Teplitzky, Taylor B.Randolph, Nicholas PaulLi, JiPereira, Kevin D.Gopalakrishnan, MathangiHolloway, Adrian2025-01-222025-01-222024Teplitzky, Taylor B., Nicholas Paul Randolph, Ji Li, Kevin D. Pereira, Mathangi Gopalakrishnan, and Adrian Holloway. 揝ignificance of Functional Status Scale in Decannulation after Pediatric Tracheostomy: A Single-Center, Retrospective Study.� Journal of Pediatric Critical Care 11, no. 6 (December 5, 2024): 241. https://doi.org/10.4103/jpcc.jpcc_42_24.https://doi.org/10.4103/jpcc.jpcc_42_24http://hdl.handle.net/11603/37367Background:� Metrics to successfully predict pediatric decannulation have been ineffective. The Functional Status Scale (FSS) is a validated pediatric scoring system of functional outcomes. The objective of this study was to evaluate if the FSS over time predicts pediatric tracheostomy decannulation. Subjects and Methods:� Chart review of patients admitted to the pediatric intensive care unit (PICU) and underwent tracheostomy at a tertiary care children抯 hospital from 2010 to 2019. Baseline demographics, comorbidities, tracheostomy indication, decannulation status, and FSS scores were recorded at PICU discharge and 1 and 3 years after tracheostomy. Logistic regression was performed to assess the association of FSS components with decannulation status at 3 years. Results:� Fifty-three patients met the inclusion criteria. Forty (75.5%) patients had complete data. There were no decannulations at 1 year. Nine (22.5%) patients were decannulated at 3 years. An abnormal 3-year FSS score in the feeding domain was significantly associated with persistent tracheostomy at 3 years, with an odds ratio of 7.4 (95% confidence interval: 1.5�.6, P = 0.01). Conclusions:� FSS score can predict decannulation in children discharged from the PICU. This information could modify caregiver expectations and guide rehabilitative efforts.7 pagesen-USAttribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0Text