Factors Associated With Accidental Decannulation in Tracheostomized Children

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dc.catalogadorgrr
dc.contributor.authorVillarroel Silva, Gregory
dc.contributor.authorOyarzun, I.J.
dc.contributor.authorBaranao Garces, Patricio
dc.contributor.authorMendez Raggi, Mireya Patricia
dc.contributor.authorFaundez, M.
dc.contributor.authorJalil Contreras, Yorschua Frederick
dc.contributor.authorFernandez, T.R.
dc.contributor.authorMunoz, S.R.
dc.date.accessioned2024-10-28T21:19:57Z
dc.date.available2024-10-28T21:19:57Z
dc.date.issued2023
dc.description.abstractBACKGROUND: Tracheostomy has many benefits for pediatric patients in the ICU, but it is also associated with complications. Accidental decannulation (AD) is a frequent complication and cause of mortality in this population. Our study aimed to determine the factors associated with AD in tracheostomized pediatric subjects. METHODS: This was a case-control study with 1:2 allocation ratio. Participants were tracheostomized children hospitalized in a prolonged mechanical ventilation hospital between 2013–2018. Each child who experienced decannulation during the study period was included as a case at the time of the event. Controls were obtained from the same population and were defined as subjects without an AD event during the same period. RESULTS: One hundred forty patients were hospitalized at Josefina Martinez Hospital at the time, of whom 41 were selected as cases and 82 as controls. Median (interquartile range) age was 20 (12–36) months, being 60% male. The median time from tracheostomy placement to AD event was 364 (167–731) d. Eighty-four percent of subjects were mechanically ventilated. AD mainly occurred by self-decannulation (53.7%). The risk of AD was higher in children who reached the midline in a sitting position (odds ratio 9.5 [95% CI 1.59-53.90]), inner di-ameter (ID) tracheostomy tube size ? 4.0 mm (odds ratio 5.18 [95% CI 1.41-19.06]), and who had been hospitalized in hospital rooms with a low ratio of nursing staff for each subject (1 nurse to 4 subjects) (odds ratio 4.48 [95% CI 1.19-16.80]). CONCLUSIONS: Factors associated with a higher risk of AD in tracheostomized children included the ability to reach the midline in a sitting position, the use of a smaller tracheostomy tube (? 4.0 mm ID), and lower supervision from staff.
dc.fechaingreso.objetodigital2024-10-28
dc.format.extent7 páginas
dc.identifier.doi10.4187/respcare.09673
dc.identifier.eissn1943-3654
dc.identifier.issn1943-3654
dc.identifier.pubmedid37610360
dc.identifier.scopusidSCOPUS_ID:85147437190
dc.identifier.urihttps://doi.org/10.4187/respcare.09673
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88390
dc.identifier.wosidWOS:000935794200002
dc.information.autorucDepartamento de Ciencias de la Salud; Jalil Contreras, Yorschua Frederick; 0000-0002-4993-7158; 1079709
dc.information.autorucDepartamento de Ciencias de la Salud; Villarroel Silva, Gregory; 0000-0001-7500-1858; 1020193
dc.information.autorucEscuela de Medicina; Mendez Raggi, Mireya Patricia; S/I; 1005421
dc.information.autorucDepartamento de Ciencias de la Salud; Baranao Garces, Patricio; S/I; 1012630
dc.issue.numero2
dc.language.isoen
dc.nota.accesocontenido completo
dc.pagina.final179
dc.pagina.inicio173
dc.relation.ispartofRespiratory Care
dc.revistaRespiratory Care
dc.rightsacceso abierto
dc.subjectAccidental decannulation
dc.subjectCase control
dc.subjectChild
dc.subjectRisk factors
dc.subjectTracheostomy
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleFactors Associated With Accidental Decannulation in Tracheostomized Children
dc.typeartículo
dc.volumen68
sipa.codpersvinculados1079709
sipa.codpersvinculados1020193
sipa.codpersvinculados1005421
sipa.codpersvinculados1012630
sipa.trazabilidadSCOPUS;02-03-2023
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