In-hospital mortality and length of hospital stay in infants requiring tracheostomy with bronchopulmonary dysplasia

Ronghui Zhu; Yetao Xu; Yuchen Qin; Jinfang Xu; Rui Wang; Shengyong Wu; Yi Cheng; Xiao Luo; Yaoyong Tai; Chenxin Chen; Jia He; Sujuan Wang; Cheng Wu

doi:10.1038/s41372-023-01840-z

In-hospital mortality and length of hospital stay in infants requiring tracheostomy with bronchopulmonary dysplasia

J Perinatol. 2023 Dec 8. doi: 10.1038/s41372-023-01840-z. Online ahead of print.

Authors

Ronghui Zhu^#¹, Yetao Xu^#², Yuchen Qin^#¹, Jinfang Xu¹, Rui Wang¹, Shengyong Wu¹, Yi Cheng¹, Xiao Luo¹, Yaoyong Tai¹, Chenxin Chen¹, Jia He¹, Sujuan Wang³, Cheng Wu⁴

Affiliations

¹ Department of Military Health Statistics, Naval Medical University, Shanghai, China.
² Department of Rehabilitation, Children's Hospital of Fudan University, Shanghai, China.
³ Department of Rehabilitation, Children's Hospital of Fudan University, Shanghai, China. sujuanw@163.com.
⁴ Department of Military Health Statistics, Naval Medical University, Shanghai, China. wucheng@smmu.edu.cn.

^# Contributed equally.

PMID: 38066226
DOI: 10.1038/s41372-023-01840-z

Abstract

Purpose: To investigate in-hospital mortality and hospital length of stay (LOS) in infants requiring tracheostomy with bronchopulmonary dysplasia (BPD).

Methods: We explored the correlation between tracheostomy with in-hospital mortality and LOS in infant patients hospitalized with BPD, using the data from Nationwide Inpatient Sample between 2008 and 2017 in the United States. In-hospital mortality and LOS was compared in patients who underwent tracheostomy with those patients who did not after propensity-score matching.

Results: A total of 10,262 children ≤2 years old hospitalized with BPD, 847 (8%) underwent tracheostomy, and 821 patients underwent tracheostomy were matched with 1602 patients without tracheostomy. Tracheostomy group was correlated with higher in-hospital mortality(OR(95%CI):2.98(2.25-3.95)) and prolonged LOS(absolute difference(95%CI):97.0(85.6-108.4)).

Conclusions: Tracheostomy was correlated with increased in-hospital mortality and prolonged LOS. Such information may contribute to better decision-making process between clinicians and parents regarding tracheostomy to manage parent expectations, as well as better interdisciplinary teamwork.