Impact of Obesity on Timing of Tracheotomy: A Multi‐institutional Retrospective Study
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 analys...
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| Veröffentlicht in: | The Laryngoscope 2024-11, Vol.134 (11), p.4674-4681 |
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| creator | 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. |
| description | 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 |
| doi_str_mv | 10.1002/lary.31586 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3070804249</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3114823153</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2466-cd74a773062b4d9d58287486e0623bd0326904ca3a891f28205c177b61ebb1c83</originalsourceid><addsrcrecordid>eNp9kMtKw0AUhgdRbK1ufAAJuBEhda7JxF0pXgqVQq2oqzCZTHVKkqmZiZKdj-Az-iRObXXhwtWB_3z8nPMBcIhgH0GIzwpRt32CGI-2QBcxgkKaJGwbdP2ShJzhhw7Ys3YBIYoJg7ugQzhPWIJYF9yPyqWQLjDzYJIpq10bmCqY6VJXT6twVgv5rIwzZXseDIKbpnD68_1DV9Zp1zhtKlEEU-VqY5dKOv2qglvX5O0-2JmLwqqDzeyBu8uL2fA6HE-uRsPBOJSYRlEo85iKOCYwwhnNk5xxzGPKI-UDkuWQ4CiBVAoieILmmGPIJIrjLEIqy5DkpAdO1r3L2rw0yrq01FaqohCVMo1NCYwhhxTTxKPHf9CFaWp_v6cQohx7hcRTp2tK-pdsrebpstalN5wimK50pyvd6bduDx9tKpusVPkv-uPXA2gNvOlCtf9UpePB9HFd-gUNUoo9</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3114823153</pqid></control><display><type>article</type><title>Impact of Obesity on Timing of Tracheotomy: A Multi‐institutional Retrospective Study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>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.</creator><creatorcontrib>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.</creatorcontrib><description>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
3 Laryngoscope, 134:4674–4681, 2024
This retrospective multi‐institutional study shows differences in tracheotomy timing based on BMI. Patients with obesity had delays in tracheostomy timing compared with patients with a normal BMI.</description><identifier>ISSN: 0023-852X</identifier><identifier>ISSN: 1531-4995</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.31586</identifier><identifier>PMID: 38895915</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adult ; Aged ; Body Mass Index ; Female ; Humans ; Intubation ; Intubation, Intratracheal - statistics & numerical data ; Male ; Middle Aged ; Mortality ; Obesity ; Obesity - complications ; Obesity, Morbid - complications ; Obesity, Morbid - surgery ; Ostomy ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; prolonged intubation ; Retrospective Studies ; Risk Factors ; short‐term complications ; Time Factors ; Tracheotomy ; Tracheotomy - adverse effects ; Tracheotomy - methods ; Tracheotomy - statistics & numerical data</subject><ispartof>The Laryngoscope, 2024-11, Vol.134 (11), p.4674-4681</ispartof><rights>2024 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2466-cd74a773062b4d9d58287486e0623bd0326904ca3a891f28205c177b61ebb1c83</cites><orcidid>0000-0002-7546-1472 ; 0000-0003-1011-0433 ; 0000-0003-1573-8895 ; 0000-0002-3670-8540 ; 0000-0003-1617-8850 ; 0000-0001-6541-9687 ; 0000-0002-3126-1655 ; 0000-0001-9795-6452 ; 0000-0002-1293-501X ; 0000-0002-7422-4280 ; 0000-0002-2084-8397 ; 0000-0002-4952-6711 ; 0000-0001-7366-6696 ; 0000-0001-7977-6925</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.31586$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.31586$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38895915$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yousef, Andrew</creatorcontrib><creatorcontrib>Soliman, Shady I.</creatorcontrib><creatorcontrib>Solomon, Isaac</creatorcontrib><creatorcontrib>Panuganti, Bharat A.</creatorcontrib><creatorcontrib>Francis, David O.