BACKGROUND: Tracheostomy has traditionally been used as a means of facilitated mechanical ventilation in @entity1 requiring respiratory management following cardiac surgery. However in the clinical setting, the advantages of tracheostomy has been questioned by concerns surrounding evidence of its association with increased risk of @entity2737 ( @entity2737 ). The present study sought to evaluate retrospectively our experience with post-sternotomy tracheostomy among cardiac surgery @entity1 and association with @entity2737 . METHODS: Between July 2003 and June 2013, 11,795 @entity1 underwent open cardiac surgery via sternotomy in our department. Among these, 225 underwent post-sternotomy tracheostomy. Data were obtained by reviewing and analyzing the Cardiac Surgical and Cardiac Intensive Care Unit (ICU) databases for adult cardiac @entity1 . RESULTS: Out of the 11,795 sternotomy @entity1 analyzed, 225 (1.9%) underwent tracheostomy. The overall mortality rate for post-sternotomy tracheostomy @entity1 was 21.3%. @entity2737 developed in 23 @entity1 (10.2%) of the tracheostomy group. Seven of these 23 @entity1 had @entity2737 after insertion of tracheostomy. @entity2737 was significantly higher in tracheostomy versus no-tracheostomy @entity1 (10.2% vs. 0.48%; P<0.001). @entity2737 was also associated with higher mortality rates compared to non- @entity2737 @entity1 (11.4% vs. 2.3%; P<0.001). CONCLUSIONS: The present study demonstrated that tracheostomy was an independent risk factor for post-sternotomy @entity2737 , and that @entity2737 was a predictor of mortality. For tracheostomy @entity1 , coronary artery bypass grafting (CABG) procedures and longer durations of tracheostomy were strong predictors of @entity2737 . Across all sternotomy @entity1 , tracheostomy, @entity6 , urgency status and blood transfusions were significant risk factors for @entity2737 . As such, the decision for tracheostomy post-sternotomy should be carefully considered on a case by case basis.

Association between post-sternotomy XXXX : a retrospective analysis.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity2737 :: ('MESH:D014946', 'Disease') :: ['DSWI', 'deep sternal wound infections']
@entity2737 :: (MESH:D014946,Disease) :: ['tracheostomy and deep sternal wound infection']
