Decreasing tracheostomy placement in hospitalized pediatric patients with subglottic stenosis – Kids’ Inpatient Database (KID) analysis

We aimed to assess procedural trends for tracheostomy placement in the management of children with subglottic stenosis. We hypothesize that with increased use of less invasive airway interventions for subglottic stenosis, tracheostomy may be performed less frequently over time. Data were collected f...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2021-07, Vol.146, p.110760-110760, Article 110760
Main Authors: Ackall, Feras Y., Greda, Dominik, Liu, Beiyu, Lee, Hui-Jie, Routh, Jonathan C., Cheng, Jeffrey
Format: Article
Language:English
Subjects:
Kid's inpatient database (KID)
Pediatric subglottic stenosis
Resource utilization
Tracheostomy
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Summary:We aimed to assess procedural trends for tracheostomy placement in the management of children with subglottic stenosis. We hypothesize that with increased use of less invasive airway interventions for subglottic stenosis, tracheostomy may be performed less frequently over time. Data were collected from the Kids’ Inpatient Database (KID) for pediatric discharges with an admission diagnosis of subglottic stenosis (Stenosis of larynx: ICD-9 code 478.74) from across the United States for years 2000, 2003, 2006, 2009, and 2012. The number of overall procedures and specific airway procedures including tracheostomy (ICD-9-CM codes 31.1, 31.29) were evaluated. A weighted estimate of 18,124 pediatric discharges with a diagnosis of subglottic stenosis were identified. Overall, there was an increase in the mean number of procedures performed during hospitalization from 2000 to 2012 (p 
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2021.110760