Clinical outcomes after tracheoplasty in patients with congenital tracheal stenosis in 1997–2014
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In brief
In brief
Retrospective study of 81 congenital tracheal stenosis patients undergoing tracheoplasty (1997-2014) identified key predictors of outcomes. Older age and higher weight at surgery improved 12-month survival, while heavier weight, preoperative balloon dilatation, and absence of carina involvement predicted successful extubation within 2 months.
Written by the GCMD Library team from the article.
Background
Mortality and morbidity of congenital tracheal stenosis (CTS) remain high. The aim of this study was to determine the factors predicting 12-month survival and 2-month successful extubation after tracheoplasty in patients with CTS.
Methods
Retrospective chart reviews were conducted in patients with CTS undergoing tracheoplasty at a single institution between 1997 and 2014. Patients' characteristics at disease onset and tracheoplasty were summarized. Twelve-month survival rate and 2-month extubation rate without tracheotomy after tracheoplasty were analyzed.
Results
We reviewed 81 patients' records. Multivariate analysis for 12-month survival revealed that older age (>2 months, hazard ratio [HR]: 0.08, 95% confidence interval [CI]: 0.02–0.36) or heavier body weight (>4.4 kg, HR: 0.13, 95% CI: 0.02–0.73) at tracheoplasty was a predictive factor for survival. Body weight at tracheoplasty (>8.2 kg, HR: 3.83, 95% CI: 1.88–7.79), preoperative balloon dilatation (HR: 0.30, 95% CI: 0.12–0.78), and carina involvement (HR: 0.36, 95% CI: 0.19–0.69) were predictive factors for successful extubation.
Conclusions
Although CTS management is individualized, age or body weight at tracheoplasty needs to be considered and assessed for survival, as well as preoperative balloon dilatation, and carina involvement for successful extubation.
Levels of Evidence
Level III.