Simón Barquera, Lucia Hernández-Barrera, Stephen J Rothenberg, Enrique Cifuentes
The obesogenic environment around elementary schools: food and beverage marketing to children in two Mexican cities
BMC public health
aimed assess procedural trends tracheostomy placement management children subglottic stenosis hypothesize increased use less invasive airway interventions subglottic stenosis tracheostomy may performed less frequently time data collected kids inpatient database kid pediatric discharges admission diagnosis subglottic stenosis stenosis larynx icd9 code 47874 across united states years 2000 2003 2006 2009 2012 number overall procedures specific airway procedures including tracheostomy icd9cm codes 311 3129 evaluated weighted estimate 18124 pediatric discharges diagnosis subglottic stenosis identified overall increase mean number procedures performed hospitalization 2000 2012 p 0001 however decrease proportion children undergoing tracheostomy placement p 0001 trends past decade us national database revealed decreasing tracheostomy placement hospitalized pediatric patients subglottic stenosis may due change paradigm increased use less invasive possibly endoscopic treatment patient population investigations may helpful identify management paradigms optimize care order help avoid tracheostomy placement