title: Predictive factors for complications in children with laryngeal damage at extubation.
abstract: OBJECTIVE
  To determine which factors contribute to early complications when intubated children show macroscopic lesions at extubation.
  
  
  METHODS
  Retrospective review of 96 consecutive medical records of children aged 1 day to 15 years. Patients were divided into three groups depending on the extent of the subsequent treatment required: medical, reintubation, and surgical.
  
  
  METHODS
  Age, sex, clinical history, and macroscopic features of the lesions were collected and data were compared in each group.
  
  
  RESULTS
  Underlying noninfectious respiratory diseases and young age were found to be risk factors for higher incidence of complications, but not prolonged or multiple intubations. Edema, especially in the glottic area, was a risk factor for surgical treatment. Multiple lesions were risk factors for reintubation.
  
  
  CONCLUSIONS
  History of intubation, its cause, and lesions discovered at extubation can provide the basis for definition of an "at risk" profile for intubated children.
authors.affiliation: Service d'ORL Pédiatrique, C.H.U. de Tours, Hôpital Clocheville, France.
authors.forename: C
authors.initials: C
authors.lastname: Watier-Launey
authors.forename: A
authors.initials: A
authors.lastname: Buronfosse
authors.forename: E
authors.initials: E
authors.lastname: Saliba
authors.forename: P
authors.initials: P
authors.lastname: Bertrand
authors.forename: M J
authors.initials: MJ
authors.lastname: Ployet
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007818:Laryngeal Diseases / Q000209:etiology*; D008297:Male; D011379:Prognosis; D012307:Risk Factors