Tracheal Stenosis After Intubation and Tracheostomy: A Study of 31 Cases
Author Information
Author(s): Zias Nikolaos, Chroneou Alexandra, Tabba Maher K, Gonzalez Anne V, Gray Anthony W, Lamb Carla R, Riker David R, Beamis John F Jr
Primary Institution: Lahey Clinic Medical Center, Tufts University School of Medicine
Hypothesis
What are the characteristics and risk factors associated with post intubation and post tracheostomy tracheal stenosis?
Conclusion
The study identified risk factors for tracheal stenosis and highlighted differences in stenosis characteristics between the two patient groups.
Supporting Evidence
- The most common profile of a patient with tracheal stenosis was a female, obese patient with a history of diabetes and hypertension.
- Patients with post intubation stenosis had a mean intubation duration of 5.2 days, while those with post tracheostomy had 54.5 days.
- Interventional bronchoscopy was the first-line treatment for all patients, with an average of 2.4 procedures performed per patient.
Takeaway
Some people can get a narrow airway after being on a breathing tube or having a tracheostomy, and this study looked at 31 patients to understand why and how to treat it.
Methodology
Retrospective chart review of 31 patients treated for tracheal stenosis at Lahey Clinic over 8 years.
Limitations
The study lacked a control group, making it difficult to accurately estimate risk factors.
Participant Demographics
Predominantly female (75%), with a mean age of 58.2 years for PT group and 50.2 years for PI group; many had obesity and co-morbidities like diabetes and hypertension.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website