Paediatric respiratory reviews · 2026
Prevalence and type of respiratory issues following Tracheo-Oesophageal fistula repair in children and young people: A systematic review.
СтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
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.
Machesney Ava, Lock Kieren, Hamilton Colin, Phillips Veronica, Selby Louise, Bewick Jessica
Аннотация
BACKGROUND: Tracheo-oesophageal fistula (TOF) is a rare congenital anomaly requiring early surgical correction. Despite improved survival, long-term respiratory morbidity remains significant and under-characterised. This review aimed to evaluate the prevalence and nature of respiratory complications following TOF repair in paediatrics.
METHODS: A systematic review was conducted in accordance with PRISMA guidelines. Six databases were searched (2004-2025). Eligible studies reported respiratory outcomes following complete TOF repair in paediatric populations. Screening, data extraction, and quality appraisal were performed independently by two reviewers. Pooled prevalence estimates were calculated.
RESULTS: Twenty studies (n = 2,214) were included, predominantly retrospective observational studies with heterogeneous outcome definitions. Respiratory morbidity was consistently reported. The highest pooled prevalence estimates were recurrent cough (57.2%), pneumonia/LRTI (50.08%), and airway malacia (40.62%). Bronchiectasis (11.96%) and atelectasis (20.78%) were less frequent.
CONCLUSIONS: Respiratory morbidity post-TOF repair is common and multifactorial, highlighting the need for structured, multidisciplinary long-term follow-up and improved standardisation in future research.
METHODS: A systematic review was conducted in accordance with PRISMA guidelines. Six databases were searched (2004-2025). Eligible studies reported respiratory outcomes following complete TOF repair in paediatric populations. Screening, data extraction, and quality appraisal were performed independently by two reviewers. Pooled prevalence estimates were calculated.
RESULTS: Twenty studies (n = 2,214) were included, predominantly retrospective observational studies with heterogeneous outcome definitions. Respiratory morbidity was consistently reported. The highest pooled prevalence estimates were recurrent cough (57.2%), pneumonia/LRTI (50.08%), and airway malacia (40.62%). Bronchiectasis (11.96%) and atelectasis (20.78%) were less frequent.
CONCLUSIONS: Respiratory morbidity post-TOF repair is common and multifactorial, highlighting the need for structured, multidisciplinary long-term follow-up and improved standardisation in future research.