Advanced search
Publication Cover
Baylor University Medical Center Proceedings
The peer-reviewed journal of Baylor Scott & White Health
Volume 37, 2024 - Issue 2
Submit an article Journal homepage
121
Views
1
CrossRef citations to date
0
Altmetric
Original Research: Cardiology and Cardiac Surgery

Predicting risk of tracheostomy after cardiac surgery: a decade of insights from nearly 10,000 patients

Emily Shiha Department of General Surgery, Baylor University Medical Center, Dallas, Texas, USA;b Baylor Scott and White Research Institute, Dallas, Texas, USACorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-2426-513X
, MDORCID Icon,
Gelareh Rahimighazikalayehb Baylor Scott and White Research Institute, Dallas, Texas, USA
, PhD,
J. Michael DiMaiob Baylor Scott and White Research Institute, Dallas, Texas, USA;c Department of Cardiothoracic Surgery, Baylor Scott and White The Heart Hospital, Plano, Texas, USA
, MD,
John J. Squiersa Department of General Surgery, Baylor University Medical Center, Dallas, Texas, USA;c Department of Cardiothoracic Surgery, Baylor Scott and White The Heart Hospital, Plano, Texas, USA
, MD,
William H. Ryanc Department of Cardiothoracic Surgery, Baylor Scott and White The Heart Hospital, Plano, Texas, USA
, MD &
Timothy J. Georgec Department of Cardiothoracic Surgery, Baylor Scott and White The Heart Hospital, Plano, Texas, USA
, MD
Pages 197-203 | Received 17 May 2023, Accepted 27 Dec 2023, Published online: 22 Jan 2024

