Publication

Mortality and Outcomes of Pediatric Tracheostomy Dependent Patients

Downloadable Content

Persistent URL
Last modified
  • 05/15/2025
Type of Material
Authors
    Kiran Hebbar, Emory UniversityAjay Kasi, Emory UniversityMonica Vielkind, Emory UniversityCourtney E. McCracken, Emory UniversityCaroline C. Ivie, Emory UniversityKara Prickett, Emory UniversityDawn Simon, Emory University
Language
  • English
Date
  • 2021-05-04
Publisher
  • Frontiers Media
Publication Version
Copyright Statement
  • © 2021 Hebbar, Kasi, Vielkind, McCracken, Ivie, Prickett and Simon.
License
Final Published Version (URL)
Title of Journal or Parent Work
Volume
  • 9
Abstract
  • Objective: To describe clinical factors associated with mortality and causes of death in tracheostomy-dependent (TD) children. Methods: A retrospective study of patients with a new or established tracheostomy requiring hospitalization at a large tertiary children's hospital between 2009 and 2015 was conducted. Patient groups were developed based on indication for tracheostomy: pulmonary, anatomic/airway obstruction, and neurologic causes. The outcome measures were overall mortality rate, mortality risk factors, and causes of death. Results: A total of 187 patients were identified as TD with complete data available for 164 patients. Primary indications for tracheostomy included pulmonary (40%), anatomic/airway obstruction (36%), and neurologic (24%). The median age at tracheostomy and duration of follow up were 6.6 months (IQR 3.5–19.5 months) and 23.8 months (IQR 9.9–46.7 months), respectively. Overall, 45 (27%) patients died during the study period and the median time to death following tracheostomy was 9.8 months (IQR 6.1–29.7 months). Overall survival at 1- and 5-years following tracheostomy was 83% (95% CI: 76–88%) and 68% (95% CI: 57–76%), respectively. There was no significant difference in mortality based on indication for tracheostomy (p = 0.35), however pulmonary indication for tracheostomy was associated with a shorter time to death (HR: 1.9; 95% CI: 1.04–3.4; p = 0.04). Among the co-morbid medical conditions, children with seizure disorder had higher mortality (p = 0.04). Conclusion: In this study, TD children had a high mortality rate with no significant difference in mortality based on indication for tracheostomy. Pulmonary indication for tracheostomy was associated with a shorter time to death and neurologic indication was associated with lower decannulation rates.
Author Notes
Keywords
Research Categories
  • Health Sciences, Medicine and Surgery

Tools

Relations

In Collection:

Items

Thumbnail Title File Description Date Uploaded Visibility Actions
file details Publication File - vwrqt.pdf Primary Content 2025-05-07 Public Download