Survival Analysis of Surgical Tracheotomy in Pediatric Patients With Chronic Diseases in a Tertiary Health Center
Objective: To investigate the effect of age group (infants and non-infants) and demographics on survival in pediatrics with tracheotomy.Materials and Methods: Sex, age at the time of the tracheotomy, nationality, parental consanguinity, primary disease, date of discharge from the intensive care unit...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Istanbul University Press
2023-10-01
|
| Series: | The Turkish Journal of Ear Nose and Throat |
| Subjects: | |
| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/19754223218A4544A69B5FDE01A5F8DD |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849323939708272640 |
|---|---|
| author | Osman Erdoğan Hatice Feray Arı Betül Aktaş Kipoğlu Sefa İncaz Ahmet Yükkaldıran |
| author_facet | Osman Erdoğan Hatice Feray Arı Betül Aktaş Kipoğlu Sefa İncaz Ahmet Yükkaldıran |
| author_sort | Osman Erdoğan |
| collection | DOAJ |
| description | Objective: To investigate the effect of age group (infants and non-infants) and demographics on survival in pediatrics with tracheotomy.Materials and Methods: Sex, age at the time of the tracheotomy, nationality, parental consanguinity, primary disease, date of discharge from the intensive care unit, and date of death were obtained from the medical records. The study population was categorized by nationality, parental consanguinity, and age group for survival analysis.Results: The study included 140 pediatric patients who underwent a tracheotomy. The median age of the patients at the time of the tracheotomy was 1.23 years. The median follow-up after tracheotomy was 5.4 months. Consanguinity was present in 70.4% of the parents. Primary diseases were grouped as neurologic (37.1%), neuromuscular (29.3%), metabolic (12.1%), cardiopulmonary (8.6%), traumatic (6.4%), and syndromic (6.4%). Neuromuscular diseases were more common in infants, while neurologic and metabolic diseases were more common in non-infants. Eighteen patients were weaned and four patients were decannulated. The overall mortality rate was 70%. The median overall survival was 214 days. Infants (147 days) had a shorter survival than non-infants (286 days). Parental consanguinity and nationality did not affect survival.Conclusion: In this study, among pediatric patients, infants are associated with a poor prognosis in survival. Neurologic and neuromuscular diseases may be thought to increase mortality among primary diseases. According to our study, it can be suggested that infants who cannot be decannulated due to neuromuscular diseases and are discharged with a tracheostomy are the group that should receive most attention regarding mortality among pediatrics with a tracheostomy. |
| format | Article |
| id | doaj-art-e9cfd20e6e2b41598c6f038c477ab98f |
| institution | Kabale University |
| issn | 2602-4837 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Istanbul University Press |
| record_format | Article |
| series | The Turkish Journal of Ear Nose and Throat |
| spelling | doaj-art-e9cfd20e6e2b41598c6f038c477ab98f2025-08-20T03:48:52ZengIstanbul University PressThe Turkish Journal of Ear Nose and Throat2602-48372023-10-013339910410.26650/Tr-ENT.2023.1344641123456Survival Analysis of Surgical Tracheotomy in Pediatric Patients With Chronic Diseases in a Tertiary Health CenterOsman Erdoğan0https://orcid.org/0000-0001-9384-7881Hatice Feray Arı1https://orcid.org/0000-0002-2208-2524Betül Aktaş Kipoğlu2https://orcid.org/0000-0002-2073-3784Sefa İncaz3https://orcid.org/0000-0002-1937-215XAhmet Yükkaldıran4https://orcid.org/0000-0002-1335-4110Şanlıurfa Eğitim ve Araştırma Hastanesi, Şanlıurfa, TürkiyeAydın Adnan Menderes Üniversitesi, Aydin, TurkiyeŞanlıurfa Eğitim ve Araştırma Hastanesi, Şanlıurfa, TürkiyeŞanlıurfa Eğitim ve Araştırma Hastanesi, Şanlıurfa, TürkiyeÖzel