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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dc.contributor.author Xin, Guanyu
dc.contributor.author Ruohoalho, Johanna
dc.contributor.author BÄck, Leif
dc.contributor.author Aro, Katri
dc.contributor.author Tapiovaara, Laura
dc.date.accessioned 2019-11-11T11:03:01Z
dc.date.available 2019-11-11T11:03:01Z
dc.date.issued 2019-07
dc.identifier.citation 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
dc.identifier.other PURE: 128046909
dc.identifier.other PURE UUID: b2a7b024-d1de-44ad-974b-5b2b5ed7241b
dc.identifier.other WOS: 000472048600027
dc.identifier.uri http://hdl.handle.net/10138/306868
dc.description.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. en
dc.format.extent 5
dc.language.iso eng
dc.relation.ispartof European Archives of Oto-Rhino-Laryngology
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Airway
dc.subject Surgical tracheostomy
dc.subject Mortality
dc.subject ENT
dc.subject EXPERIENCE
dc.subject UNIT
dc.subject 3125 Otorhinolaryngology, ophthalmology
dc.title Analysis of 255 tracheostomies in an otorhinolaryngology-head and neck surgery tertiary care center : a safe procedure with a wide spectrum of indications en
dc.type Article
dc.contributor.organization Department of Ophthalmology and Otorhinolaryngology
dc.contributor.organization University of Helsinki
dc.contributor.organization HUS Head and Neck Center
dc.contributor.organization Korva-, nenä- ja kurkkutautien klinikka
dc.contributor.organization University Management
dc.contributor.organization Clinicum
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1007/s00405-019-05466-w
dc.relation.issn 0937-4477
dc.rights.accesslevel openAccess
dc.type.version publishedVersion
dc.identifier.url https://rdcu.be/bWAds

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