کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4111457 1605981 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Indications of pediatric tracheostomy over the last 30 years: Has anything changed?
ترجمه فارسی عنوان
علائم تراکئوستومی اطفال در 30 سال گذشته: آیا چیزی تغییر کرده است؟
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

ImportanceRecent reports have shown that the indications for pediatric tracheostomy have evolved over time.ObjectiveTo review the indications for pediatric tracheostomy over the last 30 years.DesignRetrospective chart review.SettingTertiary referral children's hospital.ParticipantsPatients who underwent tracheostomy.InterventionSurgical tracheostomy placement.Main outcomes and measuresMedical records for patients who underwent surgical tracheostomy over the 30-year study period (1984–2014) were reviewed. Patient characteristics including age, gender, birth-weight, gestational age and death were collected and compared with the primary indication for tracheostomy using bivariable analysis.ResultsFive hundred and one patients met inclusion criteria. The most common primary indications for tracheostomy were cardiopulmonary disease (34%) and neurological impairment (32%), followed by airway obstruction (19%), craniofacial (11%), and traumatic injury (4%). Over the last five years (2010–14) cardiopulmonary disease became the most common indication for tracheostomy.Conclusionsand Relevance: The indications for pediatric tracheostomy have evolved over the past 30 years. Infectious causes of airway obstruction and tracheostomy have almost disappeared. Tracheostomy is now most commonly performed in very premature patients with cardiopulmonary or neurological impairment who require prolonged ventilator support.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Pediatric Otorhinolaryngology - Volume 87, August 2016, Pages 144–147
نویسندگان
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