Lotus Hastanesi, Şanlıurfa, TürkiyeObjective: To investigate the effect of age group (infants and non-infants) and demographics on survival in pediatrics with tracheotomy.Materials and Methods: Sex, age at the time of the tracheotomy, nationality, parental consanguinity, primary disease, date of discharge from the intensive care unit, and date of death were obtained from the medical records. The study population was categorized by nationality, parental consanguinity, and age group for survival analysis.Results: The study included 140 pediatric patients who underwent a tracheotomy. The median age of the patients at the time of the tracheotomy was 1.23 years. The median follow-up after tracheotomy was 5.4 months. Consanguinity was present in 70.4% of the parents. Primary diseases were grouped as neurologic (37.1%), neuromuscular (29.3%), metabolic (12.1%), cardiopulmonary (8.6%), traumatic (6.4%), and syndromic (6.4%). Neuromuscular diseases were more common in infants, while neurologic and metabolic diseases were more common in non-infants. Eighteen patients were weaned and four patients were decannulated. The overall mortality rate was 70%. The median overall survival was 214 days. Infants (147 days) had a shorter survival than non-infants (286 days). Parental consanguinity and nationality did not affect survival.Conclusion: In this study, among pediatric patients, infants are associated with a poor prognosis in survival. Neurologic and neuromuscular diseases may be thought to increase mortality among primary diseases. According to our study, it can be suggested that infants who cannot be decannulated due to neuromuscular diseases and are discharged with a tracheostomy are the group that should receive most attention regarding mortality among pediatrics with a tracheostomy.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/19754223218A4544A69B5FDE01A5F8DDinfantsnationalityneurologicparental consanguinitypediatric tracheotomysurvival |
| spellingShingle | Osman Erdoğan Hatice Feray Arı Betül Aktaş Kipoğlu Sefa İncaz Ahmet Yükkaldıran Survival Analysis of Surgical Tracheotomy in Pediatric Patients With Chronic Diseases in a Tertiary Health Center The Turkish Journal of Ear Nose and Throat infants nationality neurologic parental consanguinity pediatric tracheotomy survival |
| title | Survival Analysis of Surgical Tracheotomy in Pediatric Patients With Chronic Diseases in a Tertiary Health Center |
| title_full | Survival Analysis of Surgical Tracheotomy in Pediatric Patients With Chronic Diseases in a Tertiary Health Center |
| title_fullStr | Survival Analysis of Surgical Tracheotomy in Pediatric Patients With Chronic Diseases in a Tertiary Health Center |
| title_full_unstemmed | Survival Analysis of Surgical Tracheotomy in Pediatric Patients With Chronic Diseases in a Tertiary Health Center |
| title_short | Survival Analysis of Surgical Tracheotomy in Pediatric Patients With Chronic Diseases in a Tertiary Health Center |
| title_sort | survival analysis of surgical tracheotomy in pediatric patients with chronic diseases in a tertiary health center |
| topic | infants nationality neurologic parental consanguinity pediatric tracheotomy survival |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/19754223218A4544A69B5FDE01A5F8DD |
| work_keys_str_mv | AT osmanerdogan survivalanalysisofsurgicaltracheotomyinpediatricpatientswithchronicdiseasesinatertiaryhealthcenter AT haticeferayarı survivalanalysisofsurgicaltracheotomyinpediatricpatientswithchronicdiseasesinatertiaryhealthcenter AT betulaktaskipoglu survivalanalysisofsurgicaltracheotomyinpediatricpatientswithchronicdiseasesinatertiaryhealthcenter AT sefaincaz survivalanalysisofsurgicaltracheotomyinpediatricpatientswithchronicdiseasesinatertiaryhealthcenter AT ahmetyukkaldıran survivalanalysisofsurgicaltracheotomyinpediatricpatientswithchronicdiseasesinatertiaryhealthcenter |