ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2021
A new nomogram to predict the need for tracheostomy in burned patients.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Weaning outcomes after early vs. late tracheostomy in severe burn injury: a retrospective single-center study.BMC surgery · 2026Article
- A predictive formula for the indication of airway management in burn patients.European journal of medical research · 2025Article
- Expanding the Limits of Burn Care: Survival After a 92% Total Body Surface Area Burn.European burn journal · 2025Article
- An Epidemiological Survey of Fluid Resuscitation Practices for Adult Burns Patients in the United Kingdom.European burn journal · 2025Article
- Deployable machine learning-based decision support system for tracheostomy in acute burn patients.Burns & trauma · 2025Article
- Article
- Predicting the Risk of Incorrect Inhalation Technique in Patients with Chronic Airway Diseases by a New Predictive Nomogram.Journal of asthma and allergy · 2023Article
- Improving tracheostomy delivery for trauma and surgical critical care patients: timely trach initiative.BMJ open quality · 2022Article
- Management of Airways through Rapid Tracheostomy in a Severely Burnt Patient Attended to via Helicopter.Case reports in emergency medicine · 2021Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the impact of tracheostomy on complications, dysphagia and outcome in second and third degree burned patients.
methodsInpatient mortality, dysphagia, severity of burn injury (ABSI, TBSA) and complications in tracheotomized burn patients were compared to (I) non-tracheotomized burn patients and (II) matched tracheotomized non-burn patients.
results134 (30.9%) out of 433 patients who underwent tracheostomy, had a significantly higher percentage of inhalation injury (26.1% vs. 7.0%; p < 0.001), higher ABSI (8.9 ± 2.1 vs. 6.0 ± 2.7; p < 0.001) and TBSA score (41.4 ± 19.7% vs. 18.6 ± 18.8%; p < 0.001) compared to 299 non-tracheotomized burn patients. However, complications occurred equally in tracheotomized burn patients and matched controls and tracheostomy was neither linked to dysphagia nor to inpatient mortality at multivariate analysis. In particular, dysphagia occurred in 6.2% of cases and was significantly linked to length of ICU stay (OR 6.2; p = 0.021), preexisting neurocognitive impairments (OR 5.2; p = 0.001) and patients' age (OR 3.4; p = 0.046). A nomogram was calculated based on age, TBSA and inhalation injury predicting the need for a tracheostomy in severely burned patients.
conclusionUsing the new nomogram we were able to predict with significantly higher accuracy the need for tracheostomy in severely burned patients. Moreover, tracheostomy is safe and is not associated with higher incidenc of complications, dysphagia or worse outcome.
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