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Trends in the use of tracheotomy in the pediatric patient: the Iowa experience

P M Palmer1, J M Dutton, T M McCulloch

  • 1University of Iowa, Department of Speech Pathology and Audiology, Iowa City, Iowa, USA.

Head & Neck
|July 1, 1995
PubMed

Insights

Pediatric tracheotomy use increased over 15 years, with younger patients undergoing the procedure more often. Indications and duration of tracheotomy also changed significantly during this period.

Area of Science:

  • Pediatric surgery
  • Otolaryngology
  • Critical care medicine

Background:

  • Tracheotomy is a critical airway management technique in pediatrics.
  • Advances in medical care have improved pediatric survival rates.
  • Survival improvements correlate with evolving tracheotomy indications and usage patterns.

Purpose of the Study:

  • To analyze trends in pediatric tracheotomy utilization over a 15-year timeframe.
  • To identify changes in patient demographics, procedure duration, and indications for tracheotomy.

Main Methods:

  • Retrospective review of medical charts for pediatric patients who underwent tracheotomy between 1975 and 1989.
  • Analysis divided into three 5-year intervals: 1975-79, 1980-84, and 1985-89.

Main Results:

  • A total of 305 pediatric tracheotomies were performed; 281 patient records were analyzed.
  • An increasing trend in tracheotomy procedures was observed, particularly in younger children.
  • Key findings include a decrease in median patient age, an increase in tracheotomy duration, and shifts in primary indications.

Conclusions:

  • Significant changes in mean patient age, tracheotomy duration, and indications were noted over the 15-year study period.
  • These parameters demonstrated a strong interrelationship, influencing tracheotomy practices in children.
Abstract

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