Tracheostomy trends in paediatric intensive care.
Paediatric tracheostomy is most commonly performed in children on the paediatric intensive care unit (PICU) to facilitate long-term ventilation. We sought to identify trends in UK tracheostomy practice in PICUs. Data were analysed from 250 261 admissions, including 4409 children tracheostomised between 2003 and 2017. The incidence of tracheostomy in 2017 was approximately half that in 2003 (incidence rate ratio=0.48, 95% CI 0.40 to 0.57). The percentage of patients tracheostomised during a PICU admission, as a proportion of all admissions, was 2.44% (n=319) in 2003 and reduced to 0.97% (n=180) in 2017. Nevertheless, we identified great variability in practice between different PICUs with tracheostomy rates between 0.0% and 4.0% of all admissions. Risk-adjusted PICU mortality was comparable between tracheostomised children and all admissions to PICU.
['Powell|Jason|J|0000-0002-1199-8406', 'Buckley|Hannah L|HL|', 'Agbeko|Rachel|R|0000-0001-8931-6869', 'Brodlie|Malcolm|M|', 'Powell|Steven|S|']
D000293:Adolescent D002648:Child D002675:Child, Preschool D005260:Female D006760:Hospitalization D006801:Humans D015994:Incidence D007223:Infant D007231:Infant, Newborn D015278:Intensive Care Units, Pediatric D008297:Male D063087:Noninvasive Ventilation D012121:Respiration, Artificial D014139:Tracheostomy D006113:United Kingdom
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