Tracheostomy After Cardiac Operations: In-Hospital and Long-Term Survival

Predictors of short-term mortality in patients undergoing percutaneous dilatational tracheostomy

“…This is most likely due to a smaller sample size (VAD, n = 23, and cardiogenic shock, n = 33). Nevertheless, our findings of decreased survival with VAD and cardiogenic shock are supported by other studies showing that prolonged hemodynamic compromise, cardiac dysfunction, and vasopressor requirements are associated with increased mortality in the cardiac surgery and general ICU populations [2,12,23-26]. …”

Tracheostomy After Cardiac Surgery: Timing of Tracheostomy as a Risk Factor for Mortality

“…Recent work described an opposite picture; only a minority, 1.04% to 4.13% of patients underwent a tracheostomy, mostly performed at the bedside in a percutaneous approach. 3,4,[7][8][9][10][11][12][13][14] The overall survival rate is low in patients undergoing a tracheostomy after cardiac surgery. Walts et al 13 described a 1-year survival rate of 31%; Ballotta et al 2 described a 1-and 2-year survival rate of 29% and 31%, respectively.…”

“…2 The possible predictors of early-and longterm survival in these patients are not yet well established. 3 Devarian et al 4 concluded that early tracheostomy after cardiac surgery was associated with reduced morbidity and mortality. This present report was the first research that defined the effect of tracheostomy timing on short-and long-term mortality.…”

Incidence of sternal wound infection after tracheostomy in patients undergoing cardiac surgery: A systematic review and meta-analysis

“…The incidence of sternal wound infection across all studies reported was 7% (95% confidence interval [CI], [4][5][6][7][8][9][10]. The percutaneous tracheostomy group had a sternal wound infection proportion of 3% (95% CI, [1][2][3][4][5][6][7][8], and the open tracheostomy group had a sternal wound infection proportion of 9% (95% CI, [5][6][7][8][9][10][11][12][13][14]. The incidence of sternal wound infection with early (<14 days) (7%; 95% CI, 3-11) versus late (14 days) (7%; 95% CI, 4-10) tracheostomy was similar.…”

“…Conclusions: The incidence of sternal wound infection after tracheostomy in patients undergoing cardiac surgery remains high at 7% (95% CI, [4][5][6][7][8][9][10]. Open or percutaneous tracheostomy after cardiac surgery is a feasible option because the incidence of sternal wound infection and short-term mortality are comparable.…”