Publication: The practice, outcome and complications of tracheostomy for traumatic brain injury patients in neurosurgical intensive care unit
Loading...
Date
2020
Authors
Zahari, Yusrina
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: The tracheostomy procedure is commonly required to wean severe traumatic brain injury (TBI) patients. This study aimed to determine the practice, techniques and outcomes in TBI patients in a neurosurgical intensive care unit (Neuro-ICU). Methods: This was a retrospective, cross-sectional study conducted from January 1st, 2013, until December 31st, 2017, involving 268 severe TBI patients who required tracheostomy during Neuro-ICU management. The data were obtained from their medical records. Results: When based on techniques, percutaneous tracheostomy (PT) displayed a significantly shorter day of tracheostomy plan [7.0(2.5) vs 8.3(2.6) days; p<0.001], day of execution [7.2 (2.6) vs 8.6(2.9) days; p<0.001], duration of mechanical ventilation [9.8(3.4) vs 11.3(3.1) days; p<0.001], and duration of ICU stay [12.3(3.7) vs 13.8(3.5) days; p<0.003] than surgical tracheostomy (ST). If based on timing, early tracheostomy (ET) showed a significantly shorter duration of mechanical ventilation [8.8(2.1) vs 12.9(2.9) days; p<0.001], length of ICU stay [11.4(2.4) vs 15.2(3.5) days; p<0.001], and length of hospital stay [17.1(3.2) vs 20.0(4.0) days; p<0.001] than late tracheostomy (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
Description
Keywords
-