{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T01:53:41Z","timestamp":1778637221800,"version":"3.51.4"},"reference-count":21,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ORL"],"published-print":{"date-parts":[[2020]]},"abstract":"<b><i>Background:<\/i><\/b> Greater than 100,000 tracheotomies are performed annually in the USA, yet little is known regarding patients who present to the emergency department (ED) with tracheostomy complications. <b><i>Objectives:<\/i><\/b> To characterize patient and hospital characteristics, outcomes, and charges associated with tracheostomy complications and to identify predictors of admission and mortality. <b><i>Methods:<\/i><\/b> The 2009\u20132011 Nationwide Emergency Department Sample (NEDS) was queried for patients with a principle diagnosis of tracheostomy complication. A descriptive analysis was performed and multivariable logistic regression was used to identify predictors of admission and mortality. <b><i>Results:<\/i><\/b> A total of 69,371 nationwide visits to the ED had tracheostomy complication as an associated ICD-9 diagnosis, of which 55.2% (<i>n<\/i> = 38,293) carried a primary diagnosis of tracheostomy complication. Unspecified tracheostomy complications were most common (61.4%), followed by mechanical complications (31.3%), and lastly by tracheostomy infections (7.3%). Pediatric patients were significantly more likely to have tracheostomy infections than adults (<i>p<\/i> &#x3c; 0.0001). A total of 35.5% of patients with tracheostomy complications were admitted to the hospital, and death occurred with 1.4% of visits. Patients from higher-income ZIP codes had increased odds of admission (adjusted odds ratio [OR]: 1.35; <i>p<\/i> = 0.0009), as did patients with tracheostomy infections (OR: 4.425; <i>p<\/i> &#x3c; 0.0001). Patients with tracheostomy infections (OR: 3.14; <i>p<\/i> = 0.0062) and unspecified tracheostomy complications (OR: 2.00; <i>p<\/i> = 0.0076) had increased odds of mortality. <b><i>Conclusion:<\/i><\/b> These findings may help improve overall outcomes amongst patients with tracheostomies by preventing unnecessary ED admissions and improving healthcare provider preparedness and awareness.<\/jats:p>","DOI":"10.1159\/000505130","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T22:00:35Z","timestamp":1581112835000},"page":"106-114","source":"Crossref","is-referenced-by-count":17,"title":["Tracheostomy Complications in the Emergency Department: A National Analysis of 38,271 Cases"],"prefix":"10.1159","volume":"82","author":[{"given":"Maxwell\u00a0P.","family":"Kligerman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anirudh","family":"Saraswathula","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosh\u00a0K.","family":"Sethi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasu","family":"Divi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21907"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201502-0239OC"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22453"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27650"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(98)90176-0"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2017.10.021"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.3302"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.1803"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25534"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1186\/cc6864"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2008.01814.x"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24821"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.23355"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414521144"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215105003178"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3761"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-1989-4"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2017.12.008"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000000691"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199510000-00015"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-010-9342-0"}],"container-title":["ORL"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/505130","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/505130","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:17:37Z","timestamp":1745425057000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000505130"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":21,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,3,25]]},"published-print":{"date-parts":[[2020,3,31]]}},"URL":"https:\/\/doi.org\/10.1159\/000505130","archive":["Portico"],"relation":{},"ISSN":["0301-1569","1423-0275"],"issn-type":[{"value":"0301-1569","type":"print"},{"value":"1423-0275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}