Journal article
Tracheostomy dislodgement: Are obese patients at increased risk?
The American journal of surgery, Vol.223(3), pp.566-568
Mar 2022
PMID: 34872713
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Obesity is a risk factor for tracheostomy-related complications. We aimed to investigate whether obesity was associated with a risk of unplanned tracheostomy dislodgement or decannulation (DD).
Retrospective review of patients undergoing tracheostomy at a single institution from 2013 to 2019 was performed. The primary outcome was unplanned DD within 42 days. Obesity was assessed by body mass index (BMI) and skin-to-trachea distance (STT) measured on computed tomographic images.
25 (12%) episodes of unplanned DD occurred in 213 patients within 42 days. BMI ≥35 kg/m2 was associated with STT ≥80 mm (p < 0.0001). On multivariate analysis, STT ≥80 mm but not BMI was an independent predictor of unplanned DD (hazard ratio = 8.34 [95% confidence interval 2.85–24.4]).
STT ≥80 mm was a better predictor of unplanned DD than BMI. Assessment of STT in addition to BMI may be useful to identify patients that would benefit from extended length tracheostomy tubes.
• Obesity is associated with tracheostomy-associated complications.
• Unplanned dislodgement or decannulation (DD) can be a life-threatening complication.
• Skin-to-trachea distance (STT) strongly correlated with body mass index (BMI).
• STT ≥80 mm was a better predictor of unplanned DD than BMI.
• Measuring STT prior to tracheostomy may identify high risk patients for unplanned DD.
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Details
- Title
- Tracheostomy dislodgement: Are obese patients at increased risk?
- Creators
- Ryan Wan - Philadelphia College of Osteopathic MedicineHannah Shin - Philadelphia College of Osteopathic MedicineCourtney Docherty - Philadelphia College of Osteopathic MedicineHamza Bhatti - Philadelphia College of Osteopathic MedicineChelsea Spector - Drexel University College of Medicine, Philadelphia, PA, USABrian Thai - Haverford CollegeAlison Muller - Reading HospitalAnthony Martin - Reading HospitalKrista Gile - University of Massachusetts AmherstAnna Liu - University of Massachusetts AmherstAdrian Ong - Reading Hospital
- Publication Details
- The American journal of surgery, Vol.223(3), pp.566-568
- Publisher
- Elsevier Inc
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine; Surgery
- Web of Science ID
- WOS:000794129000046
- Scopus ID
- 2-s2.0-85120852639
- Other Identifier
- 991021861174404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery