Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2006
Tracheotomy in the first year of life: outcomes in term infants, the Vanderbilt experience.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Wootten Christopher T, French Lesley C, Thomas Robert G, Neblett Wallace W, Werkhaven Jay A, Cofer Shelagh A
Аннотация
OBJECTIVE: In an era emphasizing critical care of preterm infants, we characterize the indications and outcomes of tracheotomies performed in the first year of life in term infants compared to preterm infants.
METHODS: Retrospective study of 127 tracheotomies performed in the first year of life at a tertiary-care children's hospital between 1988-2004.
RESULTS: Mean gestational ages of the term and preterm groups were 38.97 and 29.71 weeks, respectively (P < 0.001). Indications for tracheotomy were upper airway abnormalities in 53% for the term group. The number of subsequent airway procedures required was 1.39 in the term group, achieving decannulation in 36.3%, with a 20.5% mortality rate.
CONCLUSION: Compared to preterm infants, the term decannulation rate was favorable, as chronic lung disease was uncommon. However, non-tracheotomy-related mortalities remained high.
SIGNIFICANCE: Tracheotomies are often performed for relief of upper airway obstruction, and congenital and acquired comorbidities not related to tracheotomy are associated with adverse outcomes in term infants.
EBM RATING: C-4.
METHODS: Retrospective study of 127 tracheotomies performed in the first year of life at a tertiary-care children's hospital between 1988-2004.
RESULTS: Mean gestational ages of the term and preterm groups were 38.97 and 29.71 weeks, respectively (P < 0.001). Indications for tracheotomy were upper airway abnormalities in 53% for the term group. The number of subsequent airway procedures required was 1.39 in the term group, achieving decannulation in 36.3%, with a 20.5% mortality rate.
CONCLUSION: Compared to preterm infants, the term decannulation rate was favorable, as chronic lung disease was uncommon. However, non-tracheotomy-related mortalities remained high.
SIGNIFICANCE: Tracheotomies are often performed for relief of upper airway obstruction, and congenital and acquired comorbidities not related to tracheotomy are associated with adverse outcomes in term infants.
EBM RATING: C-4.
Предметные рубрики MeSH
Airway ObstructionBronchopulmonary DysplasiaCause of DeathFemaleFollow-Up StudiesGestational AgeHeart Defects, CongenitalHumansInfantInfant, NewbornInfant, PrematureLung DiseasesMalePostoperative ComplicationsRespiration, ArtificialRespiratory System AbnormalitiesRetrospective StudiesTracheotomyTreatment Outcome