What is the association between intensive care unit (ICU)-patient height (as a proxy for tracheal diameter) and risk of postintubation posterior glottic stenosis (PGS)?
Shorter height is independently associated with increased odds of having PGS, with the odds of developing PGS decreasing 9% for each centimeter increase in height.
Explore this issue:December 2018
Background: Intubation is an essential, largely safe component of intensive care, but it does have potential complications. PGS is insidious, debilitating, often irreversible, usually manifests well after hospital discharge, and can profoundly affect phonation, deglutition, and respiration. However, postintubation PGS risk factors remain poorly understood and largely unappreciated by practitioners providing acute care.
Study design: Retrospective case-control study of 77 PGS and 106 control patients who underwent intubation in an ICU at a single tertiary care medical center between 2001 and 2015.