Factors associated with successful decannulation in pediatric tracheostomy patients

Acta Oto-laryngologica
Nozomi TakahashiTetsuo Himi

Abstract

To investigate the outcome of pediatric tracheostomy and identify predictive factors for successful decannulation. We performed a retrospective chart review of a series of 42 consecutive patients of less than 24 months of age who underwent a tracheostomy between 2012 and 2015. Successful decannulation was achieved in 11 patients (26%). Thirty-one patients (74%) remained tracheostomy-dependent. Of the 11 patients who were successfully decannulated, 10 (91%) had only structural disorders and nine (82%) were able to walk unassisted; importantly, nine (82%) were able to swallow following decannulation. In contrast, of the 31 patients who did not tolerate decannulation, 21 (68%) had functional disorders and 18 (58%) were unable to walk unassisted; 20 (65%) of the tracheostomy-dependent patients were unable to swallow after undergoing surgery. Following pediatric tracheostomy procedures, patients with solely structural disorders were significantly more likely to be successfully decannulated compared to patients with functional disorders. Furthermore, the capacity to walk unassisted and swallow after surgery is associated with positive outcomes for decannulation. Our results suggest that an objective evaluation of the ability to walk ...Continue Reading

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Citations

Jan 9, 2020·The Journal of Laryngology and Otology·C SchweigerM Gomes Avelino
Feb 6, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Patricia I FallaPhilippe A Federspil
Nov 17, 2020·Frontiers in Pediatrics·Alessandro AmaddeoBrigitte Fauroux
Nov 18, 2020·Pediatric Pulmonology·Caroline M KolbJenna W Briddell

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