Evaluation of Tracheostomy Patients in Our Pediatric Intensive Care Unit: A Single-Center Study

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dc.contributor.authorKolbasi, Baris
dc.contributor.authorSenkal, Emine
dc.contributor.authorTaskesen, Mustafa
dc.date.accessioned2025-02-22T14:07:37Z
dc.date.available2025-02-22T14:07:37Z
dc.date.issued2024
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjectives: A tracheostomy is a surgical procedure that can be performed on critically ill patients of all ages in intensive care units as indicated, and its use has been increasing in recent years. The most common indications are prolonged mechanical ventilation and upper airway obstruction. This study aimed to examine the indications for tracheostomy, assess the outcomes of patients who underwent the procedure, and identify the factors affecting these outcomes. Material and method: A retrospective analysis of patients who underwent tracheostomy between 2013 and 2019 at Dicle University Faculty of Medicine Hospital Paediatric Intensive Care Unit (PICU). The patients' age, gender, distribution by age, primary diagnosis at admission to the intensive care unit, indication for tracheostomy, presence of additional disease, type of respiratory support before and after tracheostomy, development of complications (perioperative/postoperative), decannulation status, mortality, and discharge status were recorded. Results: A total of 61 patients were enrolled into the study. The average age of the patients was 81.72 months (SD = 17.5), with the youngest being eight months old and the oldest being 203 months old. Of the 61 patients included in the study, 32 (52%) were male and 29 (48%) were female. The majority of patients (32 patients) were in the preschool age group (25-84 months). The primary diagnosis of 27 patients (44.3%) who underwent tracheostomy was neuromuscular diseases, and the most common indication for tracheostomy was prolonged intubation (24 patients, 39.3%). Concomitant chronic diseases were present in 54 patients (88.5%). Patients received mechanical ventilation support for an average of 47.34 days before tracheostomy. Early tracheostomy (0-21 days after initiation of mechanical ventilation) was performed on 14 patients, and late tracheostomy (21 days and later) was performed on 47 patients. Complications developed in nine patients (14.8%) in the perioperative period and in 19 patients (31.1%) in the postoperative period, while no complications developed in 39 patients (63.9%). Six patients (9.8%) were decannulated. Furthermore, 28 patients (45.9%) died. No tracheostomy-related mortality was documented. Conclusion: Despite most patients being of preschool age, having prolonged intubation prior to tracheostomy, and having accompanying chronic illnesses, tracheostomy remains a frequently used procedure in paediatric intensive care units due to its low complication rates, making it an essential intervention that facilitates discharge from paediatric intensive care.en_US
dc.description.sponsorshipCorresponding author: Emine Senkalen_US
dc.identifier.doi10.7759/cureus.66620
dc.identifier.issn2168-8184
dc.identifier.issue8en_US
dc.identifier.pmid39258088en_US
dc.identifier.urihttps://doi.org/10.7759/cureus.66620
dc.identifier.urihttps://hdl.handle.net/11468/29487
dc.identifier.volume16en_US
dc.identifier.wosWOS:001295365300010
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringernatureen_US
dc.relation.ispartofCureus Journal of Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250222
dc.subjectpaediatric respiratoryen_US
dc.subjectindicationen_US
dc.subjectcomplicationen_US
dc.subjecttracheostomyen_US
dc.subjectpaediatric intensive careen_US
dc.titleEvaluation of Tracheostomy Patients in Our Pediatric Intensive Care Unit: A Single-Center Studyen_US
dc.typeArticleen_US

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