Airway management

Clinicodemographic Predictors of Tracheotomy Tube Size and Decannulation: A Multiinstitutional Retrospective Cohort Study on Tracheotomy

Ann SurgPublished Retrospective cohort study

Authors' conclusion

Obesity was linked with increased likelihood of large tracheostomy tube size, independent of patient height. Probability of decannulation before hospital discharge is influenced by multiple patient-centric factors, but not by size of tracheostomy tube.

Study context

Population
Patients who underwent tracheotomy at 1 of 10 US health care institutions, 2010–2019
Participants
5,307 patients · 10 US institutions
Exposure
Large vs small tracheostomy tube size
  • ≥8n = 2,797
Outcome
Predictors of large (≥8) tracheostomy tube size placement
Methodological detailsmulticentre, multivariable logistic regression
  • Multicentre
  • Multivariable logistic regression

Main finding

As reported in the abstract

Predictors of large (≥8) tracheostomy tube size (multivariable logistic regression)
Estimate (95% CI)
Patient height
OR 1.060 per inch(1.041–1.070)
Otolaryngology performing the tracheotomysignificantly lower odds
OR 0.155(0.131–0.184)

Per inch, as printed

Obesity · CI not legibly printed in the abstract
OR 1.37

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Decannulation before hospital dischargeLarge vs Small · did not affect odds of decannulation1.036 (0.885–1.213)

Original publication

Clinicodemographic Predictors of Tracheotomy Tube Size and Decannulation: A Multiinstitutional Retrospective Cohort Study on Tracheotomy. Ann Surg. Published 6 April 2023. doi:10.1097/sla.0000000000005356

Composed by AI from the published abstract and checked against it. How Briefs are made →

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