Critical care science · 2026
Clinical outcomes and associated factors in pediatric patients undergoing tracheostomy in a public intensive care unit.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Almeida Iago Silva de, Serra Lucieny Silva Martins, Praia Catarina Ferreira Costa, Serafim Alexandre Peixoto
Аннотация
OBJECTIVE: To describe clinical outcomes and identify predictors of death and complications in children undergoing tracheostomy at a public referral hospital in the Federal District.
METHODS: A retrospective cohort study including 123 children (zero to 14 years) who underwent tracheostomy between 2017 and 2021. Patients under exclusive palliative care, those lost to follow-up, or with a tracheostomy performed prior to 2017 were excluded. Follow-up spanned from the procedure date until decannulation, death, or the study end (August 2, 2025), with a mean duration of 26.9 months. Data on demographics, clinical indicators, complications, and outcomes were analyzed using descriptive statistics, survival analysis (Kaplan-Meier), binary logistic regression, and Poisson regression.
RESULTS: The majority were infants (58.5%) and male (53.7%). Upper airway obstruction was the predominant indication (41.5%). The overall mortality was 39%, and septic shock was the leading cause (16.7%). Complications occurred in 52% of cases, most notably tracheitis (42.2%) and accidental decannulation (32.8%). Multivariate analysis identified the following as independent predictors of death: tracheitis (OR 4.79; 95%CI 2.15 - 10.68; p = 0.001), mechanical ventilation dependence (OR 3.43; 95%CI 1.52 - 7.74; p = 0.003), and accidental decannulation (OR 2.44; 95%CI 1.05 - 5.66; p = 0.037). Poisson regression showed that longer tracheostomy use time (IRR 1.137; p = 0.008) and complex chronic diseases (IRR 1.573; p = 0.011) were associated with higher complication rates.
CONCLUSION: Tracheostomized children in this public hospital setting experience high morbidity and mortality, influenced significantly by modifiable factors such as infection, ventilator dependence, and decannulation events.
METHODS: A retrospective cohort study including 123 children (zero to 14 years) who underwent tracheostomy between 2017 and 2021. Patients under exclusive palliative care, those lost to follow-up, or with a tracheostomy performed prior to 2017 were excluded. Follow-up spanned from the procedure date until decannulation, death, or the study end (August 2, 2025), with a mean duration of 26.9 months. Data on demographics, clinical indicators, complications, and outcomes were analyzed using descriptive statistics, survival analysis (Kaplan-Meier), binary logistic regression, and Poisson regression.
RESULTS: The majority were infants (58.5%) and male (53.7%). Upper airway obstruction was the predominant indication (41.5%). The overall mortality was 39%, and septic shock was the leading cause (16.7%). Complications occurred in 52% of cases, most notably tracheitis (42.2%) and accidental decannulation (32.8%). Multivariate analysis identified the following as independent predictors of death: tracheitis (OR 4.79; 95%CI 2.15 - 10.68; p = 0.001), mechanical ventilation dependence (OR 3.43; 95%CI 1.52 - 7.74; p = 0.003), and accidental decannulation (OR 2.44; 95%CI 1.05 - 5.66; p = 0.037). Poisson regression showed that longer tracheostomy use time (IRR 1.137; p = 0.008) and complex chronic diseases (IRR 1.573; p = 0.011) were associated with higher complication rates.
CONCLUSION: Tracheostomized children in this public hospital setting experience high morbidity and mortality, influenced significantly by modifiable factors such as infection, ventilator dependence, and decannulation events.