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Acute pediatric tracheitis: Distinguishing the disease by tracheostomy status

Jonathan S Ni1, Jocelyn Kohn2, Udayan K Shah3

  • 1Boston University School of Medicine, 72 E. Concord St., Boston, MA, 02118, USA.

International Journal of Pediatric Otorhinolaryngology
|December 30, 2019
PubMed

Insights

Pediatric tracheitis management and costs were analyzed in a large cohort. Patients with prior tracheostomies showed similar lengths of stay and total charges compared to those without.

Area of Science:

  • Pediatric Infectious Diseases
  • Respiratory Medicine
  • Health Services Research

Background:

  • Tracheitis is an upper airway infection that can lead to airway obstruction, particularly in patients with tracheostomies.
  • Understanding the management and resource utilization for pediatric tracheitis is crucial for effective healthcare delivery.

Purpose of the Study:

  • To identify and analyze a large cohort of pediatric patients admitted with tracheitis using a nationwide database.
  • To elucidate the management and resource utilization for tracheitis in pediatric patients, comparing those with and without prior tracheostomies.

Main Methods:

  • Utilized the Kids' Inpatient Database (KID) 2012 to identify 2394 weighted discharges with acute tracheitis.
  • Compared patient groups based on prior tracheostomy status, analyzing demographics, hospital characteristics, management, and resource utilization.
  • Employed linear regression to identify predictors of total charges.

Main Results:

  • The study included 2394 pediatric patients with acute tracheitis.
  • Patients with a prior tracheostomy had significantly lower rates of endoscopy and endotracheal intubation.
  • No significant differences were observed in length of stay or total charges between patients with and without prior tracheostomies.

Conclusions:

  • Pediatric tracheitis management and outcomes do not significantly differ based on prior tracheostomy status in terms of length of stay and total charges.
  • Proposed a distinction in tracheitis diagnosis codes: 'open' for tracheitis with tracheostomy and 'closed' for tracheitis without.
Abstract

Keywords:
ObstructionPediatricResource utilizationTracheitisTracheostomy

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