Complications in pediatric tracheostomies

Michele Carr, Christopher R. Poje, Lucille Kingston, Donna Kielma, Christopher Heard

Research output: Contribution to journalArticlepeer-review

201 Scopus citations

Abstract

Objective To examine complications of pediatric tracheostomy. Study Design Retrospective. Methods Chart review of children undergoing tracheotomy or laryngeal diversion between 1990 and 1999. Results Charts of 142 children were examined. Average age was 2.64 years (standard deviation [SD], 4.73 y) at surgery. Duration of tracheostomy was 2.08 years (SD, 1.72 y) for those decannulated, 3.12 years (SD, 2.5 y) for those still with a stoma, and length of follow-up for the whole group was 4.14 years (SD, 8.69 y). At last follow-up, 56% had a tracheostomy, 29% had none, and 15% had died; one death was tracheostomy-related. Three percent had intraoperative complications, 11% had complications before the first tracheostomy tube change, and 63% had complications after the first tube change. Thirty-four percent had a trial of decannulation; 85% of these were successful. Fifty-four percent of those decannulated had complications. Number of complications was not related to duration of follow-up. In-hospital mortality was congruent to mortality predicted by PRISM (Pediatric Rate of Mortality) scores. Conclusions Forty-three percent had serious complications involving loss of the tracheostomy airway (tube occlusion or accidental decannulation) or requiring a separate surgical procedure. Deaths directly attributable to tracheostomy complications occurred in 0.7%.

Original languageEnglish (US)
Pages (from-to)1925-1928
Number of pages4
JournalLaryngoscope
Volume111
Issue number11
DOIs
StatePublished - Jan 1 2001

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

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