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  1. Mortality in the pediatric patient with tracheotomy.

    Article - En anglais

    Background

    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.

    Methods

    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.

    Results

    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.

    Conclusions

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0466858

    Code Inist : 002B25C01. Création : 01/03/1996.