Outcomes of children treated with tracheostomy and positive-pressure ventilation at home

Academic Article

Abstract

  • Background. Long-term outcomes for children who survive on tracheostomy and positive-pressure ventilation (TPPV) at home are not well known. Methods. A retrospective review of 20 years of clinical data at a single institution was performed. Outcome measures included 5-year survival, decannulation rate, and neurocognition. Results. A total of 91 children were categorized under neuromotor dysfunction (52%), chronic lung disease (29%), and congenital anomalies (20%). The 5-year survival rates for these categories were 89% (95% confidence interval [CI] = 80%-99%), 76% (95% CI = 57%-100%), and 94% (95% CI = 83%-100%), respectively. Overall, the 5-year decannulation rate was 25% (95% CI = 14%-35%), with children with chronic lung disease having the highest rate (51%). It was found that 14% were extremely delayed in neurocognition. Conclusion. Most children on TPPV at home survive beyond 5 years, and a significant number are decannulated. Primary care physicians and communities should be prepared to accommodate the increasing number of children on TPPV at home. © The Author(s) 2013.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Com G; Kuo DZ; Bauer ML; Lenker CV; Melguizo-Castro MM; Nick TG; Makris CM
  • Start Page

  • 54
  • End Page

  • 61
  • Volume

  • 52
  • Issue

  • 1