Estimations of Laryngotracheal Stenosis After Mechanical Ventilation: A Cross‐Sectional Analysis

Objectives/Hypothesis To estimate the incidence of laryngotracheal stenosis among adults after intubation. Study Design Cross‐sectional analysis. Methods We used the Nationwide Readmission Database to examine adult patients readmitted within 45 days after admission for mechanical ventilation. Those...

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Bibliographic Details
Published in:The Laryngoscope 2022-09, Vol.132 (9), p.1723-1728
Main Authors: Johnson, Romaine F., Bradshaw, Stanley, Jaffal, Hussein, Chorney, Stephen R.
Format: Article
Language:English
Subjects:
Cross-sectional studies
Females
Intubation
Laryngoscopy
Laryngotracheal stenosis
mechanical intubation
Nationwide Readmission Database
Ostomy
Respiratory failure
Steroids
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Summary:Objectives/Hypothesis To estimate the incidence of laryngotracheal stenosis among adults after intubation. Study Design Cross‐sectional analysis. Methods We used the Nationwide Readmission Database to examine adult patients readmitted within 45 days after admission for mechanical ventilation. Those with a diagnosis of laryngotracheal stenosis or tracheostomy dependence on their index admission were excluded. Patient demographics, associated comorbidities, and intubation lengths were compared among those with and without a diagnosis of airway stenosis at readmission. Results An estimated 624,918 patients met inclusion with a mean age of 59 years (standard error = 0.2). There were 1,230 patients readmitted within 45 days and diagnosed with laryngeal (N = 362) or tracheal stenosis (N = 920) estimating an incidence of 1.98 per 1,000 discharges. Compared with those without a diagnosis of airway stenosis, those with stenosis were younger (57 vs. 59 years, P 
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.29866