The Family Impact of Having a Child with a Tracheostomy
Editor's Note: This Manuscript was accepted for publication on July 13, 2020.
The authors have no funding, financial relationships, or conflicts of interest to disclose.
The article was presented as an oral presentation at the Triological Society's Combined Sections Meeting on January 23–25, 2020 in San Diego, California.
Abstract
Objectives
Measure the quality of life among families with children with tracheostomies.
Methods
We performed a prospective cross-sectional analysis of families with children with tracheostomies utilizing the PedQL Family Impact Module—a validated quality of life assessment. We determined if scores were impacted by demographics using regression analysis. We also compared the tracheostomy sample's scores to a previously published cohort of children with severe cerebral palsy and birth defects that required home nursing or nursing home placement using the student's t-test. We determined the effect size of the difference between the two groups using the Cohen's d test.
Results
Ninety-eight families are included in the study. The average (SD) age of tracheostomy placement was 1.6 (3.5) years. The population was 60% (59/98) male and 39% (38/98) Hispanic. The principal reason for tracheostomy was due to respiratory failure (76 out of 98; 78%). The mean (SD) total Family Impact score was 76 (19). The lowest domain score was daily activity problems, mean (SD) = 67 (30) followed by worry (mean = 69, SD = 24). The lowest question score was, “I worry about my child's future,” mean (SD) = 52 (37). When compared to the comparison group of medically fragile children, the scores were statistically similar except for communication totals where tracheostomy patients reported superior scores (78.3 vs. 62.9, 95% CI, −26 to −4.8, P = .005, Cohen's d = −0.66).
Conclusion
The presence of a tracheostomy is associated with QOL scores like other medically fragile children.
Level of Evidence
4 Laryngoscope, 131:911–915, 2021