  • Sareh S, Toppen W, Ugarte R, et al. Impact of early tracheostomy on outcomes after cardiac surgery: a national analysis. Ann Thorac Surg. 2021;111(5):1537–1544. doi:10.1016/j.athoracsur.2020.07.027.
  • Murthy SC, Arroliga AC, Walts PA, et al. Ventilatory dependency after cardiovascular surgery. J Thorac Cardiovasc Surg. 2007;134(2):484–490. doi:10.1016/j.jtcvs.2007.03.006.
  • Totonchi Z, Baazm F, Chitsazan M, Seifi S, Chitsazan M. Predictors of prolonged mechanical ventilation after open heart surgery. J Cardiovasc Thorac Res. 2014;6(4):211–216. doi:10.15171/jcvtr.2014.014.
  • Fernandez-Zamora MD, Gordillo-Brenes A, Banderas-Bravo E, et al. Prolonged mechanical ventilation as a predictor of mortality after cardiac surgery. Respir Care. 2018;63(5):550–557. doi:10.4187/respcare.04915.
  • Suarez-Pierre A, Fraser CD, Zhou X, et al. Predictors of operative mortality among cardiac surgery patients with prolonged ventilation. J Card Surg. 2019;34(9):759–766. doi:10.1111/jocs.14118.
  • Rumbak MJ, Newton M, Truncale T, Schwartz SW, Adams JW, Hazard PB. A prospective, randomized, study comparing early percutaneous dilational tracheotomy to prolonged translaryngeal intubation (delayed tracheotomy) in critically ill medical patients. Crit Care Med. 2004;32(8):1689–1694. doi:10.1097/01.ccm.0000134835.05161.b6.
  • Toeg H, French D, Gilbert S, Rubens F. Incidence of sternal wound infection after tracheostomy in patients undergoing cardiac surgery: a systematic review and meta-analysis. J Thorac Cardiovasc Surg. 2017;153(6):1394–1400.e1397. doi:10.1016/j.jtcvs.2016.11.040.
  • Krebs ED, Chancellor WZ, Beller JP, et al. Long-term implications of tracheostomy in cardiac surgery patients: decannulation and mortality. Ann Thorac Surg. 2021;111(2):594–599. doi:10.1016/j.athoracsur.2020.05.052.
  • Davis K Jr, Campbell RS, Johannigman JA, Valente JF, Branson RD. Changes in respiratory mechanics after tracheostomy. Arch Surg. 1999;134(1):59–62. doi:10.1001/archsurg.134.1.59.
  • Nieszkowska A, Combes A, Luyt CE, et al. Impact of tracheotomy on sedative administration, sedation level, and comfort of mechanically ventilated intensive care unit patients. Crit Care Med. 2005;33(11):2527–2533. doi:10.1097/01.ccm.0000186898.58709.aa.
  • Tsai YC, Phan K, Stroebel A, et al. Association between post-sternotomy tracheostomy and deep sternal wound infection: a retrospective analysis. J Thorac Dis. 2016;8(11):3294–3300. doi:10.21037/jtd.2016.11.70.
  • Ballotta A, Kandil H, Generali T, et al. Tracheostomy after cardiac operations: in-hospital and long-term survival. Ann Thorac Surg. 2011;92(2):528–533. doi:10.1016/j.athoracsur.2011.02.002.
  • Walts PA, Murthy SC, Arroliga AC, et al. Tracheostomy after cardiovascular surgery: an assessment of long-term outcome. J Thorac Cardiovasc Surg. 2006;131(4):830–837. doi:10.1016/j.jtcvs.2005.09.038.
  • Chorath K, Hoang A, Rajasekaran K, Moreira A. Association of early vs late tracheostomy placement with pneumonia and ventilator days in critically ill patients: a meta-analysis. JAMA Otolaryngol Head Neck Surg. 2021;147(5):450–459. doi:10.1001/jamaoto.2021.0025.
  • Blot F, Similowski T, Trouillet JL, et al. Early tracheotomy versus prolonged endotracheal intubation in unselected severely ill ICU patients. Intensive Care Med. 2008;34(10):1779–1787. doi:10.1007/s00134-008-1195-4.
  • Terragni PP, Antonelli M, Fumagalli R, et al. Early vs late tracheotomy for prevention of pneumonia in mechanically ventilated adult ICU patients: a randomized controlled trial. JAMA. 2010;303(15):1483–1489. doi:10.1001/jama.2010.447.
  • Wang R, Pan C, Wang X, Xu F, Jiang S, Li M. The impact of tracheotomy timing in critically ill patients undergoing mechanical ventilation: A meta-analysis of randomized controlled clinical trials with trial sequential analysis. Heart Lung. 2019;48(1):46–54. doi:10.1016/j.hrtlng.2018.09.005.
  • Deng H, Fang Q, Chen K, Zhang X. Early versus late tracheotomy in ICU patients: a meta-analysis of randomized controlled trials. Medicine (Baltimore). 2021;100(3):e24329. doi:10.1097/MD.0000000000024329.
  • Okada M, Watanuki H, Masato T, Sugiyama K, Futamura Y, Matsuyama K. Impact of tracheostomy timing on outcomes after cardiovascular surgery. J Cardiothorac Vasc Anesth. 2021;36(8 Pt A):2335–2338. S1053-0770(21)00884-3. doi:10.1053/j.jvca.2021.10.001.
  • Kaspersen AE, Nielsen SJ, Orrason AW, et al. Short- and long-term mortality after deep sternal wound infection following cardiac surgery: experiences from SWEDEHEART. Eur J Cardiothorac Surg. 2021;60(2):233–241. doi:10.1093/ejcts/ezab080.
  • Milano CA, Kesler K, Archibald N, Sexton DJ, Jones RH. Mediastinitis after coronary artery bypass graft surgery. Risk factors and long-term survival. Circulation. 1995;92(8):2245–2251. doi:10.1161/01.cir.92.8.2245.
  • Risnes I, Abdelnoor M, Almdahl SM, Svennevig JL. Mediastinitis after coronary artery bypass grafting risk factors and long-term survival. Ann Thorac Surg. 2010;89(5):1502–1509. doi:10.1016/j.athoracsur.2010.02.038.
  • Braxton JH, Marrin CA, McGrath PD, et al. 10-year follow-up of patients with and without mediastinitis. Semin Thorac Cardiovasc Surg. 2004;16(1):70–76. doi:10.1053/j.semtcvs.2004.01.006.
  • Toumpoulis IK, Anagnostopoulos CE, Derose JJ Jr, Swistel DG. The impact of deep sternal wound infection on long-term survival after coronary artery bypass grafting. Chest. 2005;127(2):464–471. doi:10.1378/chest.127.2.464.
  • Sun L, Boodhwani M, Baer H, McDonald B. The association between tracheostomy and sternal wound infection in postoperative cardiac surgery patients. Can J Anaesth. 2013;60(7):684–691. doi:10.1007/s12630-013-9950-6.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Order Reprints Request Corporate Permissions

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

Request Academic Permissions

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.

Related research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.