The influence of long-term tracheostomy on speech and language development in children

Jiang, Dan; Morrison, G. A. J.

doi:10.1016/j.ijporl.2003.08.031

Cited by 53 publications

(27 citation statements)

References 5 publications

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“…(26-31) A few older studies reported intellectual disabilities and language delays in children requiring tracheostomies. (5, 6, 32-34) In 1974, children who received tracheostomies early in life were reported to be “withdrawn in character and of poor academic and recreational standard.”(35) Singer reported developmental outcomes at an average of 5 years in a cohort of 130 infants from 2 hospitals who received tracheostomies before 13 months of age during 1972-82. (6) Twenty-nine percent died before follow-up and 45% of survivors were classified with mental retardation or neurological handicap.…”

Section: Discussionmentioning

confidence: 99%

Developmental Outcomes of Very Preterm Infants with Tracheostomies

DeMauro

D’Agostino

Bann

et al. 2014

The Journal of Pediatrics

126

102

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Objectives To evaluate the neurodevelopmental outcomes of very preterm (<30 weeks) infants who underwent tracheostomy. Study design Retrospective cohort study from 16 centers of the NICHD Neonatal Research Network over 10 years (2001-2011). Infants who survived to at least 36 weeks (N=8,683), including 304 infants with tracheostomies, were studied. Primary outcome was death or neurodevelopmental impairment (NDI, a composite of one or more of: developmental delay, neurologic impairment, profound hearing loss, severe visual impairment) at a corrected age of 18-22 months. Outcomes were compared using multiple logistic regression. We assessed impact of timing, by comparing outcomes of infants who underwent tracheostomy before and after 120 days of life. Results Tracheostomies were associated with all neonatal morbidities examined, and with most adverse neurodevelopmental outcomes. Death or NDI occurred in 83% of infants with tracheostomies and 40% of those without [odds ratio (OR) adjusted for center 7.0 (95%CI, 5.2-9.5)]. After adjustment for potential confounders, odds of death or NDI remained higher [OR 3.3 (95%CI, 2.4-4.6)], but odds of death alone were lower [OR 0.4 (95%CI, 0.3-0.7)], among infants with tracheostomies. Death or NDI was lower in infants who received their tracheostomies before, rather than after, 120 days of life [adjusted OR 0.5 (95%CI, 0.3-0.9)]. Conclusions Tracheostomy in preterm infants is associated with adverse developmental outcomes, and cannot mitigate the significant risk associated with many complications of prematurity. These data may inform counseling about tracheostomy in this vulnerable population.

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Section: Discussionmentioning

confidence: 99%

Developmental Outcomes of Very Preterm Infants with Tracheostomies

DeMauro

D’Agostino

Bann

et al. 2014

The Journal of Pediatrics

126

102

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“…Parents cited problems in producing sounds and speech in the first two age ranges (0-6 years old). This evidence could be explained by the fact that, during the first 6 years of life, 10 of 11 children (91%) breathed through a tracheotomy, which interferes with the production of verbal messages [17,18]. The results also show a reduced quality of sleep, with a considerable percentage affected by this in all the age ranges taken into consideration.…”

Section: Discussionmentioning

confidence: 99%

International Classification of Functioning, Disability and Health in children with congenital central hypoventilation syndrome

Montirosso

Morandi²,

D'aloisio

et al. 2009

Disability and Rehabilitation

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“…Although generally a safe technique, there are a number of longer-term complications associated with it, including delayed speech and language development,10 colonisation and infection of the lower respiratory tract, and tracheal granulations and stenosis. In addition, the most common causes of tracheostomy-related death are cannula obstruction and accidental decannulation 11.…”

Section: Discussionmentioning

confidence: 99%