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Impact of Obesity on Timing of Tracheotomy: A Multi-institutional Retrospective Study.
Yousef, Andrew; Soliman, Shady I; Solomon, Isaac; Panuganti, Bharat A; Francis, David O; Pang, John; Klebaner, Dasha; Asturias, Alicia; Alattar, Ali; Wood, Samuel; Terry, Morgan; Bryson, Paul C; Tipton, Courtney B; Zhao, Elise E; O'Rourke, Ashli; Santa Maria, Chloe; Grimm, David R; Sung, C K; Lao, Wilson P; Thompson, Jordan M; Crawley, Brianna K; Rosen, Sarah; Berezovsky, Anna; Kupfer, Robbi; Hennesy, Theresa B; Clary, Matthew; Joseph, Ian T; Sarhadi, Kamron; Kuhn, Maggie; Abdel-Aty, Yassmeen; Kennedy, Maeve M; Lott, David G; Weissbrod, Philip A.
Afiliación
  • Yousef A; Department of Otolaryngology, University of California San Diego, La Jolla, California, U.S.A.
  • Soliman SI; Department of Otolaryngology, University of California San Diego, La Jolla, California, U.S.A.
  • Solomon I; Department of Otolaryngology, University of California San Diego, La Jolla, California, U.S.A.
  • Panuganti BA; Department of Otolaryngology, The University of Alabama at Birmingham, Birmingham, Alabama, U.S.A.
  • Francis DO; Division of Otolaryngology, Department of Surgery, University of Wisconsin, Madison, Wisconsin, U.S.A.
  • Pang J; Department of Otolaryngology-Head & Neck Surgery, Louisiana State University, Shreveport, Louisiana, U.S.A.
  • Klebaner D; Department of Otolaryngology, University of California San Diego, La Jolla, California, U.S.A.
  • Asturias A; Department of Otolaryngology, University of California San Diego, La Jolla, California, U.S.A.
  • Alattar A; Department of Otolaryngology, University of California San Diego, La Jolla, California, U.S.A.
  • Wood S; Department of Otolaryngology, University of California San Diego, La Jolla, California, U.S.A.
  • Terry M; Department of Otolaryngology, Cleveland Clinic, Cleveland, Ohio, U.S.A.
  • Bryson PC; Department of Otolaryngology, Cleveland Clinic, Cleveland, Ohio, U.S.A.
  • Tipton CB; Department of Otolaryngology, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
  • Zhao EE; Department of Otolaryngology, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
  • O'Rourke A; Department of Otolaryngology, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
  • Santa Maria C; Department of Otolaryngology, Stanford University, Palo Alto, California, U.S.A.
  • Grimm DR; Department of Otolaryngology, Stanford University, Palo Alto, California, U.S.A.
  • Sung CK; Department of Otolaryngology, Stanford University, Palo Alto, California, U.S.A.
  • Lao WP; Department of Otolaryngology, Loma Linda University, Loma Linda, California, U.S.A.
  • Thompson JM; Department of Otolaryngology, Loma Linda University, Loma Linda, California, U.S.A.
  • Crawley BK; Department of Otolaryngology, Loma Linda University, Loma Linda, California, U.S.A.
  • Rosen S; Division of Otolaryngology, Department of Surgery, University of Wisconsin, Madison, Wisconsin, U.S.A.
  • Berezovsky A; Department of Otolaryngology, University of Michigan, Ann Arbor, Michigan, U.S.A.
  • Kupfer R; Department of Otolaryngology, University of Michigan, Ann Arbor, Michigan, U.S.A.
  • Hennesy TB; Department of Otolaryngology, University of Colorado, Aurora, Colorado, U.S.A.
  • Clary M; Department of Otolaryngology, University of Colorado, Aurora, Colorado, U.S.A.
  • Joseph IT; Department of Otolaryngology, University of California Davis, Sacramento, California, U.S.A.
  • Sarhadi K; Department of Otolaryngology, University of California Davis, Sacramento, California, U.S.A.
  • Kuhn M; Department of Otolaryngology, University of California Davis, Sacramento, California, U.S.A.
  • Abdel-Aty Y; Department of Otolaryngology, Mayo Clinic Arizona, Phoenix, Arizona, U.S.A.
  • Kennedy MM; Department of Otolaryngology, Mayo Clinic Arizona, Phoenix, Arizona, U.S.A.
  • Lott DG; Department of Otolaryngology, Mayo Clinic Arizona, Phoenix, Arizona, U.S.A.
  • Weissbrod PA; Department of Otolaryngology, University of California San Diego, La Jolla, California, U.S.A.
Laryngoscope ; 2024 Jun 19.
Article en En | MEDLINE | ID: mdl-38895915
ABSTRACT

OBJECTIVE:

To examine the impact of increased body mass index (BMI) on (1) tracheotomy timing and (2) short-term surgical complications requiring a return to the operating room and 30-day mortality utilizing data from the Multi-Institutional Study on Tracheotomy (MIST).

METHODS:

A retrospective analysis of patients from the MIST database who underwent surgical or percutaneous tracheotomy between 2013 and 2016 at eight institutions was completed. Unadjusted and adjusted logistic regression analyses were used to assess the impact of obesity on tracheotomy timing and complications.

RESULTS:

Among the 3369 patients who underwent tracheotomy, 41.0% were obese and 21.6% were morbidly obese. BMI was associated with higher rates of prolonged intubation prior to tracheotomy accounting for comorbidities, indication for tracheotomy, institution, and type of tracheostomy (p = 0.001). Morbidly obese patients (BMI ≥35 kg/m2) experienced a longer duration of intubation compared with patients with a normal BMI (median days intubated [IQR 25%-75%] 11.0 days [7-17 days] versus 9.0 days [5-14 days]; p < 0.001) but did not have statistically higher rates of return to the operating room within 30 days (p = 0.12) or mortality (p = 0.90) on multivariable analysis. This same finding of prolonged intubation was not seen in overweight, nonobese patients when compared with normal BMI patients (median days intubated [IQR 25%-75%] 10.0 days [6-15 days] versus 10.0 days [6-15 days]; p = 0.36).

CONCLUSION:

BMI was associated with increased duration of intubation prior to tracheotomy. Although morbidly obese patients had a longer duration of intubation, there were no differences in return to the operating room or mortality within 30 days. LEVEL OF EVIDENCE III Laryngoscope, 2024.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos