{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T22:47:51Z","timestamp":1769381271132,"version":"3.49.0"},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2006,7,18]],"date-time":"2006-07-18T00:00:00Z","timestamp":1153180800000},"content-version":"vor","delay-in-days":3973,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head & Neck"],"published-print":{"date-parts":[[1995,9]]},"abstract":"Abstract<\/jats:title>Background.<\/jats:italic> The mortality rate of children with tracheotomies is estimated to be between 11% and 40%, although the incidence of tracheotomy\u2010related deaths is only between 0% and 3.4%. The purpose of this report was to analyze the mortality rate in children with tracheotomies.<\/jats:p>Methods.<\/jats:italic> A review of the medical records of children at the University of Iowa Hospitals and Clinics who underwent tracheotomy over a 15\u2010year period ending in 1989 was performed. Data were analyzed in 5\u2010year time blocks (Block 1, 1975 to 1979; Block 2, 1980 to 1984; and Block 3, 1985 to 1989).<\/jats:p>Results.<\/jats:italic> Fifty\u2010two patients died with tracheotomy tubes in place. In 4 patients, the cause of death was tracheotomy related. Three of these patients were under 5 years of age and died secondary to tracheotomy tube displacement or obstruction; one patient, an 18\u2010year\u2010old, developed a fatal tracheotomy\u2010related vascular hemorrhage. The average age of patients who died with tracheotomies decreased significantly from Block 1 to Block 3; in Block 3, mean age at the time of tracheotomy was significantly lower in patients who died than in patients who survived. A comorbidity score (CS) based on the number of airway diagnoses showed that higher CSs were associated with a poorer prognosis.<\/jats:p>Conclusions.<\/jats:italic> Mortality does not seem to be strongly related to the presence of the tracheotomy tube. Overall, two diagnostic groups were found to be independently associated with a poorer prognosis, ie, mechanical ventilation and pulmonary disease. Tracheotomies performed to provide airway access during other surgical procedures were associated with a better prognosis. \u00a9 1995 Jons Wiley & Sons, Inc.<\/jats:p>","DOI":"10.1002\/hed.2880170507","type":"journal-article","created":{"date-parts":[[2007,2,21]],"date-time":"2007-02-21T22:40:30Z","timestamp":1172097630000},"page":"403-408","source":"Crossref","is-referenced-by-count":24,"title":["Mortality in the pediatric patient with tracheotomy"],"prefix":"10.1002","volume":"17","author":[{"given":"Jay M.","family":"Dutton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phyllis M.","family":"Palmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy M.","family":"McCulloch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard J. H.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,7,18]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348949009901109"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197603000-00002"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348948709600117"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198605000-00008"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196209272671301"},{"key":"e_1_2_1_7_2","first-page":"818","article-title":"Tracheotomy in pediatrics","volume":"81","author":"Tucker JA","year":"1972","journal-title":"Ann Otol"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348948209100623"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348948809700501"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348948309200422"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880170409"},{"key":"e_1_2_1_12_2","volume-title":"Clinical Use of Mechanical Ventilation","author":"Taylor H","year":"1981"}],"container-title":["Head & Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.2880170507","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.2880170507","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T13:36:46Z","timestamp":1698241006000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.2880170507"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,9]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1995,9]]}},"alternative-id":["10.1002\/hed.2880170507"],"URL":"https:\/\/doi.org\/10.1002\/hed.2880170507","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,9]]}}}