Correlation between age, the clinical status of patients, operator characteristics, and surgical landmarks with the incidence of tracheotomy complications

Evan Anindito; Muhtarum  Yusuf; Titiek H Ahadiah

doi:10.15562/bmj.v12i1.4235

Correlation between age, the clinical status of patients, operator characteristics, and surgical landmarks with the incidence of tracheotomy complications

Evan Anindito ,

Muhtarum Yusuf ,

Titiek H Ahadiah ,

pdf |
DOI: https://doi.org/10.15562/bmj.v12i1.4235 |
Published: 2023-03-10

Abstract

Link of Video Abstract: https://www.youtube.com/watch?v=YTXRefXDzlU

Background: Tracheotomy is a surgical procedure often performed in the field of ear, nose, throat-head, and neck surgery. This study aims to analyze the risk factors for tracheotomy complications based on age, clinical status, operator characteristics and surgical landmarks.

Methods: This study was analytically observational with a case-control design using secondary data. The study was conducted at Dr. Soetomo Hospital Surabaya. Patients who had a tracheotomy for the period January 1, 2015 to December 31, 2019 and met the research criteria were included as samples.

Results: This study obtained 174 patients with 136 men and 38 women. Analysis of the correlation between age and the incidence of tracheotomy complications obtained p=0.008 (p<0.05). The correlation between clinical status of patients with complications of tracheotomy was found to be significant (p=0.001). The correlation between operator characteristics and tracheotomy complications was significant (p=0.000) and the correlation between surgical landmarks and tracheotomy complications was significant (p= 0.000).

Conclusion: The correlation between age, the patient's clinical status, operator characteristics and surgical landmarks with the incidence of tracheotomy complications from 174 patients who underwent tracheotomy surgery at Dr. Soetomo Hospital Surabaya showed that these factors mutually influence the postoperative complications of tracheotomy.

References

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Cheung NH, Napolitano LM. Tracheostomy: epidemiology, indications, timing, technique and outcomes. Respiratory care. 2014;59 (6):895–981.
Ajiya A. Pattern of tracheostomy-related complications and its determinants in Kano: a ten years single institution experience. J Med Trop. 2020;22:93-9.
Lee M, Wilson H. Complications of tracheostomy. Shanghai Chest. 2021;5:42.
Suslu N, Ermutlu G, Akyol U. Pediatric tracheotomy: comparison of indications and complications between children and adults. Turk J Pediatr. 2012;54:497-501
Ajayan P, Anju M, Nandakumar V. Incidence of complications of emergency tracheostomy in a rural medical college setting: a prospective study. International Journal of Otorhinolaryngology and Head and Neck Surgery. 2017;3(3):522-7.
Jaafar RJ, Yahaya Z, Yunus MRM, Baki MM. Tracheostomy in upper airway obstruction on COVID-19 patient. Bali Med J. 2020;9(3):806-810.
Jotic AD, Milovanovic JP, Trivic AS, Folic MM, Krejovic-Trivic SB, Radin ZZ. Predictors of complications occurrence associated with emergency surgical tracheotomy. Otolaryngol Head Neck Surg. 2021;164(2):346-52.
Raimonde AJ, Westhoven N, Winters R, 2021. Tracheostomy. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559124. Accessed May 22nd, 2022.
Gliyoma JM, Balumuka DD, Chalya PL. Ten-year experiences with tracheostomy at a University Teaching Hospital in Northwestern Tanzania: A Retrospective Review of 214 Cases. World J Emerg Surg. 2011;6(38):1-7.
Fagan J, 2014. Tracheostomy. Open access atlas of otolaryngology, head & neck operative surgery. Available from:
https://vula.uct.ac.za/access/content/user/01372298/TRACHEOSTOMY.pdf. Accessed April 22nd , 2022.
Cordes SR, Best AR, Hiatt KK. The impact of obesity on adult tracheostomy complication rate. Laryngoscope. 2015;125(1):105-10.
Gianoli GJ, Miller RH, Guarisco JL. Tracheotomy in the first year of life. Ann Otol Rhinol Laryngol. 2019;99:896-901.
Rahayu P & Yudianto A. Death due to violence and sharp force injury on the neck: A case report. Malaysian Journal of Medicine and Health Sciences. 2021;17:174-6.
Perdana RF. Management of two cases of tracheobronchial management of two cases of tracheobronchial papillomatosis at Tertiary Hospital in Indonesia: A case report. International Journal of Surgery Case Reports. 2021;83:106054.
Mukhlis M, Bakhtiar A. Obstructive sleep apnea, obesity hypoventilation syndrome, and respiratory failure. Journal of Respirology. 2015;1(3):94-102
Straetmans J, Schlondorff G, Herzhoff G, Windfuhr JP, Kremer B. Complications of midline-open tracheotomy in adults. Laringoscope. 2010; 120:84-92.
Kawale MA, Keche PN, Gawarle SH, Bhat SV, Buche A. A prospective study of complications of tracheostomy and management in tertiary care hospital in rural area. International Journal of Otorhinolaryngology and Head and Neck Surgery. 2017;3(3):687-92.
Goldenberg D, Ari EG, Golz A, Danino J, Netzer A, Joachims HZ. Tracheotomy complications: a retrospective study of 1130 cases. Otolaryngology-Head and Neck Surgery. 2000;123(4): 495–500.
Kevin MH, Xerxes P, 2007. Meta-Analysis comparison of open versus percutaneous tracheostomy. Laryngoscope. 2007;117: 447-54.
Higgins KM, Punthakee X. Meta-analysis comparison of open versus percutaneous tracheostomy. Laryngoscope. 2007;117(3):447-54.
Candrawati NW, Singgih V, Yasa KP, Rai IBN, 2022. Pin point trachea: a case report. Journal of Respirology. 2022;8(1):26-32.

