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Laryngoscope. 2015 Jan;125(1):105-10. doi: 10.1002/lary.24793. Epub 2014 Jun 17.

The impact of obesity on adult tracheostomy complication rate.

Author information

1
Department of Otolaryngology/Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana, U.S.A.

Abstract

OBJECTIVES/HYPOTHESIS:

Prospectively compare tracheostomy-related complications in obese patients with complications in nonobese patients.

STUDY DESIGN:

Prospective cohort study.

METHODS:

Adult patients undergoing tracheostomy were studied. Patients who had a prior tracheostomy were excluded. Complications were classified as intraoperative, early (within the first 2 weeks), or late.

RESULTS:

A total of 151 patients met inclusion/exclusion criteria. Fifty-five percent of obese patients experienced at least one tracheostomy-related complication; 19.5% of the control group had a complication. Mean procedure duration for patients with body mass index < 30 was 24.74 minutes and for obese patients was 46.17 minutes. There was a statistically significant effect of body mass index on complication rate (P < .0001) and on procedure duration (P < .0001). The relationships between body mass index and intraoperative complications (P = .027) and early postoperative complications (P = .001) were significant.

CONCLUSIONS:

The tracheostomy-related complication rate is significantly higher for obese patients, especially for body mass index ≥ 35, especially in the intraoperative and early postoperative time periods. Procedure duration is significantly longer in obese patients.

KEYWORDS:

Tracheostomy; complications; obesity

Comment in

PMID:
24939326
DOI:
10.1002/lary.24793
[Indexed for MEDLINE]

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