A multi-institutional analysis of tracheotomy complications
A multi-institutional analysis of tracheotomy complications
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DOI：
10.1002/lary.22364
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发表时间：
2012-01-01
期刊：
影响因子：
2.6
通讯作者：
Merati, Albert L.
中科院分区：
文献类型：
--
作者：
Halum, Stacey L.;Ting, Jonathan Y.;Merati, Albert L.
目的/假设：确定气管切开插管并发症的患病率，并评价与其发生相关的风险因素（RF）。研究设计：多机构历史队列。研究方法：回顾性收集了2008年1月1日至2009年12月31日期间在8家参与机构进行的连续手术中有关气管切开插管并发症的数据。记录并统计分析患者人口统计学资料、合并症、医生专业和手术技术，以确定气管切开术后手术并发症和相关RF的发生率。结果：对来自8个学术机构的1，175例气管切开术的图表进行了审查。耳鼻喉科医生进行了66.2%的气管切开术。术中、早期（< 1周）和晚期并发症发生率分别为1.4%、5.6%和7.1%。术后出血是最常见的早期并发症（2.6%），而气道狭窄是最常见的晚期并发症（1.7%）。使用外凸缘安全缝线锚气管切开插管与早期并发症的发生率呈负相关（P7.5），肥胖与气道狭窄的发生有关（P
Objectives/Hypothesis: To define the prevalence of tracheotomy tube complications and evaluate risk factors (RFs) associated with their occurrence. Study Design: Multi-institution historical cohort. Methods: Data regarding tracheotomy tube complications from consecutive surgeries performed across eight participating institutions between January 1, 2008 and December 31, 2009 were retrospectively collected. Patient demographics, comorbidities, physician specialty, and surgical technique were recorded and statistically analyzed to identify the incidence of surgical complications following tracheotomy and associated RFs. Results: The charts of 1,175 tracheotomy procedures were reviewed from eight academic institutions. Otolaryngologists performed 66.2% of the tracheotomies. Intraoperative, early (< 1 week), and late complication rates were 1.4%, 5.6%, and 7.1%, respectively. Postoperative bleeding was identified as the most common early complication (2.6%), whereas airway stenosis was the most common late complication (1.7%). The use of outer flange security sutures to anchor the tracheostomy tube was negatively associated with the incidence of early complication (P 7.5) and obesity were associated with the development of airway stenosis (P