ArticlePediatric research2021
Respiratory, growth, and survival outcomes of infants with tracheostomy and ventilator dependence.
Article in Pediatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Care of Infants and Children with Tracheostomies: An Official American Thoracic Society Clinical Practice Guideline.American journal of respiratory and critical care medicine · 2025Guideline
- Tracheostomy practices in children on mechanical ventilation: a systematic review and meta-analysis.Jornal de pediatriaPooled it
- Change over time in intensive care unit transition after pediatric tracheotomy: A 28-year analysis of shifting outcomes.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Interdisciplinary clinical bronchopulmonary dysplasia programs: development, evolution, and maturation.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Clinical outcomes and associated factors in pediatric patients undergoing tracheostomy in a public intensive care unit.Critical care science · 2026Article
- Tracheal Structural Changes in Tracheostomy-Dependent Children With Bronchopulmonary Dysplasia.Laryngoscope investigative otolaryngology · 2025Article
- Outcomes of Virtually Assisted Personalized Tracheostomy Tubes for Congenital Airway Anomalies.The Laryngoscope · 2025Article
- Shared Perspectives: Evaluating the impact of tracheostomy on quality of life through the voices of children and their parents.International journal of pediatric otorhinolaryngology · 2025Article
- The NICU tracheostomy team: multidisciplinary collaboration for improvement in survival of complex patients.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Mapping health-related quality of life of children and families receiving pediatric invasive home mechanical ventilation: a scoping review protocol.Systematic reviews · 2024Article
- The impact of early tracheostomy on neurodevelopmental outcomes of infants with severe bronchopulmonary dysplasia exposed to postnatal corticosteroids.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Tracheostomy in Severe Bronchopulmonary Dysplasia-How to Decide in the Absence of Evidence.Biomedicines · 2023Review
- Respiratory Outcomes for Ventilator-Dependent Children With Bronchopulmonary Dysplasia.Pediatrics · 2023Article
- Survival and decannulation across indications for infant tracheostomy: a twelve-year single-center cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Tracheostomy in infants with severe bronchopulmonary dysplasia: A review.Frontiers in pediatrics · 2022Review
- Incidence and Long-Term Outcomes of Pediatric Tracheostomy in Japan: A Cohort Study Using a Japanese Claims Database.Pediatrics international : official journal of the Japan Pediatric SocietyArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOutcome of infants with tracheostomy have not been well described in the literature. Our objective was to describe the respiratory, growth, and survival outcomes of infants with tracheostomy.
methodsA retrospective study was conducted on 204 infants born between 2005 and 2015 with tracheostomy at <1 year of age and follow-up in the Infant Tracheostomy and Home Ventilator Clinic up to 4 years of age.
resultsThe mean age at tracheostomy was 4.5 months with median age of 3 months. Median age of decannulation was 32 months. The time from tracheostomy placement to complete discontinuation of mechanical ventilation was 15.4 months and from tracheostomy to decannulation was 33.8 months. Mortality rate was 21% and median age of death was 18 months. Preterm infants with acquired airway and lung disease (BPD) and born at <28 weeks' gestation had a significantly higher survival rate compared to term infants. The z-scores for weight and weight for length improved from the time of discharge (mean chronological age 6.5 months) to first year and remained consistent through 3 years.
conclusionsPremature infants had a higher rate of discontinuation of mechanical ventilation and decannulation compared to term infants. These infants showed consistent growth and comparable survival rate. IMPACT: Infants with tracheostomy and ventilator dependence followed in a multidisciplinary clinic model may have improved survival, growth, and earlier time to decannulation. Preterm infants with acquired airway and lung disease (BPD) with tracheostomy had a higher survival rate compared to term infants with various tracheostomy indications. The age at tracheostomy in infants was 4.5 months and of decannulation was 37 months. Time from tracheostomy to complete discontinuation of mechanical ventilation was 15.4 months. Addition of this data to the sparse literature will be crucial in counseling the families and education of medical staff.
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