Chang Gung Memorial Hospital Reports Findings in Tracheotomy (Epidemiology of pediatric tracheotomy: A population-based study using National Health Insurance Research Database in Taiwan): Surgery – Tracheotomy

Health & Medicine Business Daily

2021 DEC 22 (NewsRx) -- By a News Reporter-Staff News Editor at Health & Medicine Business Daily -- New research on Surgery - Tracheotomy is the subject of a report. According to news reporting originating from Chiayi, Taiwan, by NewsRx correspondents, research stated, “Tracheostomy in children is a surgical procedure with considerable morbidity and mortality. However, there is still a lack of population-based survey in pediatric tracheostomy.”

Financial supporters for this research include Taiwan Ministry of Health and Welfare, Taipei Hospital, Taiwan Ministry of Science and Technology.

Our news editors obtained a quote from the research from Chang Gung Memorial Hospital, “This study analyses population-based data in pediatric tracheostomy among different ages in Taiwan. This study used National Health Insurance Research Database in Taiwan. All children (aged <18 years) who underwent tracheostomy during 1997-2016 were identified. We retrieved data regarding baseline characteristics, perioperative care, and mortality associated with pediatric tracheostomy, and compared differences in variables between different age groups. We observed that 2300 children received tracheostomy (mean age, 8.7 years; 64% boys). Regarding the age group distribution of the patients, 585 (25.4%) were infants (<1 year), 227 (9.9%) were toddlers (1-3 years), 175 (7.6%) were preschool-aged children (3-6 years), 317 (13.8%) were school-aged children (6-12 years), and 996 (43.3%) were adolescents (12-18 years). Surgical indications included pulmonary disorders (64.9%), neurological disorders (38.4%), trauma (32.3%), head injury (25.2%), and congenital anomalies (21.5%). Of these patients, 94.9% required intensive care unit (ICU) care, with the mean length of ICU stay being 63.8 days. The mean length of hospital stay was 74.5 days. The overall mortality at the last follow-up was 43.96% (1011/2300), and the tracheostomy related mortality at the last follow-up was 1.43% (33/2300). Compared with adolescents, infants more commonly underwent tracheostomy in the northern area (66.7% vs 37.2%, P< .001), more commonly received tracheostomy indicated by congenital anomalies (53.7 vs 4.6%, P< .001), had longer ICU stays, had longer hospital stays (100.7 vs 57.5 days, P< .001), and had a higher 5-year mortality rate (42.4 vs 29.6%, P< .001). Multivariable logistic and Cox regression models revealed that young age was associated with an increased risk of prolonged hospital stay and long-term mortality, respectively.”

According to the news editors, the research concluded: “This study elaborates the epidemiology of pediatric tracheostomy in different age groups.”

This research has been peer-reviewed.

For more information on this research see: Epidemiology of pediatric tracheotomy: A population-based study using National Health Insurance Research Database in Taiwan. International Journal of Pediatric Otorhinolaryngology, 2021;152:110989. International Journal of Pediatric Otorhinolaryngology can be contacted at: Elsevier Ireland Ltd, Elsevier House, Brookvale Plaza, East Park Shannon, Co, Clare, 00000, Ireland. (Elsevier - www.elsevier.com; International Journal of Pediatric Otorhinolaryngology - http://www.journals.elsevier.com/international-journal-of-pediatric-otorhinolaryngology/)

The news editors report that additional information may be obtained by contacting Yu-Sheng Lin, Division of Cardiology, Dept. of Internal Medicine, Chang Gung Memorial Hospital, Chiayi, Taiwan. Additional authors for this research include Kun-Tai Kang, Che-Yi Lin, Chia-Hsuan Lee and Wei-Chung Hsu.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.ijporl.2021.110989. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Publisher contact information for the International Journal of Pediatric Otorhinolaryngology is: Elsevier Ireland Ltd, Elsevier House, Brookvale Plaza, East Park Shannon, Co, Clare, 00000, Ireland.

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