ArticleLaryngoscope investigative otolaryngology2026
Association of Care Engagement and Psychosocial Factors With Tracheostomy Decannulation.
Article in Laryngoscope investigative otolaryngology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
- Association of Care Engagement and Psychosocial Factors With Tracheostomy Decannulation.Laryngoscope investigative otolaryngology · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To evaluate associations between care engagement and psychosocial factors and decannulation success and timing among adults with laryngotracheal stenosis and tracheostomy dependence. Methods: This retrospective cohort study included 60 adults with tracheostomy dependence in the setting of laryngotracheal stenosis who underwent airway surgery between September 2021 and November 2025. Patient demographics, clinical history, psychiatric and substance use history, tracheostomy information, surgical information, and follow-up care were extracted from electronic medical records. Fisher's exact tests, chi-squared tests, and accelerated failure time models were used to assess associations with decannulation timing and success. Results: Forty-seven patients (78.3%) achieved decannulation. No significant differences in ability to decannulate were found based on age, sex, race, body mass index (BMI), comorbidities, reason for tracheostomy, or stenosis characteristics. Patients who were not decannulated had significantly higher rates of missed appointments (38.5% vs. 8.5% with ≥ 2 no-shows, Conclusion: Care engagement patterns, including better appointment adherence, were significantly associated with improved decannulation rates in patients with laryngotracheal stenosis. Psychiatric comorbidities may delay decannulation. These findings suggest that interventions targeting consistent follow-up and mental health support may improve tracheostomy outcomes in this complex patient population. Level of Evidence: 4.
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