Short- and long-term complications of surgical and percutaneous dilatation tracheotomies: a large single-centre retrospective cohort study

Objectives The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST). Design A single-centre retrospective study. Participants 305 patients undergoing a tracheotomy (PDT or ST)...

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Veröffentlicht in:European archives of oto-rhino-laryngology 2019-06, Vol.276 (6), p.1823-1828
Hauptverfasser: de Kleijn, B. J., Wedman, J., Zijlstra, J. G., Dikkers, F. G., van der Laan, B. F. A. M.
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container_end_page 1828
container_issue 6
container_start_page 1823
container_title European archives of oto-rhino-laryngology
container_volume 276
creator de Kleijn, B. J.
Wedman, J.
Zijlstra, J. G.
Dikkers, F. G.
van der Laan, B. F. A. M.
description Objectives The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST). Design A single-centre retrospective study. Participants 305 patients undergoing a tracheotomy (PDT or ST) in the University Medical Center Groningen from 2003 to 2013 were included. Data were gathered from patient files. Main outcome measures Short-term and long-term complications including tracheal stenosis. Results The incidence of short- and long-term complications, including tracheal stenosis, was similar in both groups. Analysis of a small high-risk subgroup showed no difference in long-term complications. Conclusions The rate of short- and long-term complications, including tracheal stenosis, is equal in PDT and ST. PDT is a safe alternative for ST in selected patients.
doi_str_mv 10.1007/s00405-019-05394-9
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J. ; Wedman, J. ; Zijlstra, J. G. ; Dikkers, F. G. ; van der Laan, B. F. A. M.</creator><creatorcontrib>de Kleijn, B. J. ; Wedman, J. ; Zijlstra, J. G. ; Dikkers, F. G. ; van der Laan, B. F. A. M.</creatorcontrib><description>Objectives The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST). Design A single-centre retrospective study. Participants 305 patients undergoing a tracheotomy (PDT or ST) in the University Medical Center Groningen from 2003 to 2013 were included. Data were gathered from patient files. Main outcome measures Short-term and long-term complications including tracheal stenosis. Results The incidence of short- and long-term complications, including tracheal stenosis, was similar in both groups. Analysis of a small high-risk subgroup showed no difference in long-term complications. Conclusions The rate of short- and long-term complications, including tracheal stenosis, is equal in PDT and ST. 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Main outcome measures Short-term and long-term complications including tracheal stenosis. Results The incidence of short- and long-term complications, including tracheal stenosis, was similar in both groups. Analysis of a small high-risk subgroup showed no difference in long-term complications. Conclusions The rate of short- and long-term complications, including tracheal stenosis, is equal in PDT and ST. 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J.</creatorcontrib><creatorcontrib>Wedman, J.</creatorcontrib><creatorcontrib>Zijlstra, J. G.</creatorcontrib><creatorcontrib>Dikkers, F. G.</creatorcontrib><creatorcontrib>van der Laan, B. F. A. M.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Kleijn, B. J.</au><au>Wedman, J.</au><au>Zijlstra, J. G.</au><au>Dikkers, F. G.</au><au>van der Laan, B. F. A. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short- and long-term complications of surgical and percutaneous dilatation tracheotomies: a large single-centre retrospective cohort study</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>276</volume><issue>6</issue><spage>1823</spage><epage>1828</epage><pages>1823-1828</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>Objectives The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST). Design A single-centre retrospective study. Participants 305 patients undergoing a tracheotomy (PDT or ST) in the University Medical Center Groningen from 2003 to 2013 were included. Data were gathered from patient files. 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subjects Dilatation - adverse effects
Female
Head and Neck Surgery
Humans
Incidence
Male
Medicine
Medicine & Public Health
Middle Aged
Miscellaneous
Neurosurgery
Otorhinolaryngology
Postoperative Complications - epidemiology
Retrospective Studies
Time Factors
Tracheal Stenosis - epidemiology
Tracheostomy - adverse effects
Tracheotomy - adverse effects
title Short- and long-term complications of surgical and percutaneous dilatation tracheotomies: a large single-centre retrospective cohort study
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