About: Factors affecting tracheostomy in critically ill paediatric patients in Japan: a data-based analysis

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About: Factors affecting tracheostomy in critically ill paediatric patients in Japan: a data-based analysis Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Factors affecting tracheostomy in critically ill paediatric patients in Japan: a data-based analysis
Creator	Ishihara, Tadashi Tanaka, Hiroshi
Source	PMC
abstract	BACKGROUND: There has been an increasing number of children surviving with high medical needs, for whom tracheostomy and/or home ventilation is part of their chronic disease management. The purpose of this study was to describe the indications, epidemiology, frequency, and associated factors for tracheostomy in critically ill paediatric patients using the data available in the Japanese Registry of Paediatric Acute Care (JaRPAC). METHODS: This multicentre epidemiologic study collected data concerning paediatric tracheostomy from the JaRPAC database. Patients were divided into two groups: those with or without tracheostomies when they were discharged from the Intensive Care Unit (ICU) or Paediatric Intensive Care Unit (PICU). Consecutive patients aged ≤16 years who did not undergo tracheostomy when admitted to ICU or PICU between April 2014 and March 2017 were included. RESULTS: A total of 23 hospitals participated, involving 6199 paediatric patients registered in the JaRPAC database during the study period. Of the registered paediatric patients, 5769 (95%) patients were admitted to the ICUs or PICUs without tracheostomies. Among the patients, 181 patients (3.1%) had undergone tracheostomies. There were significant differences in chronic conditions (134, 74.0% versus 3096, 55.4%, p < 0.01), chromosomal anomalies (19, 10.5% versus 326, 5.8%, p < 0.01), urgent admission (151, 83.4% versus 3093, 55.4%, p < 0.01). More tracheostomies were performed on patients who were admitted for respiratory failure (61, 33.7% versus 926, 16.1%, p < 0.01) and for post-cardiac pulmonary arrest (CPA) resuscitation (40, 22.1% versus 71, 1.1%, p < 0.01). CONCLUSIONS: This is the first report to use a large-scale registry of critically ill paediatric patients in Japan to describe the interrelated factors of tracheostomies. Chronic conditions (especially for neuromuscular disease), chromosomal anomaly, admission due to respiratory failure, or treatment for post-CPA resuscitation all had the possibility to be risk factors for tracheostomy.
has issue date	2020-05-20(xsd:dateTime)
bibo:doi	10.1186/s12887-020-02144-3
bibo:pmid	32434537
has license	cc-by
sha1sum (hex)	b6b2a46d3f6cc0d485dd95aeeaf32289be5aa617
schema:url	https://doi.org/10.1186/s12887-020-02144-3
resource representing a document's title	Factors affecting tracheostomy in critically ill paediatric patients in Japan: a data-based analysis
has PubMed Central identifier	PMC7237622
has PubMed identifier	32434537
schema:publication	BMC Pediatr
resource representing a document's body	covid:b6b2a46d3f6cc0d485dd95aeeaf32289be5aa617#body_text
is schema:about of	named entity 'TRACHEOSTOMY' named entity 'VENTILATION' named entity 'DATA' named entity 'high' named entity 'chronic disease' named entity 'paediatric' named entity 'critically ill' named entity 'Japan' named entity 'Paediatric' named entity 'tracheostomy' named entity 'Japan' named entity 'tracheostomy' named entity 'tracheostomy' named entity 'post-operative care' named entity 'VAP' named entity 'medical condition' named entity 'tracheostomy' named entity 'tracheostomies' named entity 'respiratory disease' named entity '11.1' named entity 'tracheostomy' named entity 'ARDS' named entity 'Risk factors' named entity 'chromosomal anomalies' named entity 'respiratory failure' named entity 'craniofacial' named entity 'ICU' named entity 'PICU' named entity 'ICU' named entity 'intensivists' named entity 'neurological' named entity 'critical care' named entity 'tracheostomies' named entity 'organ systems' named entity 'tracheostomy' named entity 'chronic conditions' named entity 'cardiovascular' named entity 'neuromuscular disease' named entity 'PICU' named entity 'tracheostomy' named entity 'univariate analysis' named entity 'metabolic' named entity 'paediatric' named entity 'control group' named entity 'tracheostomy' named entity 'Japan' named entity 'tracheostomy' named entity 'control group' named entity 'ICUs' named entity 'paediatric' named entity 'tracheostomies' named entity 'VAP' named entity 'tracheostomy' named entity 'chronic condition' named entity 'Chronic conditions' named entity 'structural abnormalities' named entity 'pneumonitis' named entity 'tracheostomy' named entity 'paediatric' named entity 'allergic' named entity 'tracheostomy' named entity 'paediatric' named entity 'upper airway' named entity 'tracheostomy' named entity 'chronic conditions' named entity 'tracheostomy' named entity 'peripherally' named entity 'control group' named entity 'airway obstruction' named entity 'chronic conditions' named entity 'tracheostomy' named entity 'PICU' named entity 'Post-operative care' named entity 'hematologic' named entity 'tracheostomies' named entity 'tracheostomies' named entity 'ICU' named entity 'PIM2' named entity 'PICU' named entity 'Institutional Review Board'

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