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Early versus Late Tracheostomy Promotes Weaning in Intensive Care Unit Patients

BACKGROUND AND AIM OF THE STUDY: The time interval between the patients’ intubation and the performance of a tracheostomy has been considered as critical for the disease prognosis and outcome. The aim of the present study was to compare and contrast the outcomes of early vs late tracheostomy with re...

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Autores principales: Marinaki, Chrisoula, Kapadochos, Theodoros, Katsoulas, Theodoros, Rubbi, Ivan, Liveri, Athanasia, Stavropoulou, Areti, Bonacaro, Antonio, Papageorgiou, Dimitrios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9534218/
https://www.ncbi.nlm.nih.gov/pubmed/35545976
http://