</creatorcontrib><creatorcontrib>Pang, John</creatorcontrib><creatorcontrib>Klebaner, Dasha</creatorcontrib><creatorcontrib>Asturias, Alicia</creatorcontrib><creatorcontrib>Alattar, Ali</creatorcontrib><creatorcontrib>Wood, Samuel</creatorcontrib><creatorcontrib>Terry, Morgan</creatorcontrib><creatorcontrib>Bryson, Paul C.</creatorcontrib><creatorcontrib>Tipton, Courtney B.</creatorcontrib><creatorcontrib>Zhao, Elise E.</creatorcontrib><creatorcontrib>O'Rourke, Ashli</creatorcontrib><creatorcontrib>Santa Maria, Chloe</creatorcontrib><creatorcontrib>Grimm, David R.</creatorcontrib><creatorcontrib>Sung, C.K.</creatorcontrib><creatorcontrib>Lao, Wilson P.</creatorcontrib><creatorcontrib>Thompson, Jordan M.</creatorcontrib><creatorcontrib>Crawley, Brianna K.</creatorcontrib><creatorcontrib>Rosen, Sarah</creatorcontrib><creatorcontrib>Berezovsky, Anna</creatorcontrib><creatorcontrib>Kupfer, Robbi</creatorcontrib><creatorcontrib>Hennesy, Theresa B.</creatorcontrib><creatorcontrib>Clary, Matthew</creatorcontrib><creatorcontrib>Joseph, Ian T.</creatorcontrib><creatorcontrib>Sarhadi, Kamron</creatorcontrib><creatorcontrib>Kuhn, Maggie</creatorcontrib><creatorcontrib>Abdel‐Aty, Yassmeen</creatorcontrib><creatorcontrib>Kennedy, Maeve M.</creatorcontrib><creatorcontrib>Lott, David G.</creatorcontrib><creatorcontrib>Weissbrod, Philip A.</creatorcontrib><title>Impact of Obesity on Timing of Tracheotomy: A Multi‐institutional Retrospective Study</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>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
3 Laryngoscope, 134:4674–4681, 2024
This retrospective multi‐institutional study shows differences in tracheotomy timing based on BMI. Patients with obesity had delays in tracheostomy timing compared with patients with a normal BMI.</description><subject>Adult</subject><subject>Aged</subject><subject>Body Mass Index</subject><subject>Female</subject><subject>Humans</subject><subject>Intubation</subject><subject>Intubation, Intratracheal - statistics & numerical data</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity, Morbid - complications</subject><subject>Obesity, Morbid - surgery</subject><subject>Ostomy</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>prolonged intubation</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>short‐term complications</subject><subject>Time Factors</subject><subject>Tracheotomy</subject><subject>Tracheotomy - adverse effects</subject><subject>Tracheotomy - methods</subject><subject>Tracheotomy - statistics & numerical data</subject><issn>0023-852X</issn><issn>1531-4995</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKw0AUhgdRbK1ufAAJuBEhda7JxF0pXgqVQq2oqzCZTHVKkqmZiZKdj-Az-iRObXXhwtWB_3z8nPMBcIhgH0GIzwpRt32CGI-2QBcxgkKaJGwbdP2ShJzhhw7Ys3YBIYoJg7ugQzhPWIJYF9yPyqWQLjDzYJIpq10bmCqY6VJXT6twVgv5rIwzZXseDIKbpnD68_1DV9Zp1zhtKlEEU-VqY5dKOv2qglvX5O0-2JmLwqqDzeyBu8uL2fA6HE-uRsPBOJSYRlEo85iKOCYwwhnNk5xxzGPKI-UDkuWQ4CiBVAoieILmmGPIJIrjLEIqy5DkpAdO1r3L2rw0yrq01FaqohCVMo1NCYwhhxTTxKPHf9CFaWp_v6cQohx7hcRTp2tK-pdsrebpstalN5wimK50pyvd6bduDx9tKpusVPkv-uPXA2gNvOlCtf9UpePB9HFd-gUNUoo9</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Yousef, Andrew</creator><creator>Soliman, Shady I.</creator><creator>Solomon, Isaac</creator><creator>Panuganti, Bharat A.</creator><creator>Francis, David O.</creator><creator>Pang, John</creator><creator>Klebaner, Dasha</creator><creator>Asturias, Alicia</creator><creator>Alattar, Ali</creator><creator>Wood, Samuel</creator><creator>Terry, Morgan</creator><creator>Bryson, Paul C.</creator><creator>Tipton, Courtney B.</creator><creator>Zhao, Elise E.</creator><creator>O'Rourke, Ashli</creator><creator>Santa Maria, Chloe</creator><creator>Grimm, David R.</creator><creator>Sung, C.K.</creator><creator>Lao, Wilson P.</creator><creator>Thompson, Jordan M.</creator><creator>Crawley, Brianna K.