{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T10:27:52Z","timestamp":1775816872231,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T00:00:00Z","timestamp":1687132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Postoperative airway concerns persist despite a low rate of post\u2010supraglottoplasty complications for children with laryngomalacia. The objective of this study is to determine the factors associated with the need for intensive care unit (ICU) admission following supraglottoplasty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 7\u2010year retrospective cohort analysis was conducted between 2014 and 2021. A patient requiring ICU level of care was defined as the use of respiratory support such as intubation, positive pressure ventilation, high\u2010flow nasal cannula, or multiple doses of nebulized epinephrine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>About 134 medical charts were reviewed; 12 patients were excluded because of concurrent surgery. Age at the time of surgery was 2.8 (4.3) months (median [interquartile range]). About 33 (27.0%) ultimately required ICU\u2010level care. Prematurity (odds ratio [OR] 13.8), neurological condition (OR \u221e), American Society of Anesthesiology class 3\u20134 (OR 6.5), and younger age (OR 1.8) were more likely to require ICU admission. No patient above 10\u2009months of age needed ICU monitoring. The use of respiratory support justifying ICU was known within the first 4\u2009h after surgery for almost all (32\/33, 97%) of these patients. 4\/33 (12.1%) were kept intubated and the remaining needed non\u2010invasive ventilation. Only one patient (1\/122, 0.8%) was reintubated 12\u2009h after surgery for progressive respiratory distress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Approximately a quarter of patients required ICU\u2010level care after supraglottoplasty. For nearly all patients without comorbidities requiring ICU, this can be safely predicted within the first 4\u2009h after surgery. Our data suggest that selected patients undergoing supraglottoplasty may be safely monitored outside of an ICU setting after an observation period in the post\u2010anesthesia care unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 134:466\u2013470, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30813","type":"journal-article","created":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T09:58:55Z","timestamp":1687168735000},"page":"466-470","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Evaluating the Need for Intensive Care Admission After Supraglottoplasty for Severe Laryngomalacia"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9909-9765","authenticated-orcid":false,"given":"Carolanne","family":"Gagnon","sequence":"first","affiliation":[{"name":"Department of Pediatric Otolaryngology\u2010Head and Neck Surgery CHU Ste\u2010Justine  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"B\u00e9rub\u00e9","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Universit\u00e9 de Montr\u00e9al  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micha\u00ebl","family":"Sauthier","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Intensive Care Unit CHU Ste\u2010Justine  Montreal Quebec Canada"},{"name":"CHU Sainte Justine Research Institute CHU Sainte Justine  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"No\u00e9mie","family":"Rouillard\u2010Bazinet","sequence":"additional","affiliation":[{"name":"Department of Pediatric Otolaryngology\u2010Head and Neck Surgery CHU Ste\u2010Justine  Montreal Quebec Canada"},{"name":"CHU Sainte Justine Research Institute CHU Sainte Justine  Montreal 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Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30813","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T12:58:13Z","timestamp":1719925093000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.30813"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,19]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/lary.30813"],"URL":"https:\/\/doi.org\/10.1002\/lary.30813","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,19]]},"assertion":[{"value":"2023-01-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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