PMID- 32777978
OWN - NLM
STAT- MEDLINE
DCOM- 20210419
LR  - 20221207
IS  - 1097-6817 (Electronic)
IS  - 0194-5998 (Linking)
VI  - 164
IP  - 1
DP  - 2021 Jan
TI  - The Incidence of Pediatric Tracheostomy and Its Association Among Black Children.
PG  - 206-211
LID - 10.1177/0194599820947016 [doi]
AB  - OBJECTIVE: In 2012, Black or African American children constituted 21% of 
      pediatric tracheostomies while representing approximately 15% of the US 
      population. It is unclear if this discrepancy is due to differences in associated 
      diagnoses. This study aimed to analyze the incidence of pediatric tracheostomy in 
      the United States from 2003 to 2016 and to determine the odds of placement among 
      Black children when compared with other children. STUDY DESIGN: Retrospective. 
      SETTING: Academic hospital. SUBJECTS AND METHODS: We used the 2003 to 2016 Kid 
      Inpatient Database to determine the incidence of pediatric tracheostomy in the 
      United States and determine the odds of tracheostomy placement in Black children 
      when compared with other children. RESULTS: A total of 26,034 pediatric 
      tracheostomies were performed between 2003 and 2016, among which, 21% were Black 
      children. The median age was 7 years (interquartile range [IQR] = 0 to 17); 43% 
      were </=2 years old, and 62% were male. The most common principal diagnosis was 
      respiratory failure (72%). When compared with other children, Black children were 
      more likely to undergo tracheostomy (odds ratio [OR] = 1.2; 95% CI, 1.1-1.3), 
      which increased among children younger than 2 years old (OR = 1.5; 95% CI, 
      1.4-1.5). Black children with tracheostomies were also more likely to be 
      diagnosed with laryngeal stenosis and bronchopulmonary dysplasia and to have an 
      extended length of stay (P < .001). CONCLUSION: Black children are 1.2 times more 
      likely to undergo tracheostomy in the United States compared with other children. 
      Further investigation is warranted to evaluate if there are underlying 
      anatomical, environmental, or psychosocial factors that contribute to this 
      discrepancy.
FAU - Brown, Clarice
AU  - Brown C
AD  - Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical 
      Center, Dallas, Texas, USA.
FAU - Shah, Gopi B
AU  - Shah GB
AD  - Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical 
      Center, Dallas, Texas, USA.
AD  - Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Health, 
      Children's Medical Center Dallas, Dallas, Texas, USA.
FAU - Mitchell, Ron B
AU  - Mitchell RB
AD  - Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical 
      Center, Dallas, Texas, USA.
AD  - Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Health, 
      Children's Medical Center Dallas, Dallas, Texas, USA.
FAU - Lenes-Voit, Felicity
AU  - Lenes-Voit F
AD  - Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical 
      Center, Dallas, Texas, USA.
AD  - Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Health, 
      Children's Medical Center Dallas, Dallas, Texas, USA.
FAU - Johnson, Romaine F
AU  - Johnson RF
AD  - Department of Otolaryngology-Head and Neck Surgery, UT Southwestern Medical 
      Center, Dallas, Texas, USA.
AD  - Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's Health, 
      Children's Medical Center Dallas, Dallas, Texas, USA.
LA  - eng
PT  - Journal Article
DEP - 20200811
PL  - England
TA  - Otolaryngol Head Neck Surg
JT  - Otolaryngology--head and neck surgery : official journal of American Academy of 
      Otolaryngology-Head and Neck Surgery
JID - 8508176
SB  - IM
MH  - Adolescent
MH  - *Black or African American
MH  - Child
MH  - Child, Preschool
MH  - Humans
MH  - Incidence
MH  - Infant
MH  - Infant, Newborn
MH  - Retrospective Studies
MH  - Tracheostomy/*statistics & numerical data
MH  - United States/epidemiology
OTO - NOTNLM
OT  - black
OT  - children
OT  - ethnicity
OT  - pediatric
OT  - tracheostomy
EDAT- 2020/08/12 06:00
MHDA- 2021/04/20 06:00
CRDT- 2020/08/12 06:00
PHST- 2020/08/12 06:00 [pubmed]
PHST- 2021/04/20 06:00 [medline]
PHST- 2020/08/12 06:00 [entrez]
AID - 10.1177/0194599820947016 [doi]
PST - ppublish
SO  - Otolaryngol Head Neck Surg. 2021 Jan;164(1):206-211. doi: 
      10.1177/0194599820947016. Epub 2020 Aug 11.