{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T14:28:42Z","timestamp":1789828122483,"version":"4.0.1"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe the incidence of tracheostomy\u2010related complications and identify prognostic risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Administrative database analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Outpatient and inpatient insurance claims records obtained from a national database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PearlDiver, a private analytics database of insurance claims from Medicare, Medicaid, and commercial insurance companies, was used to identify patients who underwent tracheostomies and associated complications between January 2010 and October 2021 by CPT and ICD\u20109\/ICD\u201010 codes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 198,143 tracheostomies were identified from PearlDiver, and at least 1 tracheostomy\u2010related complication occurred within 90 days of the procedure in 22,802 (10.3%) of these cases. The proportion of tracheostomy\u2010related complications was 2.3 times higher in 2019 compared to 2010 (95% confidence interval [CI]: 2.18\u20102.52). The risk of developing tracheostomy\u2010complications was associated with the hospital region (highest in the Midwest as compared to the West [odds ratio [OR]\u2009=\u20091.32; 95% CI: 1.25\u20101.39]), provider specialty (highest for otolaryngologists as compared to nonsurgical physicians [OR\u2009=\u20092.22; 95% CI: 2.10\u20102.34]), insurance plan type (lowest for cash payment compared to Medicaid [OR\u2009=\u20090.70, 95% CI: 0.50\u20100.94]), and Elixhauser Comorbidity Index (ECI) (highest in patients with ECI of 7+ compared to 0\u20101 [OR\u2009=\u20092.96; 95% CI: 2.17\u20103.24]), but was not significantly associated with patient age (OR\u2009=\u20090.99; 95% CI: 0.99\u20100.99), or gender (OR\u2009=\u20091.04; 95% CI: 1.01\u20101.07).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Complications after tracheostomy are common and sicker patients are at higher risk for complications. Identifying factors associated with increased risk for complications could help to improve patient and family counseling, guide quality improvement initiatives, and inform future studies on tracheostomy outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.843","type":"journal-article","created":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T07:49:05Z","timestamp":1717228145000},"page":"1379-1386","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Tracheostomy Incidence and Complications: A National Database Analysis"],"prefix":"10.1002","volume":"171","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6840-6283","authenticated-orcid":false,"given":"William","family":"Strober","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Washington University School of Medicine St. Louis 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