Abstract
Objectives/Hypothesis The objective of this study was to determine if there are differences in decannulation rates and duration of cannulation between pediatric patients undergoing tracheotomy for different indications. Study Design Retrospective chart review. Methods Medical records for pediatric patients (age 0-18 years) undergoing tracheotomy between January 1, 2003, and May 31, 2012, were retrospectively reviewed. Patients were assigned an indication for tracheotomy from five categories: neurological, cardiopulmonary, upper airway obstruction, craniofacial anomalies, and maxillofacial/ laryngotracheal trauma. Results Initial chart review identified 124 patients, 113 for whom complete data was available. Of these patients, the indications for tracheotomy were cardiopulmonary disease in 24 (21.2%), craniofacial anomalies in 12 (10.6%), neurological impairment in 44 (38.9%), traumatic injury in 11 (9.7%), and upper airway obstruction in 22 (19.5%). The time to decannulation was shorter for trauma patients compared to cardiopulmonary (P=0.044) and neurological patients (P=0.001). A total of 32 (31.9%) patients were decannulated during the study period, with a higher rate in trauma patients (72.7%) and a lower rate in those with upper airway obstruction (36.4%) than would be expected under homogeneity. Of the 32 patients who were decannulated, 11 (30.6%) were decannulated during the same hospitalization in which the tracheotomy was performed. Conclusion This study demonstrates a difference in overall decannulation rates and a shorter time to decannulation in children undergoing tracheotomy for maxillofacial and laryngotracheal trauma compared to cardiopulmonary and neurological indications.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1952-1958 |
| Number of pages | 7 |
| Journal | Laryngoscope |
| Volume | 124 |
| Issue number | 8 |
| DOIs | |
| State | Published - 2014 |
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Keywords
- decannulation
- Pediatric tracheotomy
- tracheostomy
- upper airway obstruction
ASJC Scopus subject areas
- Otorhinolaryngology
Cite this
Pediatric tracheotomy : Indications and decannulation outcomes. / Funamura, Jamie Lauren; Durbin-Johnson, Blythe; Tollefson, Travis Tate; Harrison, Jeanette; Senders, Craig W.
In: Laryngoscope, Vol. 124, No. 8, 2014, p. 1952-1958.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pediatric tracheotomy
T2 - Indications and decannulation outcomes
AU - Funamura, Jamie Lauren
AU - Durbin-Johnson, Blythe
AU - Tollefson, Travis Tate
AU - Harrison, Jeanette
AU - Senders, Craig W
PY - 2014
Y1 - 2014
N2 - Objectives/Hypothesis The objective of this study was to determine if there are differences in decannulation rates and duration of cannulation between pediatric patients undergoing tracheotomy for different indications. Study Design Retrospective chart review. Methods Medical records for pediatric patients (age 0-18 years) undergoing tracheotomy between January 1, 2003, and May 31, 2012, were retrospectively reviewed. Patients were assigned an indication for tracheotomy from five categories: neurological, cardiopulmonary, upper airway obstruction, craniofacial anomalies, and maxillofacial/ laryngotracheal trauma. Results Initial chart review identified 124 patients, 113 for whom complete data was available. Of these patients, the indications for tracheotomy were cardiopulmonary disease in 24 (21.2%), craniofacial anomalies in 12 (10.6%), neurological impairment in 44 (38.9%), traumatic injury in 11 (9.7%), and upper airway obstruction in 22 (19.5%). The time to decannulation was shorter for trauma patients compared to cardiopulmonary (P=0.044) and neurological patients (P=0.001). A total of 32 (31.9%) patients were decannulated during the study period, with a higher rate in trauma patients (72.7%) and a lower rate in those with upper airway obstruction (36.4%) than would be expected under homogeneity. Of the 32 patients who were decannulated, 11 (30.6%) were decannulated during the same hospitalization in which the tracheotomy was performed. Conclusion This study demonstrates a difference in overall decannulation rates and a shorter time to decannulation in children undergoing tracheotomy for maxillofacial and laryngotracheal trauma compared to cardiopulmonary and neurological indications.
AB - Objectives/Hypothesis The objective of this study was to determine if there are differences in decannulation rates and duration of cannulation between pediatric patients undergoing tracheotomy for different indications. Study Design Retrospective chart review. Methods Medical records for pediatric patients (age 0-18 years) undergoing tracheotomy between January 1, 2003, and May 31, 2012, were retrospectively reviewed. Patients were assigned an indication for tracheotomy from five categories: neurological, cardiopulmonary, upper airway obstruction, craniofacial anomalies, and maxillofacial/ laryngotracheal trauma. Results Initial chart review identified 124 patients, 113 for whom complete data was available. Of these patients, the indications for tracheotomy were cardiopulmonary disease in 24 (21.2%), craniofacial anomalies in 12 (10.6%), neurological impairment in 44 (38.9%), traumatic injury in 11 (9.7%), and upper airway obstruction in 22 (19.5%). The time to decannulation was shorter for trauma patients compared to cardiopulmonary (P=0.044) and neurological patients (P=0.001). A total of 32 (31.9%) patients were decannulated during the study period, with a higher rate in trauma patients (72.7%) and a lower rate in those with upper airway obstruction (36.4%) than would be expected under homogeneity. Of the 32 patients who were decannulated, 11 (30.6%) were decannulated during the same hospitalization in which the tracheotomy was performed. Conclusion This study demonstrates a difference in overall decannulation rates and a shorter time to decannulation in children undergoing tracheotomy for maxillofacial and laryngotracheal trauma compared to cardiopulmonary and neurological indications.
KW - decannulation
KW - Pediatric tracheotomy
KW - tracheostomy
KW - upper airway obstruction
UR - http://www.scopus.com/inward/record.url?scp=84904743185&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84904743185&partnerID=8YFLogxK
U2 - 10.1002/lary.24596
DO - 10.1002/lary.24596
M3 - Article
C2 - 24430892
AN - SCOPUS:84904743185
VL - 124
SP - 1952
EP - 1958
JO - Laryngoscope
JF - Laryngoscope
SN - 0023-852X
IS - 8
ER -