ArticleInternational journal of pediatric otorhinolaryngology2017
Factors associated with 30-day all-cause hospital readmission after tracheotomy in pediatric patients.
Article in International journal of pediatric otorhinolaryngology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Readmission and mortality among children requiring long-term mechanical ventilation via tracheostomy: a systematic review.BMC pulmonary medicine · 2025Pooled it
- Risk factors associated with paediatric unplanned hospital readmissions: a systematic review.BMJ open · 2019Pooled it
- Risk factors associated with unplanned readmissions and frequent out-of-hour emergency department visits after pediatric tracheostomy: a nationwide inpatient database study in Japan.European journal of pediatrics · 2025Article
- Care Utilization for Acute Respiratory Infections in Children Requiring Invasive Long-Term Mechanical Ventilation.Pediatric pulmonology · 2025Article
- Factors associated with tracheostomy-associated infection treatment: A multicenter observational study.Pediatric pulmonology · 2024Observational
- Pediatric Tracheostomy Year in Review.Respiratory care · 2024Review
- Diagnosis, management, and outcomes of pediatric tracheostomy-associated infections: A scoping review.Pediatric pulmonology · 2022Article
- [Pediatric tracheotomy: clinical analysis of 95 cases with different etiology].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022Article
- Risk factors associated with 30-day all-cause unplanned hospital readmissions at a tertiary children's hospital in Western Australia.Journal of paediatrics and child health · 2020Article
- Indications and outcomes of paediatric tracheotomy: a descriptive study using a Japanese claims database.BMJ open · 2019Article
- Article
- Early Use of Anti-influenza Medications in Hospitalized Children With Tracheostomy.Pediatrics · 2019Article
- Encounters From Device Complications Among Children With Medical Complexity.Hospital pediatrics · 2019Article
- Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo determine factors associated with post-tracheotomy hospital readmission within 30 days of discharge.
methodsChildren 18 years and younger who underwent tracheotomy at Children's Hospital Los Angeles (CHLA) between 1/1/2005 and 12/31/2013 with at least 30 days of follow-up at CHLA were identified through ICD-9 procedure codes. Patient characteristics and covariates were obtained by linking manual chart review and administrative data. We used multivariate logistic regression to identify the independent association between risk factors and the primary outcome of 30-day all-cause same-hospital readmission.
resultsOf the 273 patients included, the median age at admission was 6 months [interquartile range (IQR): 1-51 months]. Among this primarily male (60.8%) and Hispanic (66.3%) cohort with a high proportion of discharge on positive pressure ventilation (47.1%), the 30-day readmission rate was 22% (n = 60). Of the readmissions, 92% (n = 55) were unplanned and 64% (n = 35) were associated with acute respiratory illnesses. Multivariate regression analysis demonstrated that, among patients ≤12 months, discharge on positive pressure ventilation [adjusted odds ratio (aOR) = 2.88, 95% confidence interval (CI) = 1.19-6.97] was associated with increased odds of readmission, while gastrostomy tube placement during the tracheotomy hospitalization (aOR = 0.42, 95% CI = 0.19-0.96) and prematurity (aOR = 0.35, 95% CI = 0.15-0.83) were associated with decreased odds of readmission. In patients >1 year of age, increased length of hospitalization (aOR = 1.01 per hospital day, 95% CI = 1-1.02) and presence of comorbid malignancy (aOR = 6.03, 95% CI = 1.25-29.16) were associated with increased odds of readmission.
conclusionsOver one-fifth of children undergoing tracheotomy had an unplanned hospital readmission within 30 days after discharge. Because the majority of readmissions were unplanned and due to acute respiratory illnesses, future research should investigate how discharge procedures and improved care coordination may lower readmission rates in high-risk patients (e.g., patients discharged on positive pressure ventilation).
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