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Short- and long-term complications of surgical and percutaneous dilatation tracheotomies: a large single-centre retrospective cohort study
Objectives The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST). Design A single-centre retrospective study. Participants 305 patients undergoing a tracheotomy (PDT or ST)...
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Published in: | European archives of oto-rhino-laryngology 2019-06, Vol.276 (6), p.1823-1828 |
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container_title | European archives of oto-rhino-laryngology |
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creator | de Kleijn, B. J. Wedman, J. Zijlstra, J. G. Dikkers, F. G. van der Laan, B. F. A. M. |
description | Objectives
The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST).
Design
A single-centre retrospective study.
Participants
305 patients undergoing a tracheotomy (PDT or ST) in the University Medical Center Groningen from 2003 to 2013 were included. Data were gathered from patient files.
Main outcome measures
Short-term and long-term complications including tracheal stenosis.
Results
The incidence of short- and long-term complications, including tracheal stenosis, was similar in both groups. Analysis of a small high-risk subgroup showed no difference in long-term complications.
Conclusions
The rate of short- and long-term complications, including tracheal stenosis, is equal in PDT and ST. PDT is a safe alternative for ST in selected patients. |
doi_str_mv | 10.1007/s00405-019-05394-9 |
format | article |
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The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST).
Design
A single-centre retrospective study.
Participants
305 patients undergoing a tracheotomy (PDT or ST) in the University Medical Center Groningen from 2003 to 2013 were included. Data were gathered from patient files.
Main outcome measures
Short-term and long-term complications including tracheal stenosis.
Results
The incidence of short- and long-term complications, including tracheal stenosis, was similar in both groups. Analysis of a small high-risk subgroup showed no difference in long-term complications.
Conclusions
The rate of short- and long-term complications, including tracheal stenosis, is equal in PDT and ST. PDT is a safe alternative for ST in selected patients.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-019-05394-9</identifier><identifier>PMID: 30941491</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Dilatation - adverse effects ; Female ; Head and Neck Surgery ; Humans ; Incidence ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Miscellaneous ; Neurosurgery ; Otorhinolaryngology ; Postoperative Complications - epidemiology ; Retrospective Studies ; Time Factors ; Tracheal Stenosis - epidemiology ; Tracheostomy - adverse effects ; Tracheotomy - adverse effects</subject><ispartof>European archives of oto-rhino-laryngology, 2019-06, Vol.276 (6), p.1823-1828</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-3693cd7f69773fd0d90202e0cf87247ed131258e654458600aada5fc55d2849f3</citedby><cites>FETCH-LOGICAL-c446t-3693cd7f69773fd0d90202e0cf87247ed131258e654458600aada5fc55d2849f3</cites><orcidid>0000-0001-6448-134X ; 0000-0001-9526-6888 ; 0000-0002-5016-2871</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30941491$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Kleijn, B. J.</creatorcontrib><creatorcontrib>Wedman, J.</creatorcontrib><creatorcontrib>Zijlstra, J. G.</creatorcontrib><creatorcontrib>Dikkers, F. G.</creatorcontrib><creatorcontrib>van der Laan, B. F. A. M.</creatorcontrib><title>Short- and long-term complications of surgical and percutaneous dilatation tracheotomies: a large single-centre retrospective cohort study</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Objectives
The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST).
Design
A single-centre retrospective study.
Participants
305 patients undergoing a tracheotomy (PDT or ST) in the University Medical Center Groningen from 2003 to 2013 were included. Data were gathered from patient files.
Main outcome measures
Short-term and long-term complications including tracheal stenosis.
Results
The incidence of short- and long-term complications, including tracheal stenosis, was similar in both groups. Analysis of a small high-risk subgroup showed no difference in long-term complications.
