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Development of the Tracheostomy Well-Being Score in critically ill patients

PURPOSE: Little attention has been given to understanding the experiences and perceptions of tracheostomized patients. This study aimed to measure the impact of tracheostomy on well-being in critically ill patients with the development of the Tracheostomy Well-Being Score (TWBS). METHODS: This is a...

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Autores principales: Ull, Christopher, Weckwerth, Christina, Hamsen, Uwe, Jansen, Oliver, Spieckermann, Aileen, Schildhauer, Thomas Armin, Gaschler, Robert, Waydhas, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10175326/
https://www.ncbi.nlm.nih.gov/pubmed/36227356
http://dx.doi.org/10.1007/s00068-022-02120-9
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author Ull, Christopher
Weckwerth, Christina
Hamsen, Uwe
Jansen, Oliver
Spieckermann, Aileen
Schildhauer, Thomas Armin
Gaschler, Robert
Waydhas, Christian
author_facet Ull, Christopher
Weckwerth, Christina
Hamsen, Uwe
Jansen, Oliver
Spieckermann, Aileen
Schildhauer, Thomas Armin
Gaschler, Robert
Waydhas, Christian
author_sort Ull, Christopher
collection PubMed
description PURPOSE: Little attention has been given to understanding the experiences and perceptions of tracheostomized patients. This study aimed to measure the impact of tracheostomy on well-being in critically ill patients with the development of the Tracheostomy Well-Being Score (TWBS). METHODS: This is a prospective, monocentric, observational study including critically ill patients with a tracheostomy without delirium. A 25-item questionnaire with items from six categories (respiration, coughing, pain, speaking, swallowing, and comfort) was used to select the 12 best items (two per category) to form the TWBS score after testing on two consecutive days. Item selection secured (1) that there were no skewed response distributions, (2) high stability from day 1 to day 2, and (3) high prototypicality for the category in terms of item-total correlation. RESULTS: A total of 63 patients with a mean age of 56 years were included. The 12 items of the TWBS were characterized by a high retest reliability (τ = 0.67–0.93) and acceptable internal consistency. The overlap with the clinician rating was low, suggesting that acquiring self-report data is strongly warranted. CONCLUSION: With the TWBS, an instrument is available for the assessment of the subjective effects a tracheostomy has on in critically ill patients. The score potentially offers a chance to increase well-being of these patients. Additionally, this score could also increase their quality of life by improving tracheostomy and weaning management. CLINICAL TRIAL REGISTRATION: German Clinical Trials Register Identifier DRKS00022073 (2020/06/02). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00068-022-02120-9.
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spelling pubmed-101753262023-05-13 Development of the Tracheostomy Well-Being Score in critically ill patients Ull, Christopher Weckwerth, Christina Hamsen, Uwe Jansen, Oliver Spieckermann, Aileen Schildhauer, Thomas Armin Gaschler, Robert Waydhas, Christian Eur J Trauma Emerg Surg Original Article PURPOSE: Little attention has been given to understanding the experiences and perceptions of tracheostomized patients. This study aimed to measure the impact of tracheostomy on well-being in critically ill patients with the development of the Tracheostomy Well-Being Score (TWBS). METHODS: This is a prospective, monocentric, observational study including critically ill patients with a tracheostomy without delirium. A 25-item questionnaire with items from six categories (respiration, coughing, pain, speaking, swallowing, and comfort) was used to select the 12 best items (two per category) to form the TWBS score after testing on two consecutive days. Item selection secured (1) that there were no skewed response distributions, (2) high stability from day 1 to day 2, and (3) high prototypicality for the category in terms of item-total correlation. RESULTS: A total of 63 patients with a mean age of 56 years were included. The 12 items of the TWBS were characterized by a high retest reliability (τ = 0.67–0.93) and acceptable internal consistency. The overlap with the clinician rating was low, suggesting that acquiring self-report data is strongly warranted. CONCLUSION: With the TWBS, an instrument is available for the assessment of the subjective effects a tracheostomy has on in critically ill patients. The score potentially offers a chance to increase well-being of these patients. Additionally, this score could also increase their quality of life by improving tracheostomy and weaning management. CLINICAL TRIAL REGISTRATION: German Clinical Trials Register Identifier DRKS00022073 (2020/06/02). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00068-022-02120-9. Springer Berlin Heidelberg 2022-10-13 2023 /pmc/articles/PMC10175326/ /pubmed/36227356 http://dx.doi.org/10.1007/s00068-022-02120-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Ull, Christopher
Weckwerth, Christina
Hamsen, Uwe
Jansen, Oliver
Spieckermann, Aileen
Schildhauer, Thomas Armin
Gaschler, Robert
Waydhas, Christian
Development of the Tracheostomy Well-Being Score in critically ill patients
title Development of the Tracheostomy Well-Being Score in critically ill patients
title_full Development of the Tracheostomy Well-Being Score in critically ill patients
title_fullStr Development of the Tracheostomy Well-Being Score in critically ill patients
title_full_unstemmed Development of the Tracheostomy Well-Being Score in critically ill patients
title_short Development of the Tracheostomy Well-Being Score in critically ill patients
title_sort development of the tracheostomy well-being score in critically ill patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10175326/
https://www.ncbi.nlm.nih.gov/pubmed/36227356
http://dx.doi.org/10.1007/s00068-022-02120-9
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