{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T01:38:10Z","timestamp":1789177090131,"version":"build-2803163510"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S002221512400183X_sec1a\"><jats:title>Objectives<\/jats:title><jats:p>To determine if there have been changes over time for indications and outcomes of tracheostomies in infants.<\/jats:p><\/jats:sec><jats:sec id=\"S002221512400183X_sec2b\"><jats:title>Methods<\/jats:title><jats:p>Retrospective review of infant tracheostomies at a tertiary children\u2019s hospital across two time periods (epoch 1: 1997\u20132008; epoch 2: 2009\u20132020). Patient demographics, tracheostomy indications, comorbidities, length of stay, complications, decannulation and mortality were examined.<\/jats:p><\/jats:sec><jats:sec id=\"S002221512400183X_sec3c\"><jats:title>Results<\/jats:title><jats:p>Seventy-two infants had a tracheostomy (40 epoch 1 <jats:italic>vs<\/jats:italic> 32 epoch 2). Airway obstruction decreased (80 per cent <jats:italic>vs<\/jats:italic> 50 per cent*) and long-term ventilation increased (17.5 per cent <jats:italic>vs<\/jats:italic> 40.6 per cent*) as the primary indication. Early complications decreased between the time periods (30 per cent <jats:italic>vs<\/jats:italic> 6.3 per cent*). The median hospital length of stay was 97 days (interquartile range 53\u2013205.5), total complication rate was 53 per cent, decannulation rate was 61 per cent and mortality rate was 17 per cent (all non-tracheostomy related) across both time periods. There were no significant changes for these outcomes. *(p&lt; 0.05)<\/jats:p><\/jats:sec><jats:sec id=\"S002221512400183X_sec4d\"><jats:title>Conclusion<\/jats:title><jats:p>Long-term ventilation has increased and airway obstruction has decreased as the primary indication for infant tracheostomy over time.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s002221512400183x","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T08:15:38Z","timestamp":1730103338000},"page":"311-319","source":"Crossref","is-referenced-by-count":2,"title":["Tracheostomy in infants in an Australian Tertiary Children\u2019s Hospital: have the indications and outcomes changed?"],"prefix":"10.1017","volume":"139","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8001-9372","authenticated-orcid":false,"given":"Katryna","family":"Pham","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Ho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beckie","family":"Petulla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ju-lee","family":"Oei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hari","family":"Ravindranathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0043-4648","authenticated-orcid":false,"given":"Marlene","family":"Soma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,10,28]]},"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S002221512400183X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T08:08:13Z","timestamp":1747987693000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S002221512400183X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,28]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["S002221512400183X"],"URL":"https:\/\/doi.org\/10.1017\/s002221512400183x","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,28]]}}}