2014
DOI: 10.7287/peerj.preprints.465
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Tracheostomy in children with congenital heart disease: a national analysis of the Kids' Inpatient Database.

Abstract: Background: While single-institution studies reported the indications and outcomes of tracheostomy in children with congenital heart disease (CHD), no national analyses have been performed. We sought to examine the indications, performance, outcomes, and resource utilization of tracheostomy in children with CHD using a nationally representative database.Methods: We identified all children undergoing tracheostomy in the Kids' Inpatient Database 1997 through 2009, and we compared children with CHD to children wi… Show more

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Cited by 7 publications
(14 citation statements)
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“…These findings were not related to higher rates of prematurity, lower gestational weights, or younger gestational ages in this group. The findings of increased mortality in infants with CHD are similar to other studies evaluating tracheostomy in pediatric patients of all ages with cardiac disease . For example, Funamura et al reported 27.5% mortality in children with CHD at various periods of follow‐up, which was significantly higher than patients without cardiac disease.…”
Section: Discussionsupporting
confidence: 82%
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“…These findings were not related to higher rates of prematurity, lower gestational weights, or younger gestational ages in this group. The findings of increased mortality in infants with CHD are similar to other studies evaluating tracheostomy in pediatric patients of all ages with cardiac disease . For example, Funamura et al reported 27.5% mortality in children with CHD at various periods of follow‐up, which was significantly higher than patients without cardiac disease.…”
Section: Discussionsupporting
confidence: 82%
“…In comparison to earlier decades when tracheostomy was used mainly for airway protection after infection, the procedure now is used commonly for infants with complex cardiopulmonary disorders, and need for long‐term ventilation . The number of tracheostomies performed for children with bronchopulmonary dysplasia (BPD) and cardiac disease has increased . With the evolving indications for this procedure, there is an urgent need to characterize long‐term outcomes, including mortality.…”
Section: Introductionmentioning
confidence: 99%
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“…This large United Kingdom study did not track patients after discharge and did not address decannulation rates . A second large database study showed an in‐hospital mortality of 6.6% . A recent study of 885 neonatal ICU babies with tracheostomies demonstrated an in‐hospital mortality of 14%, but did not track outcomes after hospital discharge .…”
Section: Discussionmentioning
confidence: 99%
“…Prior analyses have mostly described the frequency and complications of tracheostomy placement in infants with diverse congenital heart lesions or in single-center studies with smaller sample size [1,[8][9][10]. In view of the limited literature, we used a large validated multiinstitutional database, the Pediatric Health Information System (PHIS), to evaluate the frequency and risk factors for tracheostomy placement in infants with hypoplastic left heart syndrome (HLHS) and examine the outcomes of these infants before their first hospital discharge after palliative heart operation or heart transplantation, or both.…”
mentioning
confidence: 99%