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. 2021 Dec;36(12):4597-4603.
doi: 10.1111/jocs.16066. Epub 2021 Oct 13.

Long-term laryngotracheal complications following cardiac surgery

Claudia L Cote  1 , Jonathan Melong  2 , Philippe Tremblay  1 , Andrew Fagan  3 , Matthew Cooper  4 , Graeme Mullins  5 , Michael Vician  1 , Tim Brown  2 , Christine R Herman  1
Affiliations

Long-term laryngotracheal complications following cardiac surgery

Claudia L Cote et al. J Card Surg. 2021 Dec.

Abstract

Background and aim of the study: Long-term laryngotracheal complications have not been described in adult patients undergoing cardiac surgery. The purpose of this study was to determine the incidence of and risk factors for laryngotracheal complications following cardiac surgery.

Methods: A retrospective chart review of patients at high risk for laryngotracheal complications following cardiac surgery between 2006 and 2016 was performed. High-risk patients were reviewed to determine the presence of laryngotracheal complications including laryngotracheal stenosis, keyhole deformity, or vocal cord immobility. Logistic regression was used to identify predictors of long-term laryngotracheal complications.

Results: Of 11,417 patients who underwent cardiac surgery, 1099 were identified as at high risk. Of these, 24 (2.2%) developed laryngotracheal complications following their surgery and intensive care unit (ICU) stay. Laryngotracheal stenosis and keyhole deformity were present in 13 (1.2%) and 6 (0.5%) patients, respectively. Logistic regression demonstrated older age (age ≥ 70 odds ratio [OR] 0.31, 95% confidence interval [CI] 0.12-0.83) was protective, while readmission to ICU for ventilation (OR 3.11, 95% CI 1.17-8.25) and receiving a tracheostomy (OR 7.83, 95% CI 2.22-27.6) were associated with laryngotracheal complications.

Conclusions: The incidence of long-term laryngotracheal complications following cardiac surgery was 2.2%. Readmission to ICU for ventilation and having a tracheostomy performed were associated with laryngotracheal complications.

Keywords: cardiovascular surgery.

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References

REFERENCES

    1. Barker J, Martino R, Reichardt B, Hickey EJ, Ralph-Edwards A. Incidence and impact of dysphagia in patients receiving prolonged endotracheal intubation after cardiac surgery. Can J Surg. 2009;52(2):119-124.
    1. Trouillet J-L, Luyt C-E, Guiguet M, et al. Early percutaneous tracheotomy versus prolonged intubation of mechanically ventilated patients after cardiac surgery: a randomized trial. Ann Intern Med. 2011;154(6):373-383.
    1. Songu M, Ozkul Y. Risk factors for adult postintubation tracheal stenosis. J Craniofac Surg. 2019;30(5):e447-e450.
    1. Shinn JR, Kimura KS, Campbell BR, et al. Incidence and outcomes of acute laryngeal injury after prolonged mechanical ventilation. Crit Care Med. 2019;47(12):1699-1706.
    1. Kikura M, Suzuki K, Itagaki T, Takada T, Sato S. Age and comorbidity as risk factors for vocal cord paralysis associated with tracheal intubation. Br J Anaesth. 2007;98(4):524-530.