Retrospective Analysis of Factors Leading to Pediatric Tracheostomy Decannulation Failure. A Single-Institution Experience

• DOI: 10.1513/annalsats.201607-553oc
• Publication Date: 2016-10-21T21:49:20Z
• Authors: Anuja Bandyopadhyay; A. Ioana Cristea; Stephanie D. Davis; Veda L. Ackerman; James E. Slaven; Hasnaa E. Jalou; Deborah C. Givan; Ameet Daftary
• Keywords: Tracheomalacia; Laryngomalacia

There is a lack of evidence regarding factors associated with failure tracheostomy decannulation.We aimed to identify characteristics pediatric patients who fail decannulation challenge Methods: A retrospective review was performed on all had at tertiary care center from June 2006 October 2013. Tracheostomy defined as reinsertion the tube within 6 months challenge. Data demographics, indications for tracheostomy, home mechanical ventilation, and comorbidities were collected. also collected specific airway endoscopic findings during predecannulation bronchoscopy surgical procedures before decannulation. We attempted predict outcome by analyzing associations.147 189 (77.8%) successfully decannulated first attempt. due chronic respiratory decreased odds (odds ratio = 0.34, 95% confidence interval 0.15-0.77). Genetic abnormalities (45%) feeding dysfunction (93%) increased in population failing their The presence one comorbidity 68% 1.68, 1.23-2.29). Decannulation pursuit based parental expectation success, rather than medically determined readiness, higher chance (P 0.01).Our study highlights role genetic abnormalities, dysfunction, multiple Our demonstrate that may be predicted indication tracheostomy. Patients placed support likelihood success. Absence surgically treatable obstruction abnormality chances