Application of a Pediatric Tracheostomy-Specific Risk Tier System Using Administrative Data

In this cohort study, a tracheostomy-specific risk-tier system using administrative data provides meaningful case mix stratification for pediatric tracheostomy hospitalizations and outperforms general severity classification. This approach may support risk-adjusted benchmarking and multicenter comparisons, though modest discrimination limits individual-level prognostic use and warrants further validation.

Corresponding Author: Romaine F. Johnson, MD, MPH, UT Southwestern Medical Center, 2350 N Stemmons Freeway, F6.207, Dallas, TX 75207 (romaine.johnson@utsouthwestern.edu).

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