Back to Search
Start Over
The Practice, Outcome and Complications of Tracheostomy in Traumatic Brain Injury Patients in a Neurosurgical Intensive Care Unit: Surgical versus Percutaneous Tracheostomy and Early versus Late Tracheostomy.
- Source :
-
Malaysian Journal of Medical Sciences . 2022, Vol. 29 Issue 3, p68-79. 12p. - Publication Year :
- 2022
-
Abstract
- Background: The tracheostomy procedure is commonly required to wean patients off the severe traumatic brain injury (TBI). This study aimed to determine the practice, outcome and complications of two techniques: i) surgical tracheostomy (ST) versus percutaneous tracheostomy (PT) and ii) two different times of procedure: early tracheostomy (ET) versus late tracheostomy (LT). Methods: This was a retrospective, cross-sectional study conducted from 1 January 2013 until 31 December 2017, involving 268 severe TBI patients who required tracheostomy during neurosurgical intensive care unit (Neuro-ICU) management. The data were obtained from their medical records. Results: When based on techniques, PT displayed a significantly shorter day of tracheostomy plan (7.0 [2.5] versus 8.3 [2.6] days; P < 0.001); day of execution (7.2 [2.6] versus 8.6 [2.9] days; P < 0.001); duration of mechanical ventilation (9.8 [3.4] versus 11.3 [3.1] days; P < 0.001) and duration of ICU stay (12.3 [3.7] versus 13.8 [3.5] days; P < 0.003) than ST. If based on timing, ET showed a significantly shorter duration of mechanical ventilation (8.8 [2.1] versus 12.9 [2.9] days; P < 0.001), length of ICU stay (11.4 [2.4] versus 15.2 [3.5] days; P < 0.001) and length of hospital stay (17.1 [3.2] versus 20.0 [4.0] days; P < 0.001) than LT. Conclusion: PT showed a shorter mechanical ventilation and ICU stay duration than ST. In comparison, ET showed shorter mechanical ventilation, ICU stay and hospital stay duration than LT. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TRACHEOTOMY
*INTENSIVE care units
*NEUROSURGERY
*CROSS-sectional method
*SURGICAL complications
*RETROSPECTIVE studies
*TREATMENT delay (Medicine)
*TREATMENT effectiveness
*ARTIFICIAL respiration
*CRITICAL care medicine
*BRAIN injuries
*PHYSICIAN practice patterns
*EARLY medical intervention
*EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 1394195X
- Volume :
- 29
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Malaysian Journal of Medical Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 158702135
- Full Text :
- https://doi.org/10.21315/mjms2022.29.3.7