[Rehospitalizations after tracheostomy tube insertion in pediatrics: a quantitative retrospective cross-sectional...

Rehospitalizations after tracheostomy tube insertion in pediatrics: a quantitative retrospective cross-sectional study Abstract: Background: Caring for children with tracheostomy tubes is a major challenge for families and requires comprehensive training in handling the tracheostomy tube. Despite available training programs, frequent rehospitalizations are observed. The causes and timing of these readmissions remain unclear. Objective: This study identifies the timing, frequency, and causes of rehospitalizations in tracheostomized children. Methods: A quantitative retrospective cross-sectional study was conducted involving 22 tracheostomized patients who had been under the care of a tertiary children's hospital in the German-speaking part of Switzerland for at least five years following tracheostomy insertion. Results: Most rehospitalizations (22%) occurred within the first six months after discharge and steadily declined thereafter. This pattern applied to both elective and emergency rehospitalizations. The most common reason for emergency rehospitalizations was respiratory infections. Factors such as the need for a ventilator or oxygen, age, language, or support at home showed no influence on the number of rehospitalizations. Conclusion: Continuous support for tracheostomized children and their families, particularly during the first six months after discharge, is crucial to minimize rehospitalizations. Equally important is training in the management of respiratory infections in the home environment.