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Predictors of Pediatric Tracheostomy Outcomes in the United States

Tzyynong L Friesen1,2, Steven M Zamora1, Ronak Rahmanian3

  • 1Division of Otolaryngology, Department of Surgery, University of California San Diego, San Diego, California, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 22, 2020
PubMed

Insights

Pediatric tracheostomy length of stay is increasing. Factors like younger age, Black race, non-Western regions, and comorbidities significantly impact hospital resource use and outcomes for children requiring tracheostomy.

Area of Science:

  • Pediatric Surgery
  • Healthcare Management
  • Public Health

Background:

  • Pediatric tracheostomy is a critical intervention for airway management in children.
  • Understanding factors influencing outcomes is essential for resource allocation and patient care improvement.

Purpose of the Study:

  • To investigate the impact of demographics and comorbidities on pediatric tracheostomy outcomes.
  • To analyze trends in length of stay, readmission, and mortality over time.

Main Methods:

  • Retrospective review of hospitalization records from 52 US children's hospitals (2010-2018).
  • Inclusion of 14,155 patients younger than 18 years undergoing tracheostomy.
  • Primary outcome: total length of stay; Secondary outcomes: 30-day readmission, mortality, posttracheostomy length of stay.

Main Results:

  • Total length of stay increased from 59 to 103 days (2010-2018).
  • Posttracheostomy length of stay increased from 27 to 49 days.
  • Younger age (<1 year), Black race, non-Western regions, home discharge, and comorbidities were associated with longer stays.

Conclusions:

  • Pediatric tracheostomy is resource-intensive, with escalating lengths of stay.
  • Age, race, region, discharge destination, and comorbidities significantly influence outcomes and resource utilization.
Abstract

Keywords:
length of staymortalityoutcomepediatric tracheostomyreadmissiontrend

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