ArticleJournal of thoracic disease2025
Outcomes of tracheostomy after cardiac surgery through median sternotomy.
Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Summary of the best evidence for the prevention and management of postoperative tracheostomy complications in laryngeal cancer patients.Frontiers in oncology · 2026Pooled it
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Tracheostomy complications (TCs) can result in severe outcomes such as mediastinitis, yet their significance is often underestimated due to their frequent presentation as minor local infections. In patients undergoing tracheostomy following cardiac surgery via sternotomy, the anatomical proximity between the tracheostoma and sternotomy wound, along with systemic inflammation from cardiopulmonary bypass, may increase the risk of complication. However, clinical outcome studies in this field remain limited. In this study, we aimed to investigate the outcomes of tracheostomy after cardiac surgery through median sternotomy and identify perioperative factors associated with TCs. Methods: In total, 1,689 patients underwent cardiac surgery between February 2014 and August 2024; among those patients, 85 (5%) required tracheostomy. After the exclusion of 21 patients who required thoracotomy or mini-thoracotomy, 64 patients (cardiac surgery through median sternotomy required tracheostomy) were ultimately enrolled and divided into TC (n=11) and no TC (N-TC; n=53) groups. Preoperative characteristics, intraoperative data, and early postoperative outcomes were compared between the groups. Multivariable analysis was performed to identify factors associated with TCs. Results: In total, 11 of 64 patients (17.2%) developed complications after tracheostomy, with an in-hospital mortality rate of 40.6% (26/64). A history of redo tracheostomy was significantly more prevalent (P=0.03) and the median units of packed red blood cells (pRBCs) transfused intraoperatively and on the day of cardiac surgery were significantly more in the TC group than in the N-TC group [12.0 (range, 6.0, 16.0) Conclusions: Patients who underwent tracheostomy after cardiac surgery through median sternotomy showed high early mortality and morbidity rates. The incidence of TCs was also high, underscoring the need for close monitoring of the tracheostomy site. Further research is warranted to investigate the long-term effects of these complications on patient outcomes.
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