Publication: 2019 Sep 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
مواضيع طبية MeSH: Device Removal*, Tracheotomy/*instrumentation , Tracheotomy/*mortality, Female ; Humans ; Infant ; Infant, Newborn ; Longitudinal Studies ; Male ; Registries ; Respiration, Artificial ; Retrospective Studies ; Survival Rate ; Time Factors
مستخلص: 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.
(© 2019 The American Laryngological, Rhinological and Otological Society, Inc.)
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فهرسة مساهمة: Keywords: Pediatric tracheostomy; decannulation; survival analysis; ventilator dependence
تواريخ الأحداث: Date Created: 20190912 Date Completed: 20201214 Latest Revision: 20201214
رمز التحديث: 20240628
DOI: 10.1002/lary.28297
PMID: 31508814
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-4995
DOI:10.1002/lary.28297