Abstract | OBJECTIVE: The objective of this study was to determine the rates of tracheotomy tube placement and subsequent decannulation in all admissions to a single-site, tertiary newborn intensive care unit (NICU). METHODS: Records from total admissions to a tertiary single-site NICU between January 1, 1991, and December 31, 2002, were retrospectively analyzed. Long-term medical follow-up for this cohort included data through September 1, 2003. All patients were analyzed for occurrence of tracheotomy tube placement and decannulation, airway procedures, and comorbidities. RESULTS: There were 10,428 total NICU admissions during the 12-year study period. Seventy-eight (0.7%) of these patients underwent tracheotomy tube placement. Sixty-six of these 78 (85%) infants survived. None of the 12 deaths were related to tracheotomy tube placement. The most common indications for tracheotomy tube placement were subglottic stenosis (32%), chronic lung disease (28%), craniofacial abnormality (14%), chronic ventilator dependency (11%), and a neurologic disorder (8%). Decannulation was achieved in 41 of 66 (62%) survivors. Patients who failed decannulation had a major neurologic disorder, underlying pulmonary disorder, or both. CONCLUSION: A baseline tracheotomy tube placement rate of 0.7% was observed in this single-site tertiary NICU setting. Decannulation was accomplished early in life in two thirds of the surviving infants. Those infants failing decannulation had either severe underlying pulmonary or neurologic disorders.
|
Authors | James D Sidman, Abraham Jaguan, Robert J Couser |
Journal | The Laryngoscope
(Laryngoscope)
Vol. 116
Issue 1
Pg. 136-9
(Jan 2006)
ISSN: 0023-852X [Print] United States |
PMID | 16481826
(Publication Type: Journal Article)
|
Topics |
- Airway Obstruction
(diagnosis, epidemiology, surgery)
- Female
- Follow-Up Studies
- Humans
- Incidence
- Infant, Newborn
- Intensive Care Units, Neonatal
(statistics & numerical data)
- Intubation, Intratracheal
(methods, statistics & numerical data)
- Male
- Medical Records
(statistics & numerical data)
- Minnesota
- Respiration, Artificial
(statistics & numerical data)
- Retrospective Studies
- Risk Factors
- Severity of Illness Index
- Survival Rate
- Tracheotomy
(methods, statistics & numerical data)
- Treatment Outcome
|