Risk factors for decannulation failure after single-stage reconstruction of adult post-intubation tracheal stenosis: 10-year experience at a tertiary center.

Although the risk factors for decannulation failure have been discussed in the literature, there are many unclear points on this issue. To identify risk factors for developing decannulation failure after single-stage surgical reconstruction of post-intubation tracheal stenosis (TS). A total of 45 adult patients with post-intubation TS admitted to our institution and underwent single-stage surgical reconstruction between April 2008 and May 2018. Nine patients developed decannulation failure by postoperative 6 months (), and 36 patients were decannulated successfully (). Causal factors of intubation were noted. Patient-related risk factors of decannulation failure were compared between two groups. had a significantly higher body mass index ( = .034) and were more likely to have diabetes ( = .025). Patients who were previously intubated for more than 48 h ( = .043) were significantly more likely to have decannulation failure. The presence of comorbid diseases did not place a patient under statistically significant risk of decannulation failure. Patients with high body mass index, the ones with diabetes, and patients who were previously intubated for more than 48 h were more likely to develop decannulation failure.