International journal of pediatric otorhinolaryngology · 2026
Complications and factors associated with emergency department presentation for pediatric tracheostomy patients.
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.
Trope Michal, Tabangin Meredith, Hart Catherine K, Benscoter Dan T, Smith Matthew M
Аннотация
OBJECTIVES: To describe the frequency of presentation to the emergency department (ED) for tracheostomy related complications within the first year after initial tracheostomy placement discharge. Secondary outcomes aimed to describe potential differences in presentation based on socioeconomic status (SES).
METHODS: This was a case series with chart review. Included were ≤21 year olds who underwent tracheostomy from Jan 1, 2011 to Dec 31, 2016 and had 1 year follow up after discharge from hospital admission. Excluded were those who lived >75 miles from the hospital. Patients were split into two groups - those that visited the ED within one year of discharge with a tracheostomy related complication and those that did not. A principal components analysis was used to create an index using census data obtained by the US Census Bureau's American Community Survey 5-year data profile from 2013 to 2017. Statistical comparisons were performed using chi-square for categorical variables and Wilcoxon rank-sum test for continuous variables.
RESULTS: 230 patients were included. 165 patients were seen in the ED within the first year of discharge. 86/164 had high SES (52%) and 78/164 had low SES (48%). There was no significant difference between the mean number of ED visits based on SES (high SES 1.58 visits vs low SES 1.53 visits, p = 0.85) or race.
CONCLUSION: The majority of children with tracheostomies will present to the ED within 1 year of discharge for medical care. Many of these visits were due to tracheostomy related complications and does not appear to be correlated with SES or race.
METHODS: This was a case series with chart review. Included were ≤21 year olds who underwent tracheostomy from Jan 1, 2011 to Dec 31, 2016 and had 1 year follow up after discharge from hospital admission. Excluded were those who lived >75 miles from the hospital. Patients were split into two groups - those that visited the ED within one year of discharge with a tracheostomy related complication and those that did not. A principal components analysis was used to create an index using census data obtained by the US Census Bureau's American Community Survey 5-year data profile from 2013 to 2017. Statistical comparisons were performed using chi-square for categorical variables and Wilcoxon rank-sum test for continuous variables.
RESULTS: 230 patients were included. 165 patients were seen in the ED within the first year of discharge. 86/164 had high SES (52%) and 78/164 had low SES (48%). There was no significant difference between the mean number of ED visits based on SES (high SES 1.58 visits vs low SES 1.53 visits, p = 0.85) or race.
CONCLUSION: The majority of children with tracheostomies will present to the ED within 1 year of discharge for medical care. Many of these visits were due to tracheostomy related complications and does not appear to be correlated with SES or race.