2021
DOI: 10.1002/lary.29440
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Comparing Long‐Term Outcomes in Tracheostomy Placed in the First Year of Life

Abstract: Objectives//Hypothesis To characterize long‐term outcomes in pediatric patients requiring tracheotomy in the first year of life. Study Design Retrospective case series. Methods A retrospective longitudinal registry of tracheostomy patients was queried for patients who underwent tracheotomy from birth to 11 months. Primary outcomes were decannulation and survival. Secondary outcomes included neurocognitive quality of life assessed with the PedsQL Family Impact Module (scored from worst to best, 0 to 100 points)… Show more

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Cited by 6 publications
(8 citation statements)
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“…The design of the CHAMP tracheostomy program allows for close monitoring of children for several years after placement. Although retrospective outcomes have been the focus of prior publications from our center, 17,18,20 this ambidirectional cohort describes mortality and (A) (B) decannulation at 1, 5, and 10 years. The primary findings were that cumulative mortality estimates were 12%, 26%, and 42% at 1, 5, and 10 years after tracheostomy while cumulative decannulation estimates at 1, 5, and 10 years were 10%, 45%, and 54%, respectively.…”
Section: Discussionmentioning
confidence: 99%
“…The design of the CHAMP tracheostomy program allows for close monitoring of children for several years after placement. Although retrospective outcomes have been the focus of prior publications from our center, 17,18,20 this ambidirectional cohort describes mortality and (A) (B) decannulation at 1, 5, and 10 years. The primary findings were that cumulative mortality estimates were 12%, 26%, and 42% at 1, 5, and 10 years after tracheostomy while cumulative decannulation estimates at 1, 5, and 10 years were 10%, 45%, and 54%, respectively.…”
Section: Discussionmentioning
confidence: 99%
“…4 This results in prolonged tracheostomy dependence for children with anticipated decannulation often taking several years, if achievable. 5 While a tracheostomy is in place, children may necessitate frequent hospital readmissions. [6][7][8][9][10] They also require health care services such as elective surgeries, speech and language therapy, physical and occupational therapy, and routine follow-up visits.…”
mentioning
confidence: 99%
“…Tracheostomies are typically placed for severe illnesses that cause respiratory failure, airway obstruction, and poor pulmonary hygiene 4 . This results in prolonged tracheostomy dependence for children with anticipated decannulation often taking several years, if achievable 5 …”
mentioning
confidence: 99%
“…These occur at lower rates than late complications, such as stomal granulation, accidental decannulation, and tracheocutaneous fistula 13 . Hospitalized pediatric tracheostomy has an 8% mortality rate and long-term mortality was found to be closer to 15% in the general pediatric population 14,17 …”
mentioning
confidence: 99%
“…13 Hospitalized pediatric tracheostomy has an 8% mortality rate and long-term mortality was found to be closer to 15% in the general pediatric population. 14,17 To our knowledge, these rates have not been investigated in tracheostomized craniofacial patients, whose facial anomalies may pose specific challenges in their overall management and outcomes. The purpose of this study is to examine tracheostomy-associated morbidities and mortalities in craniofacial patients.…”
mentioning
confidence: 99%