ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2016
Children and Young Adults Who Received Tracheostomies or Were Initiated on Long-Term Ventilation in PICUs.
Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Tracheostomy practices in children on mechanical ventilation: a systematic review and meta-analysis.Jornal de pediatriaPooled it
- Article
- Assessing and enhancing pediatric residents' knowledge and skills in tracheostomy care through simulation-based training.Frontiers in pediatrics · 2025Article
- Healthcare service use and medical outcomes of tracheostomy-dependent children: a nationwide study.BMJ paediatrics open · 2024Article
- Home values and experiences navigation track (HomeVENT): Supporting decisions about pediatric home ventilation.PEC innovation · 2023Article
- Diagnostic Stewardship in the Pediatric Intensive Care Unit.Infectious disease clinics of North America · 2022Review
- Development and validation of a novel informational booklet for pediatric long-term ventilation decision support.Pediatric pulmonology · 2021Article
- Factors affecting tracheostomy in critically ill paediatric patients in Japan: a data-based analysis.BMC pediatrics · 2020Article
- New Medical Device Acquisition During Pediatric Severe Sepsis Hospitalizations.Critical care medicine · 2020Observational
- Decisions for Long-Term Ventilation for Children. Perspectives of Family Members.Annals of the American Thoracic Society · 2020Article
- Pediatric Long-Term Endotracheal Intubation and Role for Tracheostomy: Patient and Provider Factors.Journal of pediatric intensive care · 2019Article
- Epidemiology of Children With Multiple Complex Chronic Conditions in a Mixed Urban-Rural US Community.Hospital pediatrics · 2019Article
- Going back to the ward-transitioning care back to the ward team.Translational pediatrics · 2018Review
- A multi-institutional analysis of children on long-term non-invasive respiratory support and their outcomes.Pediatric pulmonology · 2018Article
- Length of Stay and Hospital Revisit After Bacterial Tracheostomy-Associated Respiratory Tract Infection Hospitalizations.Hospital pediatrics · 2018Article
- Discussing Benefits and Risks of Tracheostomy: What Physicians Actually Say.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2017Article
- Decisions around Long-term Ventilation for Children. Perspectives of Directors of Pediatric Home Ventilation Programs.Annals of the American Thoracic Society · 2017Article
- Pediatric intermediate care and pediatric intensive care units: PICU metrics and an analysis of patients that use both.Journal of critical care · 2017Article
- Pseudomonas aeruginosa and post-tracheotomy bacterial respiratory tract infection readmissions.Pediatric pulmonology · 2017Article
- The role of osmolality in saline fluid nebulization after tracheostomy: time for changing?BMC pulmonary medicine · 2016Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo characterize patients who received tracheostomies for airway compromise or were initiated on long-term ventilation for chronic respiratory failure in PICUs and to examine variation in the incidence of initiation, patient characteristics, and modalities across sites.
designRetrospective cross-sectional analysis. SETTINGS: Seventy-three North American PICUs that participated in the Virtual Pediatric Systems, LLC. PATIENTS: PICU patients admitted between 2009 and 2011.
interventionsNone. MEASUREMENTS AND MAIN
resultsAmong 115,437 PICU patients, 1.8% received a tracheostomy or were initiated on long-term ventilation; 1,034 received a tracheostomy only, 717 were initiated on invasive ventilation, and 381 were initiated on noninvasive ventilation. Ninety percent had substantial chronic conditions and comorbidities, including more than 50% with moderate or worse cerebral disability upon discharge. Seven percent were initiated after a catastrophic injury/event. Across sites, there was variation in incidence of tracheotomy and initiation of long-term ventilation, ranging from 0% to 4.6%. There also was variation in patient characteristics, time to tracheotomy, number of extubations prior to tracheostomy, and the use of invasive ventilation versus noninvasive ventilation.
conclusionsAlthough the PICU incidence of initiation of tracheostomies and long-term ventilation was relatively uncommon, it suggests that thousands of children and young adults receive these interventions each year in North American PICUs. The majority of them have conditions and comorbidities that impose on-going care needs, beyond those required by artificial airways and long-term ventilation themselves.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.