G Akangire1,2, W Manimtim1,2, M Nyp1,2, N Townley1,2, H Dai2, M Norberg1, J B Taylor1,2. 1. Center for Infant Pulmonary Disorders, Children's Mercy Hospitals and Clinics, Kansas City, MO, USA. 2. Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA.
Abstract
OBJECTIVE: To identify factors leading to readmission for tracheostomized, ventilator-dependent infants <2 years of age. STUDY DESIGN: Retrospective cohort study of 117 tracheostomized, ventilator-dependent infants followed through 2 years of age. RESULTS: Home ventilator use (at hospital discharge, 6 and 12 months of age), inhaled steroid use (at 12 and 24 months of age), oxygen dependence (at 6 and 12 months of age) and tracheostomy (at discharge, 6 and 12 months of age) were increased risks for rehospitalization. Equipment malfunction throughout the first 2 years also contributed to readmissions. Viral infection, with rhinovirus/enterovirus the most commonly identified pathogen, was the most common etiology for rehospitalization. Diuretic use and initial comorbid diagnoses were not associated with increased risk of rehospitalization. CONCLUSION: The risk for rehospitalization for infants requiring tracheostomy and ventilator support was affected by prolonged oxygen use, prolonged ventilator dependence, inhaled steroid use and equipment malfunction, and was equally distributed throughout the first 2 years of life.
OBJECTIVE: To identify factors leading to readmission for tracheostomized, ventilator-dependent infants <2 years of age. STUDY DESIGN: Retrospective cohort study of 117 tracheostomized, ventilator-dependent infants followed through 2 years of age. RESULTS: Home ventilator use (at hospital discharge, 6 and 12 months of age), inhaled steroid use (at 12 and 24 months of age), oxygen dependence (at 6 and 12 months of age) and tracheostomy (at discharge, 6 and 12 months of age) were increased risks for rehospitalization. Equipment malfunction throughout the first 2 years also contributed to readmissions. Viral infection, with rhinovirus/enterovirus the most commonly identified pathogen, was the most common etiology for rehospitalization. Diuretic use and initial comorbid diagnoses were not associated with increased risk of rehospitalization. CONCLUSION: The risk for rehospitalization for infants requiring tracheostomy and ventilator support was affected by prolonged oxygen use, prolonged ventilator dependence, inhaled steroid use and equipment malfunction, and was equally distributed throughout the first 2 years of life.
Authors: Jason Gien; John Kinsella; Jodi Thrasher; Alicia Grenolds; Steven H Abman; Christopher D Baker Journal: Am J Perinatol Date: 2016-06-29 Impact factor: 1.862
Authors: A Ioana Cristea; Veda L Ackerman; Stephanie D Davis; Aaron E Carroll; Stephen M Downs; Zhangsheng Yu; James E Slaven; Nancy L Swigonski Journal: Pediatr Allergy Immunol Pulmonol Date: 2015-03-01 Impact factor: 1.349
Authors: Jane B Taylor; Mitzi A Go; Michael F Nyp; Jennifer Legino; Michael Norberg; Hongying Dai; William E Truog Journal: Am J Perinatol Date: 2015-06-17 Impact factor: 1.862
Authors: Alison E Overman; Meixia Liu; Stephen C Kurachek; Michael R Shreve; Roy C Maynard; Mark C Mammel; Brooke M Moore Journal: Pediatrics Date: 2013-04-08 Impact factor: 7.124