Clinical Outcome of Infants Who Underwent Tracheostomy in Neonatal Intensive Care Unit: 16 years’ Experience in a Single Center
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Purpose: This study was designed to review the clinical outcome of infants whounderwent tracheostomy in the neonatal intensive care unit (NICU) of a singlecenter in Korea during 16 years. Methods: We retrospectively reviewed medical records of 33 patients who underwenttracheostomy in NICU of Samsung Medical Center between January, 1997 andDecember, 2013. We collected data on timing, indications, clinical outcomes, andcomplications of tracheostomy in the study patients. We also compared thesevariables with those in another single center study (study A) recently showing theoutcome of infants who underwent tracheostomy in a NICU of USA during 10 years. Results: The median gestational age and birth weight of the study patients were 35weeks, and 3,200 g, respectively. Gestational age of the study patients was greaterthan that of study A (35 weeks vs. 27 weeks). The most common indication fortracheostomy was airway disease (69.7%) in our study. Bronchopulmonary dysplasia(9%) was less frequent indication for tracheostomy in our study when comparedwith in the study A (41%). Granuloma formation was the most common complicationof tracheostomy (48%) and decannulation was accomplished in nine patients(27.3%). Although the mortality rate was 12.1%, no patient died from tracheostomyrelatedcomplications. Conclusion: Main causes of tracheostomy in our NICU are airway problems andneuromuscular diseases rather than bronchopulmonary dysplasia itself. For betterclarification of clinical courses and outcomes related to tracheostomy performed inNICU in Korea, further study in a larger population will be needed.
Abstract
Purpose: This study was designed to review the clinical outcome of infants whounderwent tracheostomy in the neonatal intensive care unit (NICU) of a singlecenter in Korea during 16 years. Methods: We retrospectively reviewed medical records of 33 patients who underwenttracheostomy in NICU of Samsung Medical Center between January, 1997 andDecember, 2013. We collected data on timing, indications, clinical outcomes, andcomplications of tracheostomy in the study patients. We also compared thesevariables with those in another single center study (study A) recently showing theoutcome of infants who underwent tracheostomy in a NICU of USA during 10 years. Results: The median gestational age and birth weight of the study patients were 35weeks, and 3,200 g, respectively. Gestational age of the study patients was greaterthan that of study A (35 weeks vs. 27 weeks). The most common indication fortracheostomy was airway disease (69.7%) in our study. Bronchopulmonary dysplasia(9%) was less frequent indication for tracheostomy in our study when comparedwith in the study A (41%). Granuloma formation was the most common complicationof tracheostomy (48%) and decannulation was accomplished in nine patients(27.3%). Although the mortality rate was 12.1%, no patient died from tracheostomyrelatedcomplications. Conclusion: Main causes of tracheostomy in our NICU are airway problems andneuromuscular diseases rather than bronchopulmonary dysplasia itself. For betterclarification of clinical courses and outcomes related to tracheostomy performed inNICU in Korea, further study in a larger population will be needed.
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