Hospital outcomes for pediatric heart transplant recipients undergoing tracheostomy: A multi‐institutional analysis

Tracheostomy is associated with increased mortality and resource utilization in children with CHD. However, the prevalence and hospital outcomes of tracheostomy in children with HTx are not known. We describe the prevalence and compare the post‐HTx hospital outcomes of pediatric patients with Pre‐TT...

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Bibliographic Details
Published in:Pediatric transplantation 2021-05, Vol.25 (3), p.e13904-n/a
Main Authors: Spinner, Joseph A., Denfield, Susan W., Puri, Kriti, Morris, Shaine A., Costello, John M., Moffett, Brady S., Wang, Yunfei, Shekerdemian, Lara S., Tunuguntla, Hari P., Price, Jack F., Heinle, Jeffrey S., Adachi, Iki, Dreyer, William J., Cabrera, Antonio G.
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Children
Cohort Studies
Congenital defects
Female
Heart Transplantation
Hospital Mortality
Humans
Infant
Male
Mediastinitis
Mortality
Ostomy
outcome
Patients
pediatric heart transplant
Pediatrics
Resource utilization
Retrospective Studies
Tracheostomy
Tracheostomy - mortality
Tracheostomy - statistics & numerical data
Tracheotomy
Treatment Outcome
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Summary:Tracheostomy is associated with increased mortality and resource utilization in children with CHD. However, the prevalence and hospital outcomes of tracheostomy in children with HTx are not known. We describe the prevalence and compare the post‐HTx hospital outcomes of pediatric patients with Pre‐TT and Post‐TT to those without tracheostomy. A multi‐institutional retrospective cohort study was performed using the Pediatric Health Information System database. Hospital mortality, mediastinitis, LOS, and costs were compared among patients with Pre‐TT, Post‐TT, and no tracheostomy. Pre‐TT was identified in 29 (1.1%) and Post‐TT was identified in 41 (1.6%) of 2603 index HTx hospitalizations. Patients with Pre‐TT were younger and more likely to have CHD, a non‐cardiac birth defect, or an airway anomaly compared to those without Pre‐TT. Pre‐TT was not independently associated with increased post‐HTx in‐hospital mortality. Age at HTx 
ISSN:1397-3142
1399-3046
DOI:10.1111/petr.13904