Conclusions
The rate of short- and long-term complications, including tracheal stenosis, is equal in PDT and ST. PDT is a safe alternative for ST in selected patients.</description><subject>Dilatation - adverse effects</subject><subject>Female</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Tracheal Stenosis - epidemiology</subject><subject>Tracheostomy - adverse effects</subject><subject>Tracheotomy - adverse effects</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1TAQhSMEopfCC7BAXrIxTGI7jlkgoYo_qRILYG0Ze5LryomD7VTqK_DUuDelgg0ry5pvzpyZ0zTPW3jVAsjXGYCDoNAqCoIpTtWD5tByximXXf-wOYBiknIu5VnzJOcrABBcscfNGQPFW67aQ_Pr6zGmQolZHAlxmWjBNBMb5zV4a4qPSyZxJHlLU_2HE7dislsxC8YtE-eDKSeQlGTsEWOJs8f8hhgSTJqQZL9MAanFpSQkCUuKeUVb_DXWQbfjSS6bu3naPBpNyPjs7j1vvn94_-3iE7388vHzxbtLajnvC2W9YtbJsVdSstGBU9BBh2DHQXZcomtZ24kBe8G5GHoAY5wRoxXCdQNXIztv3u666_ZjRnfyZYJek59NutHReP1vZfFHPcVr3YtOsQGqwMs7gRR_bpiLnn22GMJ-Et1VP_3Qik5WtNtRW5fOCcf7MS3o2xD1HqKuIepTiFrVphd_G7xv-ZNaBdgO5FpaJkz6Km5pqUf7n-xvWV-sDg</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>de Kleijn, B. J.</creator><creator>Wedman, J.</creator><creator>Zijlstra, J. G.</creator><creator>Dikkers, F. G.</creator><creator>van der Laan, B. F. A. M.</creator><general>Springer Berlin Heidelberg</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6448-134X</orcidid><orcidid>https://orcid.org/0000-0001-9526-6888</orcidid><orcidid>https://orcid.org/0000-0002-5016-2871</orcidid></search><sort><creationdate>20190601</creationdate><title>Short- and long-term complications of surgical and percutaneous dilatation tracheotomies: a large single-centre retrospective cohort study</title><author>de Kleijn, B. J. ; Wedman, J. ; Zijlstra, J. G. ; Dikkers, F. G. ; van der Laan, B. F. A. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-3693cd7f69773fd0d90202e0cf87247ed131258e654458600aada5fc55d2849f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Dilatation - adverse effects</topic><topic>Female</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Tracheal Stenosis - epidemiology</topic><topic>Tracheostomy - adverse effects</topic><topic>Tracheotomy - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Kleijn, B. J.</creatorcontrib><creatorcontrib>Wedman, J.</creatorcontrib><creatorcontrib>Zijlstra, J. G.</creatorcontrib><creatorcontrib>Dikkers, F. G.</creatorcontrib><creatorcontrib>van der Laan, B. F. A. M.</creatorcontrib><collection>SpringerOpen (Open Access)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Kleijn, B. J.</au><au>Wedman, J.</au><au>Zijlstra, J. G.</au><au>Dikkers, F. G.</au><au>van der Laan, B. F. A. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short- and long-term complications of surgical and percutaneous dilatation tracheotomies: a large single-centre retrospective cohort study</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>276</volume><issue>6</issue><spage>1823</spage><epage>1828</epage><pages>1823-1828</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>Objectives
The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST).
Design
A single-centre retrospective study.
Participants
305 patients undergoing a tracheotomy (PDT or ST) in the University Medical Center Groningen from 2003 to 2013 were included. Data were gathered from patient files.
Main outcome measures
Short-term and long-term complications including tracheal stenosis.
Results
The incidence of short- and long-term complications, including tracheal stenosis, was similar in both groups. Analysis of a small high-risk subgroup showed no difference in long-term complications.
Conclusions
The rate of short- and long-term complications, including tracheal stenosis, is equal in PDT and ST. PDT is a safe alternative for ST in selected patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30941491</pmid><doi>10.1007/s00405-019-05394-9</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6448-134X</orcidid><orcidid>https://orcid.org/0000-0001-9526-6888</orcidid><orcidid>https://orcid.org/0000-0002-5016-2871</orcidid><oa>free_for_read</oa></addata></record> |
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source | Springer Nature |
subjects | Dilatation - adverse effects Female Head and Neck Surgery Humans Incidence Male Medicine Medicine & Public Health Middle Aged Miscellaneous Neurosurgery Otorhinolaryngology Postoperative Complications - epidemiology Retrospective Studies Time Factors Tracheal Stenosis - epidemiology Tracheostomy - adverse effects Tracheotomy - adverse effects |
title | Short- and long-term complications of surgical and percutaneous dilatation tracheotomies: a large single-centre retrospective cohort study |
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