Abstract
Background: Tracheotomy is a common procedure for otolaryngologists. The risk of complications is difficult to predict. This study aims to identify measurable preoperative indicators associated with adverse events following tracheotomy. Methods: The charts of adults undergoing tracheotomy for respiratory failure at one of four university-affiliated hospitals between 1/2012 and 8/2018 were reviewed. Complications were analyzed in the context of demographics, physiologic parameters, and comorbidities. Results: Among 507 tracheotomies performed, the most common complications included infection, bleeding, and cardiac arrest. Mortality was 39 % in patients with pulmonary hypertension, 42 % in those with ejection fraction ≤ 40 and 32 % in those with abnormal right ventricular function, double the rates in patients without each of these findings. Conclusion: Many critically ill tracheotomy patients experience significant rates of adverse events. Risk factors for mortality include ejection fraction ≤ 40, pulmonary hypertension, and abnormal ventricular function. These should be considered for use in preoperative counseling. Level of evidence: 4.
Original language | English (US) |
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Article number | 103773 |
Journal | American Journal of Otolaryngology - Head and Neck Medicine and Surgery |
Volume | 44 |
Issue number | 2 |
DOIs | |
State | Published - Mar 1 2023 |
Keywords
- Echocardiogram
- Prognosticators
- Respiratory failure
- Tracheostomy
- Tracheotomy
ASJC Scopus subject areas
- Otorhinolaryngology