Öz
Kaynakça
- Dal’Astra APL, Quirino AV, Caixêta JA de S, Avelino MAG. Tracheostomy in childhood: review of the literature on complications and mortality over the last three decades. Braz J Otorhinolaryngol 2017;83(2):207-14. google scholar
- Yukkaldıran A, Doblan A. Pediatric tracheostomy at a tertiary healthcare ınstitution: a retrospective study focused on outcomes. Indian J Otolaryngol Head Neck Surg 2022;74(Suppl 3):6438-43. google scholar
- Erdogan O, Yukkaldiran A. Effectiveness of tracheotomy on tissue oxygenation and acid-base balance in pediatric patients. B-ENT 2021;16(4):229-32. google scholar
- Celebi FZO, Senel S. Patients with chronic conditions and their complex care needs in a tertiary care hospital. Archives De Pédiatrie 2021;28(6):470-4. google scholar
- Gergin O, Adil EA, Kawai K, Watters K, Moritz E, Rahbar R. Indications of pediatric tracheostomy over the last 30 years: has anything changed? Int J Pediatr Otorhinolaryngol 2016;87:144-7. google scholar
- Resen MS, Grønhøj C, Hjuler T. National changes in pediatric tracheotomy epidemiology during 36 years. Eur Arch Otorhinolaryngol 2018;275(3):803-8. google scholar Savas S, Eraslan S, Kantarci S, Karaman B, Acarsoz D, Tükel T, et al. Prenatal prediction of childhood‐onset spinal muscular atrophy (SMA) in Turkish families. Prenat Diagn 2002;22(8):703-9. google scholar
- Direk M, Sarıgecili E, Akca M, Kömür M, Okuyaz Ç. Serebral palsili çocuklarda sosyodemografik veriler ve yürüme potansiyeli üzerine etki eden faktörlerin değerlendirilmesi. Mersin Univ Saglık Bilim Derg 2019;12(2):248-56. google scholar
- Kumar R, Bhave A, Bhargava R, Agarwal GG. Prevalence and risk factors for neurological disorders in children aged 6 months to 2 years in northern India. Dev Med Child Neurol. 2013;55(4):348-56. google scholar
- Campisi P, Forte V. Pediatric tracheostomy. Semin Pediatr Surg 2016;25(3):191-5. google scholar
- Dursun O, Ozel D. Early and long‐term outcome after tracheostomy in children. Pediatr Int 2011;53(2):202-6. google scholar
- Hebbar KB, Kasi AS, Vielkind M, McCracken CE, Ivie CC, Prickett KK, et al. Mortality and outcomes of pediatric tracheostomy dependent patients. Front Pediatr 2021;9:661512. google scholar
- McPherson ML, Shekerdemian L, Goldsworthy M, Minard CG, Nelson CS, Stein F, et al. A decade of pediatric tracheostomies: indications, outcomes, and long‐term prognosis. Pediatr Pulmonol 2017;52(7):946-53. google scholar
- Funamura JL, Yuen S, Kawai K, Gergin O, Adil E, Rahbar R, et al. Characterizing mortality in pediatric tracheostomy patients. Laryngoscope 2017;127(7):1701-6. google scholar
- Salley J, Kou Y, Shah GB, Mitchell RB, Johnson RF. Survival analysis and decannulation outcomes of infants with tracheotomies. Laryngoscope 2020;130(10):2319-24. google scholar
- Akangire G, Taylor JB, McAnany S, Noel-MacDonnell J, Lachica C, Sampath V, et al. Respiratory, growth, and survival outcomes of infants with tracheostomy and ventilator dependence. Pediatr Res 2021;90(2):381-9. google scholar
- Cristea AI, Carroll AE, Davis SD, Swigonski NL, Ackerman VL. Outcomes of children with severe bronchopulmonary dysplasia who were ventilator dependent at home. Pediatrics 2013;132(3):e727-34. google scholar
- Berry JG, Graham RJ, Roberson DW, Rhein L, Graham DA, Zhou J, et al. Patient characteristics associated with in-hospital mortality in children following tracheotomy. Arch Dis Child 2010;95(9):703-10. google scholar
- Sakai M, Kou Y, Shah GB, Johnson RF. Tracheostomy demographics and outcomes among pediatric patients ages 18 years or younger— United States 2012. Laryngoscope 2019;129(7):1706-11. google scholar
- Han SM, Watters KF, Hong CR, Edwards EM, Knell J, Morrow KA, et al. Tracheostomy in very low birth weight ınfants: a prospective multicenter study. Pediatrics 2020;145(3):e20192371. google scholar
Survival Analysis of Surgical Tracheotomy in Pediatric Patients With Chronic Diseases in a Tertiary Health Center
Öz
Objective: To investigate the effect of age group (infants and non-infants) and demographics on survival in pediatrics with tracheotomy.
Materials and Methods: Sex, age at the time of the tracheotomy, nationality, parental consanguinity, primary disease, date of discharge from the intensive care unit, and date of death were obtained from the medical records. The study population was categorized by nationality, parental consanguinity, and age group for survival analysis.
Results: The study included 140 pediatric patients who underwent a tracheotomy. The median age of the patients at the time of the tracheotomy was 1.23 years. The median follow-up after tracheotomy was 5.4 months. Consanguinity was present in 70.4% of the parents. Primary diseases were grouped as neurologic (37.1%), neuromuscular (29.3%), metabolic (12.1%), cardiopulmonary (8.6%), traumatic (6.4%), and syndromic (6.4%). Neuromuscular diseases were more common in infants, while neurologic and metabolic diseases were more common in non-infants. Eighteen patients were weaned and four patients were decannulated. The overall mortality rate was 70%. The median overall survival was 214 days. Infants (147 days) had a shorter survival than non-infants (286 days). Parental consanguinity and nationality did not affect survival.
