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Trend of Pediatric Tracheostomy in Taiwan: A Population-Based Survey from 2000 to 2019

Kun-Tai Kang1,2, Chia-Hsuan Lee1,2,3, Che-Yi Lin2

  • 1Department of Otolaryngology and Sleep Center, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan.

Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'Oto-Rhino-Laryngologie Et De Chirurgie Cervico-Faciale
|November 7, 2024
PubMed

Insights

Pediatric tracheostomy incidence decreased in Taiwan, with more infants undergoing the procedure. Trends show longer intensive care unit (ICU) and hospital stays, alongside a reduction in 5-year mortality rates.

Area of Science:

  • Pediatric surgery
  • Otolaryngology
  • Critical care medicine

Background:

  • Outcomes of pediatric tracheostomy advancements require clarification.
  • This study identifies trends in pediatric tracheostomy in Taiwan.

Purpose of the Study:

  • To analyze trends in pediatric tracheostomy in Taiwan from 2000 to 2019.
  • To examine changes in patient demographics, indications, and outcomes.

Main Methods:

  • Population-based survey using Taiwan's National Health Insurance Research Database (2000-2019).
  • Analysis of pediatric patients (<18 years) undergoing tracheostomy, stratified by age and time periods.
  • Evaluation of trends in demographics, hospital level, indications, length of stay, and mortality.

Main Results:

  • Overall pediatric tracheostomy incidence decreased from 3.3 to 2.1 per 100,000 individuals.
  • Proportion of infants (<1 year) undergoing tracheostomy increased (22.8% to 32.5%).
  • Tracheostomies at medical centers increased, while those at regional/district hospitals decreased.
  • Indications shifted from trauma/brain injury (36.6% to 28.7%).
  • Intensive care unit (ICU) and hospital stays significantly increased.
  • 5-year mortality rate showed a slight decrease (38.0% to 31.0%).

Conclusions:

  • Pediatric tracheostomy incidence declined, but the proportion of infants increased.
  • Trends indicate prolonged ICU and hospital stays.
  • A notable reduction in 5-year mortality rates was observed.
Abstract

Keywords:
childepidemiologymortalitytracheostomytrend

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