Timing of tracheostomy and outcome of patients requiring mechanical ventilation

To assess the impact of tracheostomy timing on outcome of critically ill patients requiring mechanical ventilation (MV). Retrospective clinical study in a twelve beds intensive care unit (ICU). From January 2001 to June 2005, patients under MV who received tracheostomy were divided into 2 groups: ea...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 2007-06, Vol.26 (6), p.496-501
Main Authors: Aissaoui, Y, Azendour, H, Balkhi, H, Haimeur, C, Kamili Drissi, N, Atmani, M
Format: Article
Language:fre
Subjects:
Adult
Aged
Critical Illness
Cross Infection - epidemiology
Female
Humans
Length of Stay
Male
Middle Aged
Pneumonia - epidemiology
Prevalence
Respiration, Artificial - adverse effects
Respiration, Artificial - methods
Retrospective Studies
Survival Analysis
Time Factors
Tracheostomy
Treatment Outcome
Ventilator Weaning
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Summary:To assess the impact of tracheostomy timing on outcome of critically ill patients requiring mechanical ventilation (MV). Retrospective clinical study in a twelve beds intensive care unit (ICU). From January 2001 to June 2005, patients under MV who received tracheostomy were divided into 2 groups: early tracheostomy group when tracheostomy was performed before or on day 7 and late tracheostomy group when it was performed thereafter. We compared prevalence of nosocomial pneumonia, length of sedation, lengths of MV, length of stay in ICU, weaning from MV and mortality rates between the 2 groups. During this period of 4 years and half, 112 patients underwent tracheostomy, 62 of whom had early tracheostomy and 50 had late tracheostomy. Early tracheostomy was associated with significant reduction of length of sedation (10+/-3 vs 17+/-5 days, P
ISSN:1769-6623
DOI:10.1016/j.annfar.2007.03.034