{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T12:16:12Z","timestamp":1788264972061,"version":"build-2803163510"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215125104131_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to analyse respiratory infection rates (RI) in a representative cohort and evaluate if tumour size, pre-existing respiratory co-morbidities, smoking history, and tracheostomy predicted postoperative infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104131_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective observational study at a London tertiary head and neck oncology centre reviewed six years of patient data. BMJ Best Practice guidelines for hospital-acquired pneumonia (2022) were applied to medical records alongside postoperative RI prescriptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104131_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>RI occurred in 32% of patients, more often in those with tracheostomy (36%) than intubation (12%). Infected patients were older (p=0.025), had tracheostomy (p=0.045), and underwent bilateral neck dissection\u00a0(p&lt;0.001). ICU (p=0.008) and hospital LOS (p&lt;0.001) were significantly higher. Age, smoking, respiratory disease, tumour stage, and airway type were not predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104131_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RI were more frequent in tracheostomised patients, though assessed risk factors were not predictive. Further research should explore additional contributors and evaluate targeted interventions to reduce incidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215125104131","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T08:03:16Z","timestamp":1771401796000},"page":"438-443","source":"Crossref","is-referenced-by-count":1,"title":["The incidence of respiratory infections in patients undergoing major oral cavity and maxillary and mandibular resections\u00a0with free flap reconstruction for head and neck cancer"],"prefix":"10.1017","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7204-043X","authenticated-orcid":false,"given":"Rachel","family":"Wijayarathna","sequence":"first","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust"},{"name":"King's College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gareth D.","family":"Jones","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust"},{"name":"King's College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Ringshall","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eui-Sik","family":"Suh","sequence":"additional","affiliation":[{"name":"St Thomas' Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricard","family":"Simo","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust"},{"name":"King's College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Xyrichis","sequence":"additional","affiliation":[{"name":"King's College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Peat","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"S0022215125104131_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23228"},{"key":"S0022215125104131_ref33","first-page":"588","article-title":"Early mobilization in enhanced recovery after surgery: a systematic review","volume":"37","author":"Tazreean","year":"2022","journal-title":"Perfusion"},{"key":"S0022215125104131_ref29","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318180b90e"},{"key":"S0022215125104131_ref31","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzab094"},{"key":"S0022215125104131_ref26","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000207097.38963.3b"},{"key":"S0022215125104131_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2012.01.003"},{"key":"S0022215125104131_ref18","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.5.505"},{"key":"S0022215125104131_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2019.01.017"},{"key":"S0022215125104131_ref1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.25516"},{"key":"S0022215125104131_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.1497"},{"key":"S0022215125104131_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2020.08.119"},{"key":"S0022215125104131_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000260591.82762.b5"},{"key":"S0022215125104131_ref19","unstructured":"19 BMJ Best Practice. 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