</creator><creator>Rosen, Sarah</creator><creator>Berezovsky, Anna</creator><creator>Kupfer, Robbi</creator><creator>Hennesy, Theresa B.</creator><creator>Clary, Matthew</creator><creator>Joseph, Ian T.</creator><creator>Sarhadi, Kamron</creator><creator>Kuhn, Maggie</creator><creator>Abdel‐Aty, Yassmeen</creator><creator>Kennedy, Maeve M.</creator><creator>Lott, David G.</creator><creator>Weissbrod, Philip A.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7546-1472</orcidid><orcidid>https://orcid.org/0000-0003-1011-0433</orcidid><orcidid>https://orcid.org/0000-0003-1573-8895</orcidid><orcidid>https://orcid.org/0000-0002-3670-8540</orcidid><orcidid>https://orcid.org/0000-0003-1617-8850</orcidid><orcidid>https://orcid.org/0000-0001-6541-9687</orcidid><orcidid>https://orcid.org/0000-0002-3126-1655</orcidid><orcidid>https://orcid.org/0000-0001-9795-6452</orcidid><orcidid>https://orcid.org/0000-0002-1293-501X</orcidid><orcidid>https://orcid.org/0000-0002-7422-4280</orcidid><orcidid>https://orcid.org/0000-0002-2084-8397</orcidid><orcidid>https://orcid.org/0000-0002-4952-6711</orcidid><orcidid>https://orcid.org/0000-0001-7366-6696</orcidid><orcidid>https://orcid.org/0000-0001-7977-6925</orcidid></search><sort><creationdate>202411</creationdate><title>Impact of Obesity on Timing of Tracheotomy: A Multi‐institutional Retrospective Study</title><author>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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2466-cd74a773062b4d9d58287486e0623bd0326904ca3a891f28205c177b61ebb1c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Body Mass Index</topic><topic>Female</topic><topic>Humans</topic><topic>Intubation</topic><topic>Intubation, Intratracheal - statistics & numerical data</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity, Morbid - complications</topic><topic>Obesity, Morbid - surgery</topic><topic>Ostomy</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>prolonged intubation</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>short‐term complications</topic><topic>Time Factors</topic><topic>Tracheotomy</topic><topic>Tracheotomy - adverse effects</topic><topic>Tracheotomy - methods</topic><topic>Tracheotomy - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yousef, Andrew</creatorcontrib><creatorcontrib>Soliman, Shady I.</creatorcontrib><creatorcontrib>Solomon, Isaac</creatorcontrib><creatorcontrib>Panuganti, Bharat A.</creatorcontrib><creatorcontrib>Francis, David O.</creatorcontrib><creatorcontrib>Pang, John</creatorcontrib><creatorcontrib>Klebaner, Dasha</creatorcontrib><creatorcontrib>Asturias, Alicia</creatorcontrib><creatorcontrib>Alattar, Ali</creatorcontrib><creatorcontrib>Wood, Samuel</creatorcontrib><creatorcontrib>Terry, Morgan</creatorcontrib><creatorcontrib>Bryson, Paul C.</creatorcontrib><creatorcontrib>Tipton, Courtney B.</creatorcontrib><creatorcontrib>Zhao, Elise E.</creatorcontrib><creatorcontrib>O'Rourke, Ashli</creatorcontrib><creatorcontrib>Santa Maria, Chloe</creatorcontrib><creatorcontrib>Grimm, David R.</creatorcontrib><creatorcontrib>Sung, C.K.</creatorcontrib><creatorcontrib>Lao, Wilson P.</creatorcontrib><creatorcontrib>Thompson, Jordan M.</creatorcontrib><creatorcontrib>Crawley, Brianna K.</creatorcontrib><creatorcontrib>Rosen, Sarah</creatorcontrib><creatorcontrib>Berezovsky, Anna</creatorcontrib><creatorcontrib>Kupfer, Robbi</creatorcontrib><creatorcontrib>Hennesy, Theresa B.</creatorcontrib><creatorcontrib>Clary, Matthew</creatorcontrib><creatorcontrib>Joseph, Ian T.</creatorcontrib><creatorcontrib>Sarhadi, Kamron</creatorcontrib><creatorcontrib>Kuhn, Maggie</creatorcontrib><creatorcontrib>Abdel‐Aty, Yassmeen</creatorcontrib><creatorcontrib>Kennedy, Maeve M.</creatorcontrib><creatorcontrib>Lott, David G.</creatorcontrib><creatorcontrib>Weissbrod, Philip A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yousef, Andrew</au><au>Soliman, Shady I.