Infectious complications after tracheoplasty for congenital tracheal stenosis: a retrospective comparative study
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In brief
In brief
This retrospective study of 47 pediatric patients identified risk factors for infectious complications following tracheoplasty for congenital tracheal stenosis. Low body weight, prolonged surgical and bypass times, and extended postoperative intubation were significantly associated with a 25.5% infection rate, including empyema and mediastinitis in 10.6% of cases.
Written by the GCMD Library team from the article.
Abstract
Purpose
The factors related to infectious complications after tracheoplasty for congenital tracheal stenosis (CTS) remain unclear; we, therefore, assessed these factors in this study.
Methods
We divided 47 patients who underwent slide tracheostomy and tracheal resection for CTS between May 2016 and December 2020 into an infected group and a non-infected group. Their characteristics were compared between groups. Results are presented as the median (range) or incidence.
Results
Infectious complications were observed in 12 patients (25.5%). Empyema and mediastinitis were seen in 5 cases (10.6%). There was a significant difference in the following factors in the infected and non-infected groups, respectively: weight, 5457 (2868–20,750) g and 6554 (2275–20,800) g (p = 0.025); surgical time, 575.5 (313–646) min and 349 (270–651) min (p < 0.001); extracorporeal circulation time, 303.5 (186–610) min and 216 (117–478) min (p = 0.001); and postoperative intubation time, 13 (7–28) days, and 6 (5–22) days (p < 0.001). Age, malnutrition, cardiovascular comorbidities, and preoperative methicillin-resistant Staphylococcus aureus detection were not significantly different between the two groups.
Conclusion
There were a few serious infectious complications and no perioperative deaths. Attention should be paid to low body weight, long surgical and extracorporeal circulation time, and intubation time in relation to infectious complications.