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J Laryngol Otol. 2012 Dec;126(12):1247-53. doi: 10.1017/S0022215112002289. Epub 2012 Oct 16.

Retrospective, cross-sectional review of delayed discharge after paediatric tracheostomy.

Author information

1
Department of ENT, Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust, UK. amyrafferty@doctors.org.uk

Abstract

OBJECTIVES:

To investigate reasons for prolonged hospitalisation of children with tracheostomies once they are medically fit for discharge.

METHODS:

Retrospective, cross-sectional study of 101 children undergoing tracheostomy between 2000 and 2010.

RESULTS:

Of the study patients, 44.6 per cent did not spend any time in hospital once medically fit, 19.8 per cent spent up to two weeks, 12.9 per cent spent between two weeks and one month, and 22.8 per cent spent over one month. Of the 56 cases with delayed discharge, the majority (22 children, 39.3 per cent) were delayed due to time taken obtaining parental competencies in tracheostomy management. A number of external factors were identified in these delays: parental substance abuse; single parenting; concerns about parenting ability, and English not being the parents' first language.

CONCLUSION:

Paediatric tracheostomy may lead to prolonged hospitalisation, but this is often influenced by social factors. Better use of dedicated specialist paediatric tracheostomy nurses may reduce unnecessary hospitalisation.

PMID:
23067728
DOI:
10.1017/S0022215112002289
[Indexed for MEDLINE]

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