We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Systematic Review of Slide Tracheoplasty Outcomes.
- Authors
Zalzal, Habib G.; Behzadpour, Hengameh K.; Leonard, James; Sinha, Pranava; Preciado, Diego A.
- Abstract
Objective: To identify factors predicting success in slide tracheoplasty surgery at a regional children's hospital and compare with available published literature. Measures: Retrospective chart review comparing demographics (age, weight) and clinical (operative and hospital course, need for additional airway intervention) factors experienced with slide tracheoplasty. Findings were compared with a systematic review of published literature. Results: Of the 16 tracheal stenosis patients in our cohort, 13 (81.3%) presented with an additional congenital or cardiovascular anomaly. When adjusted for cardiovascular anomalies, congenital tracheal stenosis patients had a mean age of 5.2 months (range 6 days-17 months), mean weight of 5.04 kg, and average ICU and hospital length of stay of 31.5 and 36.0 days, respectively. Tracheostomy was required for 4 patients and no early deaths were recorded. Of the 391 children in the grouped cohort, mean age and weight was older at 7.67 months and larger at 5.70 kg. Length of stay in both ICU and overall hospital course was 31.6 and 43.5 days, respectively. Mortality etiology for 44 patients was reported: 17 (38.6%) cardiac-related and 28 (63.6%) late mortalities. Our overall calculated mortality risk of 1.26 (P <.05) was lower than reported ratios of 2.0+. Conclusion: Despite the numerous institutional studies involving tracheal stenosis, mortality and surgical challenges remain high. Future studies with the inclusion of specific perioperative data can prove to further evaluate correlations between presentation characteristics and mortality.
- Subjects
ONLINE information services; LENGTH of stay in hospitals; INTENSIVE care units; OPERATIVE otolaryngology; TRACHEAL diseases; ACADEMIC medical centers; NOSOLOGY; CONFIDENCE intervals; BODY weight; CARDIOVASCULAR system abnormalities; STENOSIS; CHILDREN'S hospitals; SYSTEMATIC reviews; AGE distribution; AIRWAY (Anatomy); ACQUISITION of data; RETROSPECTIVE studies; EXTRACORPOREAL membrane oxygenation; TREATMENT effectiveness; RISK assessment; MEDICAL records; DESCRIPTIVE statistics; MEDLINE; DATA analysis software; STATISTICAL models; PROPORTIONAL hazards models; COMORBIDITY; CHILDREN
- Publication
Annals of Otology, Rhinology & Laryngology, 2023, Vol 132, Issue 5, p558
- ISSN
0003-4894
- Publication type
Article
- DOI
10.1177/00034894221104955