{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T05:28:00Z","timestamp":1775107680154,"version":"3.50.1"},"reference-count":25,"publisher":"Global Tracheostomy Collaborative","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Background<\/jats:title>\n Transport of adults with tracheostomies, laryngectomies, or other surgical airways can cause airway compromise, physiologic instability, and preventable harm, yet transport practices remain inconsistent. This scoping review mapped evidence on intrahospital transport of adults with surgical airways, described transport processes and outcomes, and identified priorities for safer care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Following PRISMA guidance, we searched six databases through March 2024 for primary studies of adults undergoing intrahospital transport with surgical airways that reported adverse events, clinical outcomes, or resource use. Reviewers independently screened studies, extracted data, and assessed risk of bias for nonrandomized studies using ROBINS-I. Findings were synthesized narratively.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of 1,118 records, six studies met inclusion criteria, including prospective cohorts, retrospective reviews, and one pre\u2013post handoff intervention, with sample sizes from 48 to 521 patients. Cardiorespiratory alterations occurred in up to 67 percent of transports, and complications affected 28 percent of critically ill cancer transports. Compared with mechanically ventilated non-transported patients, transported patients had longer durations of ventilation, ICU stay, and hospital stay, and experienced higher ventilator-associated pneumonia and mortality rates. A structured operating room-to-ICU handoff reduced omitted information but did not change mortality or length of stay. Most studies had moderate risk of bias.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Intrahospital transport of adults with surgical airways is associated with instability, complications, and increased resource use, yet evidence is limited and transport processes vary widely. Multicenter studies enrolling tracheostomy patients and testing standardized, airway-focused transport bundles and structured handoffs are needed to inform best practices and improve safety.<\/jats:p>\n <\/jats:sec>","DOI":"10.62905\/001c.155766","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T03:58:33Z","timestamp":1775102313000},"source":"Crossref","is-referenced-by-count":0,"title":["Intrahospital Transport of Adults with Tracheostomy, Laryngectomy, and other Surgical Airways: A Scoping Review of Risks, Processes, and Outcomes"],"prefix":"10.62905","volume":"3","author":[{"given":"Naomi B","family":"Gizaw","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Pennsylvania State University, Hershey, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel A","family":"Snee","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi NS","family":"Walter","sequence":"additional","affiliation":[{"name":"Ross and Carol Nese College of Nursing, The Pennsylvania State University, University Park, PA"},{"name":"Center for Immersive Learning and Digital Innovation, The Pennsylvania State University, University Park, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DeMarcus M","family":"Burke","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jai\u2019el R","family":"Toussaint","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raivat","family":"Shah","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, MI"},{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Michigan Medicine, Ann Arbor, MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youssef A","family":"Nagaty","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E","family":"Hughes","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferdie Z","family":"Galicia","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, MI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela M","family":"Fetsko","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Penn State Milton S Hershey Medical Center, Hershey, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura C","family":"Nairns","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Penn State Milton S Hershey Medical Center, Hershey, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda M","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, Penn State Milton S Hershey Medical Center, Hershey, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Goldenberg","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Penn State Milton S Hershey Medical Center, Hershey, PA"},{"name":"Division of Head and Neck Oncology and Surgery"},{"name":"Department of Medicine, Penn State Milton S Hershey Medical Center, Hershey, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4926-0957","authenticated-orcid":false,"given":"Michael 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Hajjej","year":"2015","journal-title":"Tunis Med"},{"issue":"2","key":"ref20","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1097\/01376517-199904000-00004","article-title":"Factors that contribute to complications during intrahospital transport of the critically ill","volume":"31","author":"B. L. Doring","year":"1999","journal-title":"J Neurosci Nurs"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"103720","DOI":"10.1016\/j.iccn.2024.103720","article-title":"Global predictors of tracheostomy-related pressure injury in the COVID-19 era: A study of secondary data","volume":"86","author":"C. H. Moser","year":"2025","journal-title":"Intensive Crit Care Nurs"},{"issue":"5","key":"ref22","doi-asserted-by":"publisher","first-page":"416","DOI":"10.4037\/ajcc2022644","article-title":"Prevention of Endotracheal Tube-Related Pressure Injury: A Systematic Review and Meta-analysis","volume":"31","author":"C. H. 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