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Characterizing mortality in pediatric tracheostomy patients

Journal title
The Laryngoscope
Publication year
2017
Author(s)
Funamura, J. L.; Yuen, S.; Kawai, K.; Gergin, O.; Adil, E.; Rahbar, R.; Watters, K.
Pages
1701-1706
Volume
127
Number
7

OBJECTIVES/HYPOTHESIS: To assess the longitudinal risk of death following tracheostomy in the pediatric age group. STUDY DESIGN: Retrospective cohort study. METHODS: Hospital records of 513 children (1 year after tracheostomy (35.3%). Patients who underwent tracheostomy for cardiopulmonary disease had an increased risk of mortality compared with airway obstruction (adjusted hazard ratio: 3.53, 95% confidence interval: 1.72-7.24, P < .001) and other indications. Adjusted hazard ratios for bronchopulmonary dysplasia (BPD) and congenital heart disease (CHD) were 2.63 and a 2.61, respectively (P < .001). CONCLUSIONS: Pediatric patients with tracheostomy have a high mortality rate, with an increased risk of death associated with a cardiopulmonary indication for undergoing tracheostomy. The majority of deaths occur after the index hospitalization during which the tracheostomy was performed. BPD and CHD are independent predictors of mortality in pediatric tracheostomy patients. LEVEL OF EVIDENCE: 4 Laryngoscope, 127:1701-1706, 2017.

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