Mortality in the pediatric patient with tracheotomy.
The mortality rate of children with tracheotomies is estimated to be between 11% and 40%, although the incidence of tracheotomy-related deaths is only between 0% and 3.4%. The purpose of this report was to analyze the mortality rate in children with tracheotomies.
A review of the medical records of children at the University of Iowa Hospitals and Clinics who underwent tracheotomy over a 15-year period ending in 1989 was performed.
Data were analyzed in 5-year time blocks.
Fifty-two patients died with tracheotomy tubes in place.
In 4 patients, the cause of death was tracheotomy related.
Three of these patients were under 5 years of age and died secondary to tracheotomy tube displacement or obstruction ; one patient, an 18-year-old, developed a fatal tracheotomy-related vascular hemorrhage.
The average age of patients who died with tracheotomies decreased significantly from Block 1 to Block 3 ; in Block 3, mean age at the time of tracheotomy was significantly lower in patients who died than in patients who survived.
A comorbidity score (CS) based on the number of airway diagnoses showed that higher CSs were associated with a poorer prognosis.
Mortality does not seem to be strongly related to the presence of the tracheotomy tube.
Overall, two diagnostic groups were found to be independently associated with a poorer prognosis, ie, mechanical ventilation and pulmonary disease.
Mots-clés Pascal : Exploration, Enfant, Homme, Age, Etude statistique, Chirurgie, Trachéotomie, Mortalité, ORL
Mots-clés Pascal anglais : Exploration, Child, Human, Age, Statistical study, Surgery, Tracheotomy, Mortality, ENT
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0466858
Code Inist : 002B25C01. Création : 01/03/1996.