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Tracheostomy weaning outcomes in relation to the site of acquired brain injury: A retrospective case series
- Source :
- Brain injury. 31(2)
- Publication Year :
- 2017
-
Abstract
- To analyse whether the outcome of tracheostomy weaning is influenced by the site of injury in acquired brain injury.A retrospective case review of all the consecutive admissions to an acute neurorehabilitation unit in a 2-year period was performed. Patients with a diagnosis of acquired brain injury and tracheostomy in situ were included in this study.One hundred and six patients were included in the analysis. They were considered in two groups based on the site of brain injury: Group S, those with supratentorial brain injury only; and Group I, those with any injury with infratentorial involvement. Fifty-one (82%) patients in Group S were successfully weaned from the tracheostomy, compared to only 27 (61%) of patients in Group I. In other words, the proportion of unsuccessful weans (long-term tracheostomy) was 11 (18%) in Group S compared to 17 (39%) in Group I. The statistical significance of successful weans between the groups was p = 0.01 (Chi-square test). The common reasons for unsuccessful weaning were excessive secretion load and recurrent aspiration pneumonia.Patients with isolated supratentorial brain injury have a statistically significant higher chance of successful decannulation when compared to those patients with any infratentorial brain injury involvement.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Neuroscience (miscellaneous)
Case review
03 medical and health sciences
Young Adult
0302 clinical medicine
Tracheotomy
Tracheostomy
Statistical significance
Developmental and Educational Psychology
medicine
Weaning
Humans
Young adult
Acquired brain injury
Neurorehabilitation
Device Removal
Aged
Retrospective Studies
business.industry
Neurological Rehabilitation
Retrospective cohort study
Middle Aged
medicine.disease
Surgery
030228 respiratory system
Anesthesia
Brain Injuries
Female
Neurology (clinical)
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1362301X
- Volume :
- 31
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Brain injury
- Accession number :
- edsair.doi.dedup.....8ae3ba3cf1ebd0f477ab25b216fcdce2