Association of early tracheostomy with length of stay and mortality in critically ill patients.


Journal

The Journal of laryngology and otology
ISSN: 1748-5460
Titre abrégé: J Laryngol Otol
Pays: England
ID NLM: 8706896

Informations de publication

Date de publication:
Sep 2024
Historique:
medline: 28 10 2024
pubmed: 22 4 2024
entrez: 22 4 2024
Statut: ppublish

Résumé

The timing of tracheostomy for intensive care unit patients is controversial, with conflicting findings on early versus late tracheostomy. Patients undergoing tracheostomy from 2001through 2012 were identified from the Medical Information Mart for Intensive Care-III database. Early tracheostomy was defined as less than the 25th percentile of time from intensive care unit admission to tracheostomy (time to tracheostomy). Statistical analysis for tracheostomy timing on intensive care unit length of stay and mortality were conducted. Of the 1,566 patients that were included, patients with early tracheostomy had shorter intensive care unit length of stay (27.32 Our analysis revealed that patients with early tracheostomy were more likely to have shorter intensive care unit lengths of stay and lower mortality. Our data suggest that early tracheostomy should be given strong consideration in appropriately selected patients.

Sections du résumé

BACKGROUND BACKGROUND
The timing of tracheostomy for intensive care unit patients is controversial, with conflicting findings on early versus late tracheostomy.
METHODS METHODS
Patients undergoing tracheostomy from 2001through 2012 were identified from the Medical Information Mart for Intensive Care-III database. Early tracheostomy was defined as less than the 25th percentile of time from intensive care unit admission to tracheostomy (time to tracheostomy). Statistical analysis for tracheostomy timing on intensive care unit length of stay and mortality were conducted.
RESULTS RESULTS
Of the 1,566 patients that were included, patients with early tracheostomy had shorter intensive care unit length of stay (27.32
CONCLUSION CONCLUSIONS
Our analysis revealed that patients with early tracheostomy were more likely to have shorter intensive care unit lengths of stay and lower mortality. Our data suggest that early tracheostomy should be given strong consideration in appropriately selected patients.

Identifiants

pubmed: 38644742
doi: 10.1017/S0022215124000537
pii: S0022215124000537
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

921-927

Auteurs

Aman M Patel (AM)

Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Rushi Patel (R)

Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic College of Medicine, Cleveland, Ohio, USA.

Lucy Revercomb (L)

Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

David Avery Cohen (DA)

Department of Otolaryngology-Head and Neck Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.

Christopher C Tseng (CC)

Department of Otolaryngology-Head and Neck Surgery, Pennsylvania State University College of Medicine, Hershey, PA, USA.

Wayne D Hsueh (WD)

Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

Andrey Filimonov (A)

Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

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Classifications MeSH