Publication: The practice, outcome and complications of tracheostomy for traumatic brain injury patients in neurosurgical intensive care unit
| dc.contributor.author | Zahari, Yusrina | |
| dc.date.accessioned | 2026-04-16T03:10:15Z | |
| dc.date.available | 2026-04-16T03:10:15Z | |
| dc.date.issued | 2020 | |
| dc.description.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 | |
| dc.identifier.uri | https://erepo.usm.my/handle/123456789/23931 | |
| dc.language.iso | en | |
| dc.subject | - | |
| dc.title | The practice, outcome and complications of tracheostomy for traumatic brain injury patients in neurosurgical intensive care unit | |
| dc.type | Resource Types::text::thesis::master thesis | |
| dspace.entity.type | Publication | |
| oairecerif.author.affiliation | Universiti Sains Malaysia |