Original articleCongenital heart surgeryTracheostomy Among Infants With Hypoplastic Left Heart Syndrome Undergoing Cardiac Operations: A Multicenter Analysis
Section snippets
Patients and Methods
This University of Arkansas for Medical Sciences Institutional Review Board approved this study.
Results
Among 5,721 infants with HLHS undergoing initial palliation or heart transplantation, or both, tracheostomy was performed in 126 patients (2.3%) during the study period (Table 1). The tracheostomy rates were significantly higher in the recent eras (1.9% in 2004 to 2006 vs 3% in 2010 to 2013, p = 0.04; 1.4% in 2007 to 2009 vs 3.0% in 2010 to 2013, p = 0.0007; and 1.9% in 2004 to 2006 vs 1.4% in 2007 to 2009, p = 0.24). Approximately 50% of tracheostomies were noted in patients undergoing stage 1
Comment
In this multiinstitutional retrospective investigation, we examined the clinical characteristics and short-term outcomes of infants with HLHS who had a tracheostomy during their first hospitalization for a palliative operation or heart transplantation, or both, and then identified unique risk factors associated with this procedure. Despite an overall increase in the rates of tracheostomy performed during the study period, the mortality rate did not improve among patients who underwent
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