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Decrease in Respiratory Related Hospitalizations in Tracheostomy-Dependent Children Who Tolerate Passy-Muir Valve Use

Lilun Li1,2, Emily Wikner1,2, Hengameh Behzadpour1

  • 1Division of Pediatric Otolaryngology, Children's National Hospital, Washington, DC, USA.

The Annals of Otology, Rhinology, and Laryngology
|October 21, 2020
PubMed

Insights

The Passy-Muir Valve (PMV) can reduce respiratory-related hospitalizations in children dependent on tracheostomy. Routine PMV use, especially in children under two, significantly lowers these admission rates.

Area of Science:

  • Pediatric pulmonology
  • Respiratory medicine
  • Medical devices

Background:

  • Tracheostomy dependence affects pediatric respiratory health.
  • Assessing interventions to mitigate respiratory illness in these children is crucial.

Purpose of the Study:

  • To evaluate the impact of Passy-Muir Valve (PMV) tolerance on respiratory illness and hospital admissions in children with tracheostomies.

Main Methods:

  • Retrospective cohort study of 262 tracheostomy patients (2012-2018).
  • Analyzed upper respiratory infections and respiratory-related hospitalizations per year (RRH/year).
  • Compared outcomes between children who tolerated PMV and those who did not.

Main Results:

  • 106 out of 135 children tolerated PMV for >1 hour daily.
  • Children tolerating PMV had lower RRH/year (0.57) compared to pre-tolerance (1.14, P=.003).
  • Significant RRH/year reduction observed in children <2 years (1.53 vs 0.76, P=.001) with routine PMV use.

Conclusions:

  • Routine Passy-Muir Valve use (>1 hour/day) decreases respiratory-related hospitalizations in tracheostomy-dependent children.
  • Children under two years old experience the most significant reduction in RRH/year with PMV tolerance.
Abstract

Keywords:
Passy-Muir valvepediatric otolaryngologyrespiratory outcomesspeaking valvetracheostomy

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