ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2023
Hospital Admissions in Pediatric Patients With Tracheostomies Based on Rurality and Insurance Status.
Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.
- Readmission and mortality among children requiring long-term mechanical ventilation via tracheostomy: a systematic review.BMC pulmonary medicine · 2025Pooled it
- Parental Income and Long-Term Survival in Pediatric Tracheostomy: A Population-Based Study in Taiwan.The Laryngoscope · 2026Article
- The Impact of Rurality on Durable Medical Equipment Access and Discharge Planning for Tracheostomy and Ventilation Care in Nebraska.Laryngoscope investigative otolaryngology · 2026Article
- Pediatric Tracheostomy Year in Review.Respiratory care · 2024Review
- Trend of Pediatric Tracheostomy in Taiwan: A Population-Based Survey from 2000 to 2019.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-facialeArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveDetermine whether rurality or public insurance status is associated with greater 30-day readmission after tracheostomy in pediatric patients. STUDY
designRetrospective cohort.
settingPediatric Health Information System (PHIS) Database.
methodsPatients within PHIS who underwent tracheostomy from 2013 to 2017 were included. Rural status was defined by rural-urban commuting area codes. Insurance status was based on the primary payer. All-cause 30-day readmissions and tracheostomy-related readmissions were recorded. Multivariate logistic regression was performed to test for differences in readmissions between cohorts.
resultsAmong patients, 1092 were rural, and 4329 were publicly insured, with no significant association between rurality and insurance. Compared to nonrural patients, rural patients were more frequently white, less frequently ventilator dependent, and more likely discharged home rather than to a care facility. Publicly insured patients were more frequently non-white. Twenty-eight percent of patients were readmitted within 30 days of discharge. Odds of 30-day readmission were lower in rural patients (odds ratio [OR]: 0.80, 95% confidence interval [CI]: 0.68-0.95, p = .01) but higher in publicly insured (OR: 1.24, 95% CI: 1.09-1.42, p = .001) controlling for age at tracheostomy, sex, race, and ventilator dependence. The odds of tracheostomy-related admission did not differ by rurality but were higher in publicly insured children (1.39, 95% CI: 1.03-1.88, p = .03).
conclusionReadmission within 30 days following tracheostomy was more likely in publicly insured patients and less likely in rural patients. These findings help identify at-risk patients when considering discharge planning and follow-up. More work is needed to understand long-term tracheostomy outcomes in these groups.
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