Table 1.
Baseline characteristics
| Variables | Tracheostomy | Cricothyroidotomy + tracheostomy | ||
|---|---|---|---|---|
| Trauma N = 38 |
Non-trauma N = 7 |
Trauma N = 3 |
Non-trauma N = 4 |
|
| Demographics | Median (IQR) | Median (IQR) | Median (IQR) | Median (IQR) |
| Age (years) | 55 (37) | 67 (9) | 39** | 62 (24) |
| BMI | 24 (9) | 27 (6) | 25** | 28 (11) |
| Variables | Tracheostomy | Cricothyroidotomy + tracheostomy | ||
|---|---|---|---|---|
| Trauma N = 38 |
Non-trauma N = 7 |
Trauma N = 3 |
Non-trauma N = 4 |
|
| N (%) | N (%) | N (%) | N (%) | |
| Male | 25 (66) | 4 (57) | 3 (100) | 1 (25) |
| Diabetes mellitus | 4 (11) | 1 (14) | 0 (0) | 0 (0) |
| ASA score | ||||
| 1 | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
| 2 | 23 (61) | 1 (14) | 2 (67) | 0 (0) |
| 3 | 15 (40) | 6 (86) | 1 (33) | 3 (75) |
| 4 | 0 (0) | 0 (0) | 0 (0) | 1 (25) |
| Cervical characteristics | ||||
| Obesity | 7 (18) | 1 (14) | 0 (0) | 1 (25) |
| Anatomical abnormalities | 4 (11) | 0 (0) | 0 (0) | 0 (0) |
| Surgical history in cervical region | 1 (3) | 1 (14) | 0 (0) | 0 (0) |
| Pre-tracheostomy swallowing dysfunction | 7 (18) | 0 (0) | 0 (0) | 0 (0) |
| Excessive sputum pre-tracheostomy | 15 (40) | 3 (43) | 0 (0) | 1 (25) |
| Variables | Tracheostomy | Cricothyroidotomy + tracheostomy | ||
|---|---|---|---|---|
| Trauma N = 38 |
Non-trauma N = 7 |
Trauma N = 3 |
Non-trauma N = 4 |
|
| Clinical characteristics | Median (IQR) | Median (IQR) | Median (IQR) | Median (IQR) |
| ISS* | 27 (15) | – | 22** | – |
| Vital signs at day of tracheostomy | ||||
| Systolic blood pressure | 120 (35) | 120 (38) | 90** | 132 (17) |
| Diastolic blood pressure | 70 (20) | 67 (30) | 75** | 64.8 (12) |
| Heart rate | 93 (37) | 87 (41) | 90** | 95 (34) |
| Variables | Tracheostomy | Cricothyroidotomy + tracheostomy | ||
|---|---|---|---|---|
| Trauma N = 38 |
Non-trauma N = 7 |
Trauma N = 3 |
Non-trauma N = 4 |
|
| N (%) | N (%) | N (%) | N (%) | |
| ISS > 15* | 32 (84) | – | 2 (67) | – |
| GCS* | ||||
| GCS motor ≤ 3 | 18 (47) | 1 (14) | 1 (33) | 2 (25) |
| GCS ≤ 8 | 20 (53) | 1 (14) | 1 (33) | 2 (25) |
| ICU admission | 38 (100) | 6 (86) | 3 (100) | 3 (75 |
| IMCU admission | 0 (0) | 1 (14) | 0 (0) | 1 (25) |
| Trauma injury specifics | ||||
| Head injury | 23 (61) | 0 (0) | 1 (33) | 0 (0) |
| Brain injury* | ||||
| Mild (GCS motor 4–5) | 9 (24) | 0 (0) | 1 (33) | 0 (0) |
| Severe (GCS motor ≤ 3) | 18 (47) | 0 (0) | 0 (0) | 0 (0) |
| Cervical osseous injury | 19 (50) | 0 (0) | 2 (67) | 0 (0) |
| Cervical spinal cord injury | ||||
| Level C1-C4 | 5 (13) | 0 (0) | 0 (0) | 0 (0) |
| Level C5-C8 | 2 (5) | 0 (0) | 0 (0) | 0 (0) |
| Procedural specifics | ||||
| Time from trauma/initial surgery to tracheostomy | ||||
| Early (≤ 14 days) tracheostomy | 28 (74) | 3 (43) | 3 (100) | 4 (100) |
| Late (> 14 days) tracheostomy | 10 (27) | 4 (57) | 0 (0) | 0 (0) |
| Indication for tracheostomy | ||||
| Physically threatened airway | 3 (8) | 0 (0) | 1 (33) | 1 (25) |
| Insufficient respiratory function | 34 (90) | 6 (86) | 0 (0) | 0 (0) |
| Alternative way of airway management | 1 (3) | 1 (14) | 2 (67) | 3 (75) |
| Incision type* | ||||
| Longitudinal | 26 (69) | 2 (29) | 2 (67) | 2 (50) |
| U-shaped | 9 (24) | 2 (29) | 0 (0) | 1 (25) |
IQR Interquartile range, BMI Body Mass Index, ASA American society of Anesthesiologists, ISS Injury severity score, GCS Glasgow coma scale, ICU Intensive care unit, IMCU Intermediate care unit
*Missing data: ISS was missing in 8% (n = 3) of trauma tracheostomy patients. No ISS was scored in non-trauma patients. GCS was missing in 9% (n = 4) of total tracheostomy patients; GCS was missing in 5% (n = 2) of trauma tracheostomy patients and in 29% (n = 2) of non-trauma tracheostomy patients. GCS was missing in 2 of non-trauma cricothyroidotomy + tracheostomy patients. Incision type was missing in 15% (n = 7) of total tracheostomy patients; Incision type was missing in 8% (n = 3) of trauma tracheostomy patients and in 43% (n = 3) of non-trauma tracheostomy patients. Incision type was missing in 33% (n = 1) of trauma cricothyroidotomy + tracheostomy patients and in 25% (n = 1) of non-trauma cricothyroidotomy + tracheostomy patients
**In several cases, IQR could not be presented due to group size of n ≤ 3