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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한신생아학회 Neonatal medicine Neonatal medicine 제21권 제4호
발행연도
2014.1
수록면
238 - 243 (6page)

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Purpose: We aimed to evaluate the clinical outcomes of preterm infants withbronchopulmonary dysplasia after tracheostomy. Methods: Medical records of preterm infants with bronchopulmonary dysplasia(BPD) requiring tracheostomy who were admitted to the neonatal intensive care unitof Seoul National University Hospital between January 1999 and December 2013 werereviewed. Data on the age at tracheostomy, indication for the tracheostomy, and theclinical outcomes were collected. Results: Of all admitted preterm infants, 24 (1.0%) were treated with tracheostomy,and the median age at tracheostomy was 185 days. Fifteen patients (62.5%) wereweaned from mechanical ventilation after tracheostomy. Of these, 56.5% patientswere weaned from positive pressure ventilation (PPV) within 24 months, and 81.3%within 60 months. The median time from the tracheostomy to off-PPV was 15.9months. Decannulation was achieved in 8 patients (33.3%); of these, 41.5% weredecannulated within 24 months, and 69.9% within 60 months. The median time fromthe tracheostomy to decannulation was 48.8 months. In patients with airway disease,the time from the tracheostomy to off-PPV and decannulation was found to beextended. However, the presence of airway disease was not significantly associatedwith the duration of mechanical ventilation, or with the time to decannulation. The5-year survival rate was 80.2% in preterm infants with BPD requiring tracheostomy. Conclusion: Infants with bronchopulmonary dysplasia occasionally requiretracheostomy for prolonged mechanical ventilation. In cases with airway disease, thetime from the tracheostomy to off-PPV and decannulation tended to increase,although this increase couldn’t reach any statistical significance.
#Tracheostomy #Bronchopulmonary dysplasia #Preterm infant

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참고문헌 (21)

참고문헌 신청
Berger TM / 2004 / Impact of improved survival of very low-birth-weight infants on incidence and severity of bronchopulmonary dysplasia / Biol Neonate 86 : 124 ~ 130 google schola Berry JG / 2010 / Patient characteristics associated with inhospital mortality in children following tracheotomy / Arch Dis Child 95 : 703 ~ 710 google schola Cheng J / 2013 / Effect of tracheostomy timing in premature infants / Int J Pediatr Otorhinolaryngol 77 : 1873 ~ 1876 google schola Claas MJ / 2010 / Changes in survival and neonatal morbidity in infants with a birth weight of 750 g or less / Neonatology 98 : 278 ~ 288 google schola Com G / 2013 / Outcomes of children treated with tracheostomy and positive-pressure ventilation at home / Clin Pediatr (Phila) 52 : 54 ~ 61 google schola

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