ISSN 1306-0015 | E-ISSN 1308-6278
Original Article
The outcomes of children with tracheostomy in a tertiary care pediatric intensive care unit in Turkey
1 İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Yoğun Bakım Kliniği, İzmir, Türkiye  
2 İzmir Katip Çelebi Üniversitesi, Çocuk Yoğun Bakım Bilim Dalı, İzmir, Türkiye  
3 İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Acil Servis Kliniği, İzmir, Türkiye  
4 İzmir Tepecik Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, İzmir, Türkiye  
Turk Pediatri Ars 2018; 53: 177-184
DOI: 10.5152/TurkPediatriArs.2018.6586
Key Words: Children, pediatric intensive care unit, prolonged mechanical ventilation, tracheostomy
Abstract

Aim: We aimed to describe which clinical characteristics were associated with the outcome of tracheostomy in our tertiary care pediatric intensive care unit.


Material and Methods
: This was a retrospective review of medical records of pediatric patients who underwent tracheostomy in our Pediatric Intensive Care unit from 2008 to 2014 in Turkey.


Results
: Sixty-three patients were included the study. The median age of patients was 11 (range, 1-195) months. Twenty-five (39.7%) patients were female. The tracheostomy rate was 8.5% over a six-year period. Forty-nine (77.7%) patients were able to be discharged and sent home. The decannulation rate was 12.6% (n=8). The indications for tracheostomy were upper airway obstruction (n=9) and prolonged mechanical ventilation (n=54). The median intubation period before tracheostomy was 32 (range, 1-122) days and the median duration of pediatric intensive care unit stay after tracheostomy was 37 days. A total of 21 (52.5%) patients were weaned off mechanical ventilation. The rate of successful weaning from mechanical ventilation was higher in patients with upper airway obstruction than in those in the prolonged mechanical ventilation group (p=0.021). The complication rate was 25.3% in the pediatric intensive care unit and 11.1% at home.


Conclusions
: Tracheostomy seems safe and improves pediatric patients’ outcomes. The most important factor that affects the prognosis of children who underwent tracheostomy is the indication for tracheostomy. The outcomes are always better if the tracheostomy has been performed because of upper airway obstruction. Performing tracheostomy helps weaning from and off ventilator support and finally the discharge of patients with prolonged mechanical ventilation from the pediatric intensive care unit setting.


Cite this article as
: Kamit Can F, Anıl AB, Anıl M, et al. The outcomes of children with tracheostomy in a tertiary care pediatric İntensive care unit in Turkey. Turk Pediatri Ars 2018; 53(3): 177-84.

 

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