{"id":"https://openalex.org/W7224097675","doi":"https://doi.org/10.1002/lary.71025","title":"Early SLP Involvement in Postoperative Tracheostomy Care Significantly Reduces Hospital Costs","display_name":"Early SLP Involvement in Postoperative Tracheostomy Care Significantly Reduces Hospital Costs","publication_year":2026,"publication_date":"2026-10-27","ids":{"openalex":"https://openalex.org/W7224097675","doi":"https://doi.org/10.1002/lary.71025","pmid":"https://pubmed.ncbi.nlm.nih.gov/42947344"},"language":"en","primary_location":{"id":"doi:10.1002/lary.71025","doi":"https://doi.org/10.1002/lary.71025","is_oa":true,"landing_page_url":"https://doi.org/10.1002/lary.71025","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lary.71025","source":{"id":"https://openalex.org/S86387881","display_name":"The Laryngoscope","issn_l":"0023-852X","issn":["0023-852X","1091-756X","1531-4995"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Laryngoscope","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lary.71025","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160037682","display_name":"Rachael Silveira","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802864460","display_name":"Jackson Memorial Hospital","ror":"https://ror.org/02y070a55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802864460","https://openalex.org/I4210089954"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachael Silveira","raw_affiliation_strings":["Department of Rehabilitation\u2014Speech Language Pathology Jackson Memorial Hospital  Miami Florida USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Rehabilitation\u2014Speech Language Pathology Jackson Memorial Hospital  Miami Florida USA","institution_ids":["https://openalex.org/I2802864460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069769277","display_name":"Nicholas DiStefano","orcid":"https://orcid.org/0000-0002-9423-8823","observed_orcids":["https://orcid.org/0000-0002-9423-8823"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nicholas DiStefano","raw_affiliation_strings":["University of Miami Miller School of Medicine  Miami Florida USA"],"raw_orcid":"https://orcid.org/0000-0002-9423-8823","affiliations":[{"raw_affiliation_string":"University of Miami Miller School of Medicine  Miami Florida USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003612590","display_name":"Madeline P. Pyle","orcid":"https://orcid.org/0000-0002-5482-2785","observed_orcids":["https://orcid.org/0000-0002-5482-2785"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Madeline P. Pyle","raw_affiliation_strings":["Department of Otolaryngology\u2014Head and Neck Surgery University of Miami Miller School of Medicine  Miami Florida USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology\u2014Head and Neck Surgery University of Miami Miller School of Medicine  Miami Florida USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009765613","display_name":"Eve M. R. Bowers","orcid":"https://orcid.org/0000-0001-8866-1951","observed_orcids":["https://orcid.org/0000-0001-8866-1951"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eve M. R. Bowers","raw_affiliation_strings":["Department of Otolaryngology\u2014Head and Neck Surgery University of Miami Miller School of Medicine  Miami Florida USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology\u2014Head and Neck Surgery University of Miami Miller School of Medicine  Miami Florida USA","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080676470","display_name":"Stuart J. Duffield","orcid":"https://orcid.org/0000-0002-3757-6367","observed_orcids":["https://orcid.org/0000-0002-3757-6367"]},"institutions":[{"id":"https://openalex.org/I150468666","display_name":"Emory University","ror":"https://ror.org/03czfpz43","country_code":"US","type":"education","lineage":["https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stuart Duffield","raw_affiliation_strings":["Emory University School of Medicine  Atlanta Georgia USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emory University School of Medicine  Atlanta Georgia USA","institution_ids":["https://openalex.org/I150468666"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111749558","display_name":"Bjorn