[1] Hoseini F, Zarankesh SMZ, Alijanpour E, Gerdrodbari MG. Tracheostomy: complications and causes of complications. Asian J Pharm. 2018;12(2):647-54.

[2] Cheung NH, Napolitano LM. Tracheostomy: epidemiology, indications, timing, technique and outcomes. Respiratory care. 2014;59 (6):895–981.

[3] Ajiya A. Pattern of tracheostomy-related complications and its determinants in Kano: a ten years single institution experience. J Med Trop. 2020;22:93-9.

[4] Lee M, Wilson H. Complications of tracheostomy. Shanghai Chest. 2021;5:42.

[5] Suslu N, Ermutlu G, Akyol U. Pediatric tracheotomy: comparison of indications and complications between children and adults. Turk J Pediatr. 2012;54:497-501

[6] Ajayan P, Anju M, Nandakumar V. Incidence of complications of emergency tracheostomy in a rural medical college setting: a prospective study. International Journal of Otorhinolaryngology and Head and Neck Surgery. 2017;3(3):522-7.

[7] Jaafar RJ, Yahaya Z, Yunus MRM, Baki MM. Tracheostomy in upper airway obstruction on COVID-19 patient. Bali Med J. 2020;9(3):806-810.

[8] Jotic AD, Milovanovic JP, Trivic AS, Folic MM, Krejovic-Trivic SB, Radin ZZ. Predictors of complications occurrence associated with emergency surgical tracheotomy. Otolaryngol Head Neck Surg. 2021;164(2):346-52.

[9] Raimonde AJ, Westhoven N, Winters R, 2021. Tracheostomy. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559124. Accessed May 22nd, 2022.

[10] Gliyoma JM, Balumuka DD, Chalya PL. Ten-year experiences with tracheostomy at a University Teaching Hospital in Northwestern Tanzania: A Retrospective Review of 214 Cases. World J Emerg Surg. 2011;6(38):1-7.

[11] Fagan J, 2014. Tracheostomy. Open access atlas of otolaryngology, head & neck operative surgery. Available from:

[12] https://vula.uct.ac.za/access/content/user/01372298/TRACHEOSTOMY.pdf. Accessed April 22nd , 2022.

[13] Cordes SR, Best AR, Hiatt KK. The impact of obesity on adult tracheostomy complication rate. Laryngoscope. 2015;125(1):105-10.

[14] Gianoli GJ, Miller RH, Guarisco JL. Tracheotomy in the first year of life. Ann Otol Rhinol Laryngol. 2019;99:896-901.

[15] Rahayu P & Yudianto A. Death due to violence and sharp force injury on the neck: A case report. Malaysian Journal of Medicine and Health Sciences. 2021;17:174-6.

[16] Perdana RF. Management of two cases of tracheobronchial management of two cases of tracheobronchial papillomatosis at Tertiary Hospital in Indonesia: A case report. International Journal of Surgery Case Reports. 2021;83:106054.

[17] Mukhlis M, Bakhtiar A. Obstructive sleep apnea, obesity hypoventilation syndrome, and respiratory failure. Journal of Respirology. 2015;1(3):94-102

[18] Straetmans J, Schlondorff G, Herzhoff G, Windfuhr JP, Kremer B. Complications of midline-open tracheotomy in adults. Laringoscope. 2010; 120:84-92.

[19] Kawale MA, Keche PN, Gawarle SH, Bhat SV, Buche A. A prospective study of complications of tracheostomy and management in tertiary care hospital in rural area. International Journal of Otorhinolaryngology and Head and Neck Surgery. 2017;3(3):687-92.

[20] Goldenberg D, Ari EG, Golz A, Danino J, Netzer A, Joachims HZ. Tracheotomy complications: a retrospective study of 1130 cases. Otolaryngology-Head and Neck Surgery. 2000;123(4): 495–500.

[21] Kevin MH, Xerxes P, 2007. Meta-Analysis comparison of open versus percutaneous tracheostomy. Laryngoscope. 2007;117: 447-54.

[22] Higgins KM, Punthakee X. Meta-analysis comparison of open versus percutaneous tracheostomy. Laryngoscope. 2007;117(3):447-54.

[23] Candrawati NW, Singgih V, Yasa KP, Rai IBN, 2022. Pin point trachea: a case report. Journal of Respirology. 2022;8(1):26-32.

Correlation between age, the clinical status of patients, operator characteristics, and surgical landmarks with the incidence of tracheotomy complications

Abstract

References

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