A twenty year (1971e1990) review of tracheostomies in a major paediatric hospital.
Copyright (c) 1996 Elsevier Science B.V. All rights reserved.
Changing trends in the indications for paediatric tracheostomies, with decreasing numbers of tracheostomies being performed, have been reported in the literature.
In a retrospective analysis of the period 1971 to 1990 the experience of tracheostomies in children under the age of 15 at Our Lady s Hospital (Dublin) is reviewed.
Only 29 tracheostomies were performed during this time with an increase in numbers (90%) performed during the second 10 year period.
The major underlying indication for tracheostomy in both 10 year periods was for the management of an airway problem secondary to congenital abnormalities (65%). In 14 children the operation was performed during the first year of life.
However, while 90% of the children were under the age of one in the period 1971e1980 this fell to 26% during 1981e1990.
Complications occurred in 41% overall, however, in the under 1 year old group 64% developed complications.
There were no deaths as a direct result of the tracheostomy or its complications, but six children died because of the severity of the underlying disease.
The average length of time before decannulation was 2.1 years, with decannulation difficulties occurring infrequently (11%).
Mots-clés Pascal : Enfant, Homme, Indication, Epidémiologie, Complication, Voie respiratoire, Santé publique, Chirurgie, ORL pathologie, Trachéostomie
Mots-clés Pascal anglais : Child, Human, Indication, Epidemiology, Complication, Respiratory tract, Surgery, ENT disease, Tracheostomy
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0178063
Code Inist : 002B25C01. Création : 199608.