作者
Andrew Yousef, Shady I Soliman, Isaac Solomon, Bharat A Panuganti, David O Francis, John Pang, Dasha Klebaner, Alicia Asturias, Ali Alattar, Samuel Wood, Morgan Terry, Paul C Bryson, Courtney B Tipton, Elise E Zhao, Ashli O'Rourke, Chloe Santa Maria, David R Grimm, CK Sung, Wilson P Lao, Jordan M Thompson, Brianna K Crawley, Sarah Rosen, Anna Berezovsky, Robbi Kupfer, Theresa B Hennesy, Matthew Clary, Ian T Joseph, Kamron Sarhadi, Maggie Kuhn, Yassmeen Abdel-Aty, Maeve M Kennedy, David G Lott, Philip A Weissbrod
发表日期
2024/6/19
期刊
The Laryngoscope
简介
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 …
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