</au><au>Solomon, Isaac</au><au>Panuganti, Bharat A.</au><au>Francis, David O.</au><au>Pang, John</au><au>Klebaner, Dasha</au><au>Asturias, Alicia</au><au>Alattar, Ali</au><au>Wood, Samuel</au><au>Terry, Morgan</au><au>Bryson, Paul C.</au><au>Tipton, Courtney B.</au><au>Zhao, Elise E.</au><au>O'Rourke, Ashli</au><au>Santa Maria, Chloe</au><au>Grimm, David R.</au><au>Sung, C.K.</au><au>Lao, Wilson P.</au><au>Thompson, Jordan M.</au><au>Crawley, Brianna K.</au><au>Rosen, Sarah</au><au>Berezovsky, Anna</au><au>Kupfer, Robbi</au><au>Hennesy, Theresa B.</au><au>Clary, Matthew</au><au>Joseph, Ian T.</au><au>Sarhadi, Kamron</au><au>Kuhn, Maggie</au><au>Abdel‐Aty, Yassmeen</au><au>Kennedy, Maeve M.</au><au>Lott, David G.</au><au>Weissbrod, Philip A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Obesity on Timing of Tracheotomy: A Multi‐institutional Retrospective Study</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2024-11</date><risdate>2024</risdate><volume>134</volume><issue>11</issue><spage>4674</spage><epage>4681</epage><pages>4674-4681</pages><issn>0023-852X</issn><issn>1531-4995</issn><eissn>1531-4995</eissn><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
3 Laryngoscope, 134:4674–4681, 2024
This retrospective multi‐institutional study shows differences in tracheotomy timing based on BMI. Patients with obesity had delays in tracheostomy timing compared with patients with a normal BMI.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>38895915</pmid><doi>10.1002/lary.31586</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-7546-1472</orcidid><orcidid>https://orcid.org/0000-0003-1011-0433</orcidid><orcidid>https://orcid.org/0000-0003-1573-8895</orcidid><orcidid>https://orcid.org/0000-0002-3670-8540</orcidid><orcidid>https://orcid.org/0000-0003-1617-8850</orcidid><orcidid>https://orcid.org/0000-0001-6541-9687</orcidid><orcidid>https://orcid.org/0000-0002-3126-1655</orcidid><orcidid>https://orcid.org/0000-0001-9795-6452</orcidid><orcidid>https://orcid.org/0000-0002-1293-501X</orcidid><orcidid>https://orcid.org/0000-0002-7422-4280</orcidid><orcidid>https://orcid.org/0000-0002-2084-8397</orcidid><orcidid>https://orcid.org/0000-0002-4952-6711</orcidid><orcidid>https://orcid.org/0000-0001-7366-6696</orcidid><orcidid>https://orcid.org/0000-0001-7977-6925</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0023-852X |
| ispartof | The Laryngoscope, 2024-11, Vol.134 (11), p.4674-4681 |
| issn | 0023-852X 1531-4995 1531-4995 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3070804249 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Body Mass Index Female Humans Intubation Intubation, Intratracheal - statistics & numerical data Male Middle Aged Mortality Obesity Obesity - complications Obesity, Morbid - complications Obesity, Morbid - surgery Ostomy Postoperative Complications - epidemiology Postoperative Complications - etiology prolonged intubation Retrospective Studies Risk Factors short‐term complications Time Factors Tracheotomy Tracheotomy - adverse effects Tracheotomy - methods Tracheotomy - statistics & numerical data |
| title | Impact of Obesity on Timing of Tracheotomy: A Multi‐institutional Retrospective Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T03%3A29%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20Obesity%20on%20Timing%20of%20Tracheotomy:%20A%20Multi%E2%80%90institutional%20Retrospective%20Study&rft.jtitle=The%20Laryngoscope&rft.au=Yousef,%20Andrew&rft.date=2024-11&rft.volume=134&rft.issue=11&rft.spage=4674&rft.epage=4681&rft.pages=4674-4681&rft.issn=0023-852X&rft.eissn=1531-4995&rft_id=info:doi/10.1002/lary.31586&rft_dat=%3Cproquest_cross%3E3114823153%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3114823153&rft_id=info:pmid/38895915&rfr_iscdi=true |