Risk of death at home or on hospital readmission after discharge with pediatric tracheostomy

To evaluate outcomes of patients discharged home following tracheostomy, including the timing and place of death for non-survivors. We retrospectively reviewed medical records of infants undergoing tracheostomy between 2006 and 2017, within the first year of life for congenital or acquired neonatal...

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Bibliographic Details
Published in:	Journal of perinatology 2023-08, Vol.43 (8), p.1020-1028
Main Authors:	Kukora, Stephanie K, Van Horn, Adam, Thatcher, Aaron, Pace, Rachel A, Schumacher, Robert E, Attar, Mohammad A
Format:	Article
Language:	eng
Subjects:	Babies Child mortality Death Health risks Hospitalization Mechanical ventilation Medical records Mortality Multivariate analysis Neonates Patients Pediatrics Respiratory tract Risk Tracheostomy
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Summary:	To evaluate outcomes of patients discharged home following tracheostomy, including the timing and place of death for non-survivors. We retrospectively reviewed medical records of infants undergoing tracheostomy between 2006 and 2017, within the first year of life for congenital or acquired neonatal conditions. Of the 224 patients discharged after tracheostomy, 127 (57%) required home mechanical ventilation (MV). Overall, 40 (18%) patients died (65% were on MV); 38% of the deaths occurred at home and 63% at a subsequent hospitalization. Having tube feeding was identified as significantly associated with increased mortality on multivariate analysis. Having a tracheostomy for upper airway obstruction was the only variable significantly associated with increased risk of death at home on multivariate analysis. Having tube feeding was associated with increased risk of death overall and having the tracheostomy for obstructive airway conditions was associated with death occurring at home.
ISSN:	0743-8346 1476-5543