{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:41:36Z","timestamp":1787071296192,"version":"build-2736575974"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Tracheostomy decannulation is the process of re-establishment of normal naso tracheal ventilation in a patient undergoing tracheostomy. Success rates for decannulation show wide variations. This study audited the outcome of tracheostomy decannulation in an African cohort managed in a tertiary healthcare facility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The charts and records of patients who underwent tracheostomy decannulation in a 10-year period were retrieved. The primary outcome measure was successful decannulation. The relationship between successful decannulation and patients\u2019 sociodemographic variables, pre tracheostomy endotracheal intubation, duration of intubation, duration of tracheostomy, and indications for tracheostomy was determined using inferential statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 38 patients were admitted for decannulation during the period. Bypass of upper airway obstruction was the commonest indication for tracheostomy (60.5%), followed by mechanical ventilation (34.2%). Only 20 (52.6%) patients were successfully decannulated at the first attempt. An additional six patients were decannulated after various secondary procedures, giving an overall successful decannulation rate of 68.42%. Preoperative endotracheal intubation and duration of endotracheal intubation were significant predictors of failed decannulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We conclude that primary decannulation is successful in about half of the patients adjudged qualified for such in our practice; this increases to 68.4% with the secondary procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_33_25","type":"journal-article","created":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T11:00:23Z","timestamp":1758538823000},"page":"325-330","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Audit of Tracheostomy Decannulation in a Suburban Tertiary Care Hospital"],"prefix":"10.4103","volume":"16","author":[{"given":"Adekunle","family":"Adeyemo","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, College of Health Sciences, Obafemi Awolowo University Ile-Ife, Osun State, Nigeria"},{"name":"Otorhinolaryngology Department, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Oluyomi","family":"Ayodele","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O. Chidi","family":"Ejiofor","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O. Rita","family":"Fatoba","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y. Bola","family":"Amusa","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, College of Health Sciences, Obafemi Awolowo University Ile-Ife, Osun State, Nigeria"},{"name":"Otorhinolaryngology Department, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"CIT0001-20260608","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s40560-017-0234-z","article-title":"The practice of tracheostomy decannulation\u2014A systematic review","volume":"5","author":"Singh","year":"2017","journal-title":"J Intensive Care"},{"key":"CIT0002-20260608","doi-asserted-by":"crossref","first-page":"4849","DOI":"10.1007\/s12070-020-01982-y","article-title":"Evaluation of Factors determining tracheostomy decannulation failure rate in adults: An Indian perspective descriptive study","volume":"74","author":"Bishnoi","year":"2022","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"CIT0003-20260608","doi-asserted-by":"crossref","first-page":"e20180228","DOI":"10.1590\/2317-1782\/20192018228","article-title":"Criteria for tracheostomy decannulation: Literature review","volume":"31","author":"Medeiros","year":"2019","journal-title":"Codas"},{"key":"CIT0004-20260608","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1186\/1471-2466-14-201","article-title":"A systematic review on tracheostomy decannulation: A proposal of a quantitative semi quantitative clinical score","volume":"14","author":"Santus","year":"2014","journal-title":"BMC Pulm Med"},{"key":"CIT0005-20260608","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1007\/s40136-021-00340-y","article-title":"Update on pediatric tracheostomy: Indications, technique, education, and decannulation","volume":"9","author":"Fuller","year":"2021","journal-title":"Curr Otorhinolaryngol Rep"},{"key":"CIT0006-20260608","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/j.joms.2019.11.021","article-title":"Obese tracheostomy: A challenging path from surgery to decannulation author links open overlay panel","volume":"78","author":"Weyh","year":"2020","journal-title":"J Oral Maxillofac Surg"},{"key":"CIT0007-20260608","doi-asserted-by":"crossref","first-page":"211","DOI":"10.2310\/7070.2002.21091","article-title":"Tracheotomy:Changing indications and a review of 1,130 cases","volume":"31","author":"Goldenberg","year":"2002","journal-title":"J Otolaryngol"},{"key":"CIT0008-20260608","doi-asserted-by":"crossref","first-page":"538","DOI":"10.4187\/respcare.05500538","article-title":"Tracheostomy