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The ESTS-AIR database-initial results of a multi-institutional database on airway surgery.


ABSTRACT:

Objectives

Compared to lung resections, airway procedures are relatively rare in thoracic surgery. Despite this, a growing number of dedicated airway centres have formed throughout Europe. These centres are characterized by a close interdisciplinary collaboration and they often act as supra-regional referring centres. To date, most evidence of airway surgery comes from retrospective, single-centre analysis as there is a lack of large-scale, multi-institutional databases.

Methods

In 2018, an initiative was formed, which aimed to create an airway database within the framework of the ESTS database (ESTS-AIR). Five dedicated airway centres were asked to test the database in a pilot phase. A 1st descriptive analysis of ESTS-AIR was performed.

Results

A total of 415 cases were included in the analysis. For adults, the most common indication for airway surgery was post-tracheostomy stenosis and idiopathic subglottic stenosis; in children, most resections/reconstructions had to be performed for post-intubation stenosis. Malignant indications required significantly longer resections [36.0 (21.4-50.6) mm] when compared to benign indications [26.6 (9.4-43.8) mm]. Length of hospital stay was 11.0 (4.1-17.3) days (adults) and 13.4 (7.6-19.6) days (children). Overall, the rates of complications were low with wound infections being reported as the most common morbidity.

Conclusions

This evaluation of the 1st cases in the ESTS-AIR database allowed a large-scale analysis of the practice of airway surgery in dedicated European airway centres. It provides proof for the functionality of ESTS-AIR and sets the basis for rolling out the AIR subsection to all centres participating in the ESTS database.

SUBMITTER: Schweiger T 

PROVIDER: S-EPMC11007114 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature

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Publications

The ESTS-AIR database-initial results of a multi-institutional database on airway surgery.

Schweiger Thomas T   Evermann Matthias M   Rendina Erino E   Maurizi Giulio G   Venuta Federico F   Aigner Clemens C   Slama Alexis A   Collaud Stephane S   Verhagen Ad A   Timman Simone S   Bibas Benoit B   Cardoso Paulo P   Passani Stefano S   Salati Michele M   Opitz Isabelle I   Szanto Zalan Z   Hoetzenecker Konrad K  

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 20240301 4


<h4>Objectives</h4>Compared to lung resections, airway procedures are relatively rare in thoracic surgery. Despite this, a growing number of dedicated airway centres have formed throughout Europe. These centres are characterized by a close interdisciplinary collaboration and they often act as supra-regional referring centres. To date, most evidence of airway surgery comes from retrospective, single-centre analysis as there is a lack of large-scale, multi-institutional databases.<h4>Methods</h4>I  ...[more]

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