Conclusion: In this study, among pediatric patients, infants are associated with a poor prognosis in survival. Neurologic and neuromuscular diseases may be thought to increase mortality among primary diseases. According to our study, it can be suggested that infants who cannot be decannulated due to neuromuscular diseases and are discharged with a tracheostomy are the group that should receive most attention regarding mortality among pediatrics with a tracheostomy.
Anahtar Kelimeler
Infants nationality neurologic parental consanguinity pediatric tracheotomy survival
Kaynakça
- Dal’Astra APL, Quirino AV, Caixêta JA de S, Avelino MAG. Tracheostomy in childhood: review of the literature on complications and mortality over the last three decades. Braz J Otorhinolaryngol 2017;83(2):207-14. google scholar
- Yukkaldıran A, Doblan A. Pediatric tracheostomy at a tertiary healthcare ınstitution: a retrospective study focused on outcomes. Indian J Otolaryngol Head Neck Surg 2022;74(Suppl 3):6438-43. google scholar
- Erdogan O, Yukkaldiran A. Effectiveness of tracheotomy on tissue oxygenation and acid-base balance in pediatric patients. B-ENT 2021;16(4):229-32. google scholar
- Celebi FZO, Senel S. Patients with chronic conditions and their complex care needs in a tertiary care hospital. Archives De Pédiatrie 2021;28(6):470-4. google scholar
- Gergin O, Adil EA, Kawai K, Watters K, Moritz E, Rahbar R. Indications of pediatric tracheostomy over the last 30 years: has anything changed? Int J Pediatr Otorhinolaryngol 2016;87:144-7. google scholar
- Resen MS, Grønhøj C, Hjuler T. National changes in pediatric tracheotomy epidemiology during 36 years. Eur Arch Otorhinolaryngol 2018;275(3):803-8. google scholar Savas S, Eraslan S, Kantarci S, Karaman B, Acarsoz D, Tükel T, et al. Prenatal prediction of childhood‐onset spinal muscular atrophy (SMA) in Turkish families. Prenat Diagn 2002;22(8):703-9. google scholar
- Direk M, Sarıgecili E, Akca M, Kömür M, Okuyaz Ç. Serebral palsili çocuklarda sosyodemografik veriler ve yürüme potansiyeli üzerine etki eden faktörlerin değerlendirilmesi. Mersin Univ Saglık Bilim Derg 2019;12(2):248-56. google scholar
- Kumar R, Bhave A, Bhargava R, Agarwal GG. Prevalence and risk factors for neurological disorders in children aged 6 months to 2 years in northern India. Dev Med Child Neurol. 2013;55(4):348-56. google scholar
- Campisi P, Forte V. Pediatric tracheostomy. Semin Pediatr Surg 2016;25(3):191-5. google scholar
- Dursun O, Ozel D. Early and long‐term outcome after tracheostomy in children. Pediatr Int 2011;53(2):202-6. google scholar
- Hebbar KB, Kasi AS, Vielkind M, McCracken CE, Ivie CC, Prickett KK, et al. Mortality and outcomes of pediatric tracheostomy dependent patients. Front Pediatr 2021;9:661512. google scholar
- McPherson ML, Shekerdemian L, Goldsworthy M, Minard CG, Nelson CS, Stein F, et al. A decade of pediatric tracheostomies: indications, outcomes, and long‐term prognosis. Pediatr Pulmonol 2017;52(7):946-53. google scholar
- Funamura JL, Yuen S, Kawai K, Gergin O, Adil E, Rahbar R, et al. Characterizing mortality in pediatric tracheostomy patients. Laryngoscope 2017;127(7):1701-6. google scholar
- Salley J, Kou Y, Shah GB, Mitchell RB, Johnson RF. Survival analysis and decannulation outcomes of infants with tracheotomies. Laryngoscope 2020;130(10):2319-24. google scholar
- Akangire G, Taylor JB, McAnany S, Noel-MacDonnell J, Lachica C, Sampath V, et al. Respiratory, growth, and survival outcomes of infants with tracheostomy and ventilator dependence. Pediatr Res 2021;90(2):381-9. google scholar
- Cristea AI, Carroll AE, Davis SD, Swigonski NL, Ackerman VL. Outcomes of children with severe bronchopulmonary dysplasia who were ventilator dependent at home. Pediatrics 2013;132(3):e727-34. google scholar
- Berry JG, Graham RJ, Roberson DW, Rhein L, Graham DA, Zhou J, et al. Patient characteristics associated with in-hospital mortality in children following tracheotomy. Arch Dis Child 2010;95(9):703-10. google scholar
- Sakai M, Kou Y, Shah GB, Johnson RF. Tracheostomy demographics and outcomes among pediatric patients ages 18 years or younger— United States 2012. Laryngoscope 2019;129(7):1706-11. google scholar
- Han SM, Watters KF, Hong CR, Edwards EM, Knell J, Morrow KA, et al. Tracheostomy in very low birth weight ınfants: a prospective multicenter study. Pediatrics 2020;145(3):e20192371. google scholar
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Kulak Burun Boğaz |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 4 Ekim 2023 |
| Gönderilme Tarihi | 21 Ağustos 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 33 Sayı: 3 |