decannulation","volume":"50","author":"Christopher","year":"2005","journal-title":"Respir Care"},{"key":"CIT0009-20260608","doi-asserted-by":"crossref","first-page":"156","DOI":"10.4187\/respcare.08206","article-title":"AARC clinical practice guideline: Management of adult patients with tracheostomy in the acute care setting","volume":"66","author":"Mussa","year":"2021","journal-title":"Respir Care"},{"key":"CIT0010-20260608","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/aam.aam_130_16","article-title":"Indications and outcome of tracheostomy in Ilorin, North Central Nigeria: 10-Year review","volume":"17","author":"Alabi","year":"2018","journal-title":"Ann Afr Med"},{"key":"CIT0011-20260608","doi-asserted-by":"crossref","first-page":"e211","DOI":"10.1055\/s-0043-1776720","article-title":"A simplified protocol for tracheostomy decannulation in patients weaned off prolonged mechanical ventilation","volume":"28","author":"Devaraja","year":"2024","journal-title":"Int Arch Otorhinolaryngol"},{"key":"CIT0012-20260608","doi-asserted-by":"crossref","first-page":"368","DOI":"10.3109\/00016925309136722","article-title":"Catheter replacement of the needle in percutaneous arteriography: A new technique","volume":"39","author":"Seldinger","year":"1953","journal-title":"Acta Radiol"},{"key":"CIT0013-20260608","doi-asserted-by":"crossref","first-page":"S19","DOI":"10.4103\/0971-9784.197793","article-title":"Percutaneous tracheostomy","volume":"20","author":"Mehta","year":"2017","journal-title":"Ann Card Anaesth"},{"key":"CIT0014-20260608","first-page":"68","article-title":"Aspiration in patients with tracheostomies","volume":"136","author":"Cameron","year":"1973","journal-title":"Surg Gynecol Obstetr"},{"key":"CIT0015-20260608","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1177\/194336549403900507","article-title":"Indications and criteria for decannulation and transition from invasive to noninvasive long-term ventilatory support: Controversies in home respiratory care","volume":"39","author":"Bach","year":"1994","journal-title":"Respir Care"},{"key":"CIT0016-20260608","doi-asserted-by":"crossref","first-page":"R26","DOI":"10.1186\/cc6802","article-title":"Determinants of tracheostomy decannulation: An international survey","volume":"12","author":"Stelfox","year":"2008","journal-title":"Crit Care"},{"key":"CIT0017-20260608","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.4187\/respcare.10551076","article-title":"Tracheostomy decannulation","volume":"55","author":"O\u2019Connor","year":"2010","journal-title":"Respir Care"},{"key":"CIT0018-20260608","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s40560-022-00626-3","article-title":"Tracheostomy decannulation protocol in patients with prolonged tracheostomy referred to a rehabilitation hospital: A prospective cohort study","volume":"10","author":"Zhou","year":"2022","journal-title":"J Intensive Care"},{"key":"CIT0019-20260608","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/cc6864","article-title":"An intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay: A prospective cohort study","volume":"12","author":"Tobin","year":"2008","journal-title":"Crit Care"},{"key":"CIT0020-20260608","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2482-10-2","article-title":"Indications and outcome of pediatric tracheostomy: Results from a Nigerian tertiary hospital","volume":"10","author":"Adoga","year":"2010","journal-title":"BMC Surg"},{"key":"CIT0021-20260608","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1093\/bja\/40.4.241","article-title":"Prolonged (therapeutic) endotracheal intubation","volume":"40","author":"Harrison","year":"1968","journal-title":"Br J Anaesth"},{"key":"CIT0022-20260608","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1378\/chest.90.2.269","article-title":"Tracheostomy in the intensive care unit. Part 1: Indications, technique, management","volume":"90","author":"Heffner","year":"1986","journal-title":"Chest"},{"key":"CIT0023-20260608","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1378\/chest.96.1.178","article-title":"Consensus conference on artificial airways in patients receiving mechanical ventilation","volume":"96","author":"Plummer","year":"1989","journal-title":"Chest"},{"key":"CIT0024-20260608","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1097\/01.TA.0000087646.68382.9A","article-title":"Early tracheostomy versus prolonged endotracheal intubation in severe head injury","volume":"57","author":"Bouderka","year":"2004","journal-title":"J Trauma"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_33_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:44:16Z","timestamp":1787067856000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_33_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,19]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_33_25","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,19]]},"assertion":[{"value":"2025-02-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}