Analysis of 255 tracheostomies in an otorhinolaryngology-head and neck surgery tertiary care center : a safe procedure with a wide spectrum of indications

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Xin , G , Ruohoalho , J , BÄck , L , Aro , K & Tapiovaara , L 2019 , ' Analysis of 255 tracheostomies in an otorhinolaryngology-head and neck surgery tertiary care center : a safe procedure with a wide spectrum of indications ' , European Archives of Oto-Rhino-Laryngology , vol. 276 , no. 7 , pp. 2069-2073 . https://doi.org/10.1007/s00405-019-05466-w

Title: Analysis of 255 tracheostomies in an otorhinolaryngology-head and neck surgery tertiary care center : a safe procedure with a wide spectrum of indications
Author: Xin, Guanyu; Ruohoalho, Johanna; BÄck, Leif; Aro, Katri; Tapiovaara, Laura
Other contributor: University of Helsinki, Department of Ophthalmology and Otorhinolaryngology
University of Helsinki, Korva-, nenä- ja kurkkutautien klinikka
University of Helsinki, HUS Head and Neck Center
University of Helsinki, Korva-, nenä- ja kurkkutautien klinikka
University of Helsinki, Department of Ophthalmology and Otorhinolaryngology





Date: 2019-07
Language: eng
Number of pages: 5
Belongs to series: European Archives of Oto-Rhino-Laryngology
ISSN: 0937-4477
DOI: https://doi.org/10.1007/s00405-019-05466-w
URI: http://hdl.handle.net/10138/306868
Abstract: PurposeTo review indications, patient characteristics, frequency, and safety for surgical tracheostomies performed by otolaryngologist-head and neck surgeons in a single tertiary care center.MethodsSurgical tracheostomies performed by otolaryngologist-head and neck surgeons at Helsinki University Hospital between January 2014 and February 2017 were retrospectively reviewed. Patient demographics, surgical data, and peri- and postoperative mortality information were collected from the hospital charts. Minimum follow-up was 18months.ResultsThe total population was 255, with a majority (n=181; 71%) of males. The majority of patients (n=178; 70%) were classified as ASA 3 or 4. A total of 198 (78%) patients suffered from head and neck cancer. Multiple (14 altogether) indications for tracheostomy were identified, and simultaneous major head and neck tumor surgery was common (in 58%). Altogether, 163 (64%) patients were decannulated during follow-up with a median cannulation period of 9days (range 1-425). The surgical mortality was 0.4%.ConclusionSimultaneously performed major tumor surgery was the most common indication for a tracheostomy. A notable number of patients had impaired physical status, but relatively insignificant comorbidities. Almost two-thirds of the patients were decannulated during follow-up, although some patients remained tracheostomy dependent for a prolonged period. Tracheostomy was found to be a safe procedure.Level of evidence2b.
Subject: Airway
Surgical tracheostomy
Mortality
ENT
EXPERIENCE
UNIT
3125 Otorhinolaryngology, ophthalmology
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