S. Herman","orcid":"https://orcid.org/0009-0000-6219-6692","observed_orcids":["https://orcid.org/0009-0000-6219-6692"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Bjorn S. Herman","raw_affiliation_strings":["Department of Otolaryngology\u2014Head and Neck Surgery University of Miami Miller School of Medicine  Miami Florida USA"],"raw_orcid":"https://orcid.org/0009-0000-6219-6692","affiliations":[{"raw_affiliation_string":"Department of Otolaryngology\u2014Head and Neck Surgery University of Miami Miller School of Medicine  Miami Florida USA","institution_ids":["https://openalex.org/I145608581"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5111749558"],"corresponding_institution_ids":["https://openalex.org/I145608581"],"apc_list":{"value":4840,"currency":"USD","value_usd":4840},"apc_paid":{"value":4840,"currency":"USD","value_usd":4840},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.84921264,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11260","display_name":"Tracheal and airway disorders","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11260","display_name":"Tracheal and airway disorders","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10830","display_name":"Airway Management and Intubation Techniques","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10863","display_name":"Voice and Speech Disorders","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/speech-language-pathologists","display_name":"speech-language pathologists","score":0.7649999856948853},{"id":"https://openalex.org/keywords/tracheostomy","display_name":"tracheostomy","score":0.8349999785423279},{"id":"https://openalex.org/keywords/decannulation","display_name":"decannulation","score":0.9200000166893005},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.949999988079071},{"id":"https://openalex.org/keywords/hospitalization-costs","display_name":"hospital costs","score":0.9860000014305115},{"id":"https://openalex.org/keywords/cost-reduction","display_name":"cost reduction","score":0.6389999985694885},{"id":"https://openalex.org/keywords/postoperative-care","display_name":"postoperative care","score":0.7250000238418579},{"id":"https://openalex.org/keywords/intensive-care-unit","display_name":"intensive care unit","score":0.5569999814033508},{"id":"https://openalex.org/keywords/intermediate-care-unit","display_name":"intermediate care unit","score":0.9589999914169312}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9125999808311462},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.478300005197525},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4291999936103821},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.39660000801086426},{"id":"https://openalex.org/C2778551211","wikidata":"https://www.wikidata.org/wiki/Q324921","display_name":"Tracheotomy","level":2,"score":0.3939000070095062},{"id":"https://openalex.org/C2984889486","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing care","level":2,"score":0.3628999888896942},{"id":"https://openalex.org/C2780813298","wikidata":"https://www.wikidata.org/wiki/Q2071287","display_name":"Percutaneous","level":2,"score":0.35190001130104065},{"id":"https://openalex.org/C203915360","wikidata":"https://www.wikidata.org/wiki/Q352454","display_name":"Critical care nursing","level":3,"score":0.3197000026702881},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.319599986076355},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3102000057697296},{"id":"https://openalex.org/C2993624421","wikidata":"https://www.wikidata.org/wiki/Q16917","display_name":"Hospital care","level":3,"score":0.3098999857902527},{"id":"https://openalex.org/C3020246157","wikidata":"https://www.wikidata.org/wiki/Q324921","display_name":"Tracheostomy tube","level":2,"score":0.29280000925064087},{"id":"https://openalex.org/C3019352322","wikidata":"https://www.wikidata.org/wiki/Q16917","display_name":"Hospital ward","level":2,"score":0.27549999952316284},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.2606000006198883},{"id":"https://openalex.org/C3017595490","wikidata":"https://www.wikidata.org/wiki/Q17006263","display_name":"University hospital","level":2,"score":0.2540999948978424}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1002/lary.71025","doi":"https://doi.org/10.1002/lary.71025","is_oa":true,"landing_page_url":"https://doi.org/10.1002/lary.71025","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lary.71025","source":{"id":"https://openalex.org/S86387881","display_name":"The Laryngoscope","issn_l":"0023-852X","issn":["0023-852X","1091-756X","1531-4995"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Laryngoscope","raw_type":"journal-article"},{"id":"pmid:42947344","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42947344","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Laryngoscope","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1002/lary.71025","doi":"https://doi.org/10.1002/lary.71025","is_oa":true,"landing_page_url":"https://doi.org/10.1002/lary.71025","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lary.71025","source":{"id":"https://openalex.org/S86387881","display_name":"The Laryngoscope","issn_l":"0023-852X","issn":["0023-852X","1091-756X","1531-4995"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Laryngoscope","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224097675.pdf","grobid_xml":"https://content.openalex.org/works/W7224097675.grobid-xml"},"referenced_works_count":22,"referenced_works":["https://openalex.org/W1966038763","https://openalex.org/W2080677096","https://openalex.org/W2098460525","https://openalex.org/W2103705142","https://openalex.org/W2124256886","https://openalex.org/W2124483690","https://openalex.org/W2135314759","https://openalex.org/W2235223586","https://openalex.org/W2291478578","https://openalex.org/W2312206371","https://openalex.org/W2333670338","https://openalex.org/W2530248653","https://openalex.org/W2556469651","https://openalex.org/W2970080935","https://openalex.org/W2970614827","https://openalex.org/W3029541987","https://openalex.org/W3070351361","https://openalex.org/W3087919220","https://openalex.org/W3136617030","https://openalex.org/W3200498103","https://openalex.org/W4210426160","https://openalex.org/W4402181496"],"related_works":["https://openalex.org/W4402181496","https://openalex.org/W3070351361","https://openalex.org/W7117752268","https://openalex.org/W2561469811","https://openalex.org/W2036712605","https://openalex.org/W1821741561","https://openalex.org/W2772939535","https://openalex.org/W4403104287","https://openalex.org/W2124256886","https://openalex.org/W3204040122"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"examine":[2],"the":[3,10,131,136,143,156],"role":[4],"of":[5,13,21,33,126],"speech-language":[6],"pathologists":[7],"(SLPs)":[8],"in":[9,27,135,142,151],"postoperative":[11],"care":[12,73,138,145,154],"tracheostomized":[14,24,152],"patients":[15,25,64,175],"and":[16,57,79,99,121,140,158,167,180],"determine":[17],"if":[18],"earlier":[19,28,109],"involvement":[20,150],"SLP":[22,48,87,111,149],"with":[23,91,116],"results":[26],"decannulation,":[29,56,164],"reduced":[30,37],"hospital":[31,38,58,101,159],"length":[32],"stay":[34],"(LOS),":[35],"or":[36],"costs.":[39,169],"METHODS:":[40],"Data":[41],"including":[42],"time":[43,50,85,93],"from":[44,51],"tracheostomy":[45,52,55,68,179,187],"placement":[46,53],"to":[47,54,86,94,174,185],"consult,":[49],"LOS":[59,102,120],"were":[60],"collected":[61],"on":[62,130],"all":[63],"who":[65],"underwent":[66],"open":[67,177],"at":[69],"an":[70,122],"academic":[71],"tertiary":[72],"center":[74],"between":[75],"January":[76],"1,":[77],"2023":[78],"May":[80],"31,":[81],"2024.":[82],"RESULTS:":[83],"Shorter":[84],"consult":[88],"was":[89,114],"associated":[90,115],"shorter":[92,100,119],"decannulation":[95],"(p":[96,103],"<":[97,104],"0.0001)":[98],"0.000001).":[105],"Conversely,":[106],"each":[107],"day":[108,129],"that":[110],"consultation":[112],"occurred":[113],"a":[117],"1.39-day":[118],"estimated":[123],"cost":[124],"savings":[125],"$1039.30":[127],"per":[128],"medical-surgical":[132],"floor,":[133],"$1581.10":[134],"intermediate":[137],"unit,":[139],"$2221.00":[141],"intensive":[144],"unit.":[146],"CONCLUSION:":[147],"Early":[148],"patients'":[153],"benefits":[155],"patient":[157],"system":[160],"by":[161],"hastening":[162],"safe":[163],"reducing":[165],"LOS,":[166],"lowering":[168],"These":[170],"findings":[171],"are":[172],"limited":[173],"undergoing":[176],"surgical":[178],"may":[181],"not":[182],"be":[183],"generalizable":[184],"percutaneous":[186],"populations.":[188]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-29T00:00:00"}
