{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:41:36Z","timestamp":1777902096865,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Science Progress"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The use of aspirin in patients undergoing open tracheostomy is an issue for which there is still no clear conclusion. This uncertainty leads surgeons to make decisions based on the risks and benefits of continuing versus discontinuing aspirin. Therefore, this study aims to investigate complications related to aspirin use. The primary outcome was bleeding complications, while other complications were secondary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective study compiling data from patients who underwent open tracheostomy at the Department of Otolaryngology, Faculty of Medicine, Chulalongkorn university and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, between January 2019 and December 2023. Demographic data, medical conditions, indications for tracheostomy, surgeon characteristics, operative time, aspirin use status, and complications were reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 47 patients in total in this study: 15 patients in the aspirin continuation group and 32 patients in the aspirin discontinuation group. In the aspirin continuation group, there were no major or minor bleeding events. In the discontinuation group, there were two cases of major bleeding and two cases of minor bleeding (an incidence of 6.3% for each), although the differences observed were not statistically significant. There were no other complications that showed statistically significant differences between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study has shown that low-dose aspirin (81\u2005mg) does not increase the risk of bleeding or other complications in patients who undergo open tracheostomy. These results support that the continuation of aspirin may be safe in patients undergoing this procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00368504251412578","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T18:59:15Z","timestamp":1768589955000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of complications in open tracheostomy in patients taking low-dose aspirin"],"prefix":"10.1177","volume":"109","author":[{"given":"Thapthep","family":"Saowarot","sequence":"first","affiliation":[{"name":"Chulalongkorn University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5762-703X","authenticated-orcid":false,"given":"Napadon","family":"Tangjaturonrasme","sequence":"additional","affiliation":[{"name":"Chulalongkorn University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02802"},{"key":"e_1_3_2_3_2","first-page":"81","volume-title":"Cummings otolaryngology head and neck surgery","author":"Shannon M","year":"2020","unstructured":"Shannon M, Kraft JSS. Tracheostomy. In: Paul W, Flint HWF, Haughey BH, Lesperance MM, Lund VJ, Thomas Robbins K, Regan Thomas J (eds) Cummings otolaryngology head and neck surgery. 7. Elsevier, 2020, pp.81\u201389.","edition":"7"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1206531"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005064"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.14344"},{"key":"e_1_3_2_7_2","first-page":"101","article-title":"Surgical tracheotomy performed with and without dual antiplatelet therapy","volume":"10","author":"Markota A","year":"2015","unstructured":"Markota A, Sinkovic A, Cizmarevic B. Surgical tracheotomy performed with and without dual antiplatelet therapy. Open Med (Wars) 2015; 10: 101\u2013105.","journal-title":"Open Med (Wars)"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40140-021-00511-z"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aet402"},{"key":"e_1_3_2_10_2","article-title":"Safety of percutaneous dilatational tracheotomy in patients on dual antiplatelet therapy and anticoagulation","volume":"1","author":"Lusebrink E","year":"2019","unstructured":"Lusebrink E, Stark K, Bertlich M, et al. Safety of percutaneous dilatational tracheotomy in patients on dual antiplatelet therapy and anticoagulation. Crit Care Explor 2019; 1: e0050.","journal-title":"Crit Care Explor"},{"key":"e_1_3_2_11_2","first-page":"2","article-title":"Bleeding complications of percutaneous dilatation tracheostomy (PDT) in a group of ICU patients with dual antiplatelet therapy","volume":"15","author":"Voigt CN I","year":"2012","unstructured":"Voigt CN I. Bleeding complications of percutaneous dilatation tracheostomy (PDT) in a group of ICU patients with dual antiplatelet therapy. Crtical Care and Shock 2012; 15: 2\u20138.","journal-title":"Crtical Care and Shock"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/CJ9.0000000000000113"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/00034894221147807"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000176"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10071-23341"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF03011175"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/jth.13904"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198811000-00003"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.10551056"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2008.07.001"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000000177"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-015-1138-8"},{"key":"e_1_3_2_23_2","first-page":"438","article-title":"Surgical tracheostomies: a retrospective chart analysis comparing ENT specialists and residents","volume":"13","author":"Fiorini F","year":"2024","unstructured":"Fiorini F, Santoro R, Candelori F, et al. Surgical tracheostomies: a retrospective chart analysis comparing ENT specialists and residents. J Clin Med 2024; 13: 438.","journal-title":"J Clin Med"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2016.01.002"},{"key":"e_1_3_2_25_2","first-page":"463","article-title":"Complications of tracheotomy: a comparison of attending- versus resident-performed procedures","volume":"117","author":"Statham MM","year":"2007","unstructured":"Statham MM, Myer CMIII. Complications of tracheotomy: a comparison of attending- versus resident-performed procedures. 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