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Scientific Oral Presentations

Pediatric Otolaryngology

Session: Scientific Oral Presentations 6 - Pediatric Otolaryngology

Socioeconomic, Demographic, and Medical Determinants Affecting Gastrostomy Tube-tracheostomy Coordination in Infants with Bronchopulmonary Dysplasia

Monday, October 13, 2025
3:00 PM - 3:06 PM EDT
Location: 233-234
Disclosure(s):
Alexander J. Szymczak, BA:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Introduction: Patients with bronchopulmonary dysplasia (BPD) often require invasive respiratory support and durable enteral access. This study aims to characterize variables associated with concomitant placement of a tracheostomy and gastrostomy tubes (GT) in infants with BPD.

Methods: Retrospective case-series study of infants with BPD who underwent tracheostomy between 1/2015 and 5/2024 at a tertiary-care children’s hospital.

Results: There were 223 tracheostomies performed in infants during the study period, of which 59 (26.5%) had BPD. Fifty-one (86.4%) BPD patients underwent GT. The median gestational age and age at tracheostomy were 26 weeks and 5.5 months. A GT was placed concomitantly with tracheostomy in 22 patients (43.4%), while 16 (31.4%) were placed prior and 13 (25.5%) afterward. A 30-day or shorter interval between tracheostomy and GT occurred in 29.4% of BPD-patients, compared to 5.4% of non-BPD patients (p < 0.0001). General anesthesia was significantly longer in concomitant procedures, compared to tracheostomy alone (205 vs. 110 minutes, p< 0.001). Patients who underwent concurrent placement had a shorter length of stay (6.41 vs. 9.42 months, p = 0.019). Primary language other than English, median income, and insurance type were not associated with concomitant procedures.  Ileus and time to full feeds were similar between the concomitant or sequential procedures.

Conclusions: BPD-patients had shorter time intervals between tracheostomy and GT placement, offering an opportunity to streamline care. Concomitant tracheostomy and GT placement were associated with comparable complication rates and shorter lengths of stay. Further studies are required to evaluate the effect of prolonged time under general anesthesia associated with concomitant procedures.

    Presenting Author(s)

  • Alexander J. Szymczak, BA

    Medical Student
    Northwestern University Feinberg School of Medicine
    Chicago, IL, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

    • Co-Author(s)

  • AD

    Ashley Dodd, MD, MS

    Division of Pediatric Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA, United States

    Disclosure information not submitted.

  • MR

    Matthew J. Rowland, MD

    Assistant Professor
    Lurie Children's Hospital/ Northwestern University
    Chicago, IL, United States

    Disclosure information not submitted.

  • SG

    Seth Goldstein, MD, MPhil

    Division of Pediatric Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA, United States

    Disclosure information not submitted.

    • Senior Author(s)

  • IH

    Inbal Hazkani, MD

    Faculty
    Lurie Childrens Hospital/ North Western University
    Chicago, Illinois, United States

    Disclosure information not submitted.