https://scholars.lib.ntu.edu.tw/handle/123456789/490187
標題: | Pediatric tracheotomy: A comparison of outcomes and lengths of hospitalization between different indications | 作者: | CHE-YI LIN Ting, Te-Tien Hsiao, Tzu-Yu WEI-CHUNG HSU |
關鍵字: | Decannulation; Hospitalization; Pediatric; Tracheotomy | 公開日期: | 2017 | 卷: | 101 | 起(迄)頁: | 75-80 | 來源出版物: | International Journal of Pediatric Otorhinolaryngology | 摘要: | Objectives To assess outcomes of pediatric tracheotomy and duration of associated hospital stay according to indications. Subjects and methods In this retrospective study, subjects were 142 consecutive pediatric patients (<18 years old) who underwent tracheotomy at a tertiary referral medical center, National Taiwan University Hospital, in 1997–2012. Age, sex, indications, pre-operative status (oxygen demand, number of repeated intubations), and post-operative status (duration of weaning, length of hospital stay, mortality) were analyzed. Results The indications included craniofacial anomalies (n = 19, 13.4%), upper airway obstruction (n = 41, 28.9%), neurological deficit (n = 58, 40.8%), prolonged ventilation (n = 15, 10.6%), and trauma (n = 9, 6.3%). Ninety-one patients (64.1%) were successfully weaned off ventilation after tracheotomy (40% in the prolonged ventilation group). Total hospital stay and duration of ventilation before tracheotomy were longest in patients with craniofacial anomalies (150.9 ± 98.8 days, p = 0.004; 108.8 ± 88.2, p < 0.001). The early tracheotomy group had a shorter duration of post-tracheotomy mechanical ventilation support than the late tracheotomy group (14.4 ± 19.0, n = 49 vs. 34.9 ± 58.6, n = 80, p = 0.004). Decannulation was successful in 20 patients (14.1%), with the highest rate in the upper airway obstruction group (n = 14, 34.1%) and lowest in the prolonged ventilation group (none). Thirteen patients (9.2%) died during admission from causes unrelated to tracheotomy. Conclusion Outcomes of pediatric tracheotomy and duration of hospitalization depend on indications. Children with craniofacial anomalies had earlier tracheotomy age and longer mechanical ventilation before tracheotomy resulted in longer hospitalization. Earlier tracheotomy can shorten the duration of post-tracheotomy mechanical ventilation in several conditions. ? 2017 Elsevier B.V. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/490187 | ISSN: | 0165-5876 | DOI: | 10.1016/j.ijporl.2017.07.038 | SDG/關鍵字: | age; Article; artificial ventilation; cannulation; child; child health care; childhood mortality; craniofacial malformation; decannulation; female; gender; human; injury; intubation; length of stay; major clinical study; male; neurologic disease; oxygen consumption; postoperative period; preoperative evaluation; priority journal; repeat procedure; retrospective study; Taiwan; tracheotomy; treatment duration; treatment indication; treatment outcome; upper respiratory tract obstruction; ventilator weaning; comparative study; device removal; infant; length of stay; preschool child; procedures; statistics and numerical data; time factor; tracheotomy; treatment outcome; university hospital; Child; Child, Preschool; Device Removal; Female; Hospitals, University; Humans; Infant; Length of Stay; Male; Respiration, Artificial; Retrospective Studies; Taiwan; Time Factors; Tracheotomy; Treatment Outcome |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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