Document Type

Article

Journal Title

Laryngoscope Investigative Otolaryngology

Publication Date

2026

Volume

11

Abstract

OBJECTIVES: Recognize how rurality impacts safe discharge planning and home management for complex airway patients. This study explores the distribution of durable medical equipment (DME) companies for patients with tracheostomies and/or ventilators, aiming to identify patterns in service access statewide.

METHODS: Key informant phone surveys assessed active DME companies statewide. DME companies were identified through hospital referral lists, discharge directories, and online searches. Data collected included service radius, respiratory supplies, and ventilation types. Geographic information system (GIS) mapping visualized coverage. Rural-urban status was classified using rural-urban commuting area (RUCA) codes.

RESULTS: Of 16 companies identified, 6 were closed, leaving 50 active locations. Among these, 22% (

CONCLUSION: Geographic disparities limit DME access for rural patients requiring tracheostomy and invasive ventilation. Surgeons should be aware that patients may live over 1.5 h from a capable DME company. Presence of a DME company does not ensure a specific location offers specialized supplies or equipment. Realistic discharge planning is essential to ensure care continuity, reduce emergency department visits, hospital readmissions, and preventable complications.

LEVEL OF EVIDENCE: 4.

ISSN

2378-8038

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