Tracheostomy in infants in an Australian Tertiary Children's Hospital: have the indications and outcomes changed?

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY Journal of Laryngology and Otology Pub Date : 2025-04-01 DOI:10.1017/S002221512400183X

Katryna Pham, Emma Ho, Beckie Petulla, Ju-Lee Oei, Hari Ravindranathan, Marlene Soma

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Abstract

Objectives: To determine if there have been changes over time for indications and outcomes of tracheostomies in infants.

Methods: Retrospective review of infant tracheostomies at a tertiary children's hospital across two time periods (epoch 1: 1997-2008; epoch 2: 2009-2020). Patient demographics, tracheostomy indications, comorbidities, length of stay, complications, decannulation and mortality were examined.

Results: Seventy-two infants had a tracheostomy (40 epoch 1 vs 32 epoch 2). Airway obstruction decreased (80 per cent vs 50 per cent*) and long-term ventilation increased (17.5 per cent vs 40.6 per cent*) as the primary indication. Early complications decreased between the time periods (30 per cent vs 6.3 per cent*). The median hospital length of stay was 97 days (interquartile range 53-205.5), total complication rate was 53 per cent, decannulation rate was 61 per cent and mortality rate was 17 per cent (all non-tracheostomy related) across both time periods. There were no significant changes for these outcomes. *(p< 0.05).

Conclusion: Long-term ventilation has increased and airway obstruction has decreased as the primary indication for infant tracheostomy over time.

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澳大利亚三级儿童医院的婴儿气管切开术：适应症和结果有变化吗？

目的：确定婴儿气管切开术的适应症和结果是否随着时间的推移而改变。方法：回顾性分析某三级儿童医院两个时期(epoch 1: 1997-2008；纪元2:2009-2020)。检查患者人口统计学、气管切开术指征、合并症、住院时间、并发症、脱管和死亡率。结果：72例患儿行气管切开术（1期40例，2期32例）。气道阻塞减少（80%比50% *），长期通气增加（17.5%比40.6% *）为主要指征。早期并发症在两个时间段之间减少了（30% vs 6.3% *）。两个时间段的住院时间中位数为97天（四分位数范围53-205.5），总并发症率为53%，脱管率为61%，死亡率为17%（所有非气管切开术相关）。这些结果没有明显的变化。* (p < 0.05)。结论：随着时间的推移，长期通气增加，气道阻塞减少，是婴儿气管切开术的主要指征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.