National Variation in the Use of Tracheostomy in Patients With Congenital Heart Disease

Johnson, J. T.; Marino, B. S.; Klugman, D.; Shamszad, P.

Pediatr Crit Care Med. 2017 Jul 12; 18(10):958-964

Abstract

OBJECTIVES: The postsurgical care of children with congenital heart disease may be complicated by the need for cardiorespiratory support, including tracheostomy. The variation of the use of tracheostomy across multiple pediatric cardiac surgical centers has not been defined. We describe multicenter variation in the use of tracheostomy in children undergoing congenital heart surgery. DESIGN: We retrospectively analyzed a multicenter cohort. SETTING: Pediatric Health Information Systems database retrospective cohort. PATIENTS: Children less than 18 years who underwent both tracheostomy and cardiac surgery (1/04-6/14). INTERVENTIONS: Univariate and multivariate statistics were performed, stratifying by high (>/= 75th percentile) and low (

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