Predictors of Clinical Outcomes and Hospital Resource Use of Children After Tracheotomy

The objectives are to describe health outcomes and hospital resource use of children after tracheotomy and identify patient characteristics that correlate with outcomes and hospital resource use. A retrospective analysis of 917 children aged 0 to 18 years undergoing tracheotomy from 36 children'...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2009-08, Vol.124 (2), p.563-572
Main Authors: Berry, Jay G, Graham, Dionne A, Graham, Robert J, Zhou, Jing, Putney, Heather L, O'Brien, Jane E, Roberson, David W, Goldmann, Don A
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Child
Child, Preschool
Children & youth
Chronic Disease
Clinical outcomes
Comorbidity
Demographic aspects
Epidemiology
Female
Follow-Up Studies
General aspects
Health Resources - utilization
Hospital Mortality
Hospital utilization
Hospitals, Pediatric - utilization
Humans
Infant
Infant, Newborn
Infant, Premature, Diseases - mortality
Infant, Premature, Diseases - therapy
Length of Stay - statistics & numerical data
Lung Diseases - mortality
Lung Diseases - therapy
Male
Medical sciences
Miscellaneous
Mortality
Multivariate Analysis
Nervous System Diseases - mortality
Nervous System Diseases - therapy
Patient outcomes
Patient Readmission - statistics & numerical data
Pediatrics
Public health. Hygiene
Public health. Hygiene-occupational medicine
Respiratory System Abnormalities - mortality
Respiratory System Abnormalities - therapy
Survival Rate
Throat surgery
Tracheotomy
Tracheotomy - adverse effects
Tracheotomy - mortality
Tracheotomy - statistics & numerical data
United States
Utilization Review - statistics & numerical data
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Summary:The objectives are to describe health outcomes and hospital resource use of children after tracheotomy and identify patient characteristics that correlate with outcomes and hospital resource use. A retrospective analysis of 917 children aged 0 to 18 years undergoing tracheotomy from 36 children's hospitals in 2002 with follow-up through 2007. Children were identified from ICD-9-CM tracheotomy procedure codes. Comorbid conditions (neurologic impairment [NI], chronic lung disease, upper airway anomaly, prematurity, and trauma) were identified with ICD-9-CM diagnostic codes. Patient characteristics were compared with in-hospital mortality, decannulation, and hospital resource use by using generalized estimating equations. Forty-eight percent of children were
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2008-3491