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Complications and factors associated with emergency department presentation for pediatric tracheostomy patients

Michal Trope1, Meredith Tabangin2, Catherine K Hart3

  • 1Department of Otolaryngology-Head & Neck Surgery, University of Pennsylvania, USA; Division of Otolaryngology-Head and Neck Surgery, Children's Hospital of Philadelphia, USA.

International Journal of Pediatric Otorhinolaryngology
|March 5, 2026
PubMed

Insights

Most children with tracheostomies visit the emergency department (ED) within a year of discharge for complications. These visits are not linked to socioeconomic status or race.

Area of Science:

  • Pediatric Medicine
  • Otolaryngology
  • Emergency Medicine

Background:

  • Tracheostomy is a common procedure in pediatric care.
  • Understanding post-discharge complications is crucial for patient management.

Purpose of the Study:

  • To determine the frequency of emergency department (ED) visits for tracheostomy-related complications within one year of discharge.
  • To explore if socioeconomic status (SES) influences these ED presentations.

Main Methods:

  • A retrospective case series with chart review included patients ≤21 years old who underwent tracheostomy.
  • Patients were analyzed based on ED visits for tracheostomy complications within one year post-discharge.
  • Socioeconomic status was assessed using US Census Bureau data and principal components analysis.

Main Results:

  • Out of 230 patients, 165 presented to the ED within the first year.
  • No significant difference in ED visit frequency was found between high and low socioeconomic status groups.
  • Race did not show a significant correlation with ED visit frequency.

Conclusions:

  • A majority of pediatric patients with tracheostomies require ED care within a year of discharge.
  • Tracheostomy-related complications are a common reason for these visits.
  • Socioeconomic status and race do not appear to be significant factors influencing these presentations.
Abstract

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