Short-term Outcome of Early Tracheostomy in the Trauma Patients Admitted to Intensive Care Unit: A Comparative Study

Bulletin of Emergency And Trauma

Afsoun Fazelzadeh²  Hadi Niakan¹  Bijan Ziaeian²  Sedigheh Tahmasebi² 

[1] Trauma Research Center, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.;Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

关键词: Tracheostomy;    Early tracheostomy;    Airway management;    Intensive care unit (ICU);    Mechanical ventilation;   

DOI  :  

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

Objectives:To compare the results of early versus late tracheostomy in trauma patients admitted to intensive care unit (ICU). Methods:This was case control study being performed at a major trauma centre in Shiraz, Iran including 120 trauma patients admitted to ICU during a 2-year period and underwent tracheostomy during their ICU stay. The patients were categorized into two groups of the early tracheostomy who underwent tracheostomy within the first 7 days of initiation of mechanical ventilation (n=60), and the late tracheostomy group, in which tracheostomy was performed after 7 days (n=60). The duration of mechanical ventilation, ICU stay and hospital stay as well as mortality rates in ICU and hospital were recorded and compared between two study groups. Results:The baseline characteristics such as age (p=0.325), sex (p=0.071), Glasgow coma scale (GCS) (p=0.431) and the mechanism of injury (p=0.822) were comparable between two study groups. Early tracheostomy was associated with a significantly shorter duration of mechanical ventilation (p=0.008) and shorter ICU stay (p=0.003). Hospital stay (p=0.165), ICU mortality (p=0.243), and hospital mortality (p=0.311) were not different between the two study groups. Conclusion:Early tracheostomy is associated with reduced ICU stay and shorter duration of mechanical ventilation. Adopting a standardized strategy may improve resource utilization.

【 授权许可】

Unknown