Abstract | BACKGROUND: METHODS: A 10-year review was conducted of trauma patients undergoing tracheostomy. Data on demographics, injury severity, tracheostomy type, complications, and outcomes were compared between patients receiving PT or OT and for those with or without tracheal stenosis. RESULTS: Of 616 patients, 265 underwent OT and 351 underwent PT. Median injury severity score was higher for PT (26 vs 24, P = .010). Overall complication rate was not different (PT = 2.3% vs OT = 2.6%, P = .773). There were 9 tracheal stenosis, 4 (1.1%) from the PT group and 5 (1.9%) from the OT group ( P = .509). Mortality was higher in OT patients (15.5% vs 9.7%, P = .030). Patients developing tracheal stenosis were younger (29.8 vs 45.2 years, P = .021) and had a longer intensive care unit length of stay (28.3 vs 18.9 days, P = .036). CONCLUSION:
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Authors | William W Kettunen, Stephen D Helmer, James M Haan |
Journal | American journal of surgery
(Am J Surg)
Vol. 208
Issue 5
Pg. 770-774
(Nov 2014)
ISSN: 1879-1883 [Electronic] United States |
PMID | 24881020
(Publication Type: Comparative Study, Evaluation Study, Journal Article)
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Copyright | Copyright © 2014 Elsevier Inc. All rights reserved. |
Topics |
- Adult
- Female
- Follow-Up Studies
- Humans
- Incidence
- Injury Severity Score
- Male
- Middle Aged
- Postoperative Complications
(epidemiology, etiology)
- Retrospective Studies
- Risk Factors
- Tracheal Stenosis
(epidemiology, etiology)
- Tracheostomy
(methods)
- Treatment Outcome
- Wounds and Injuries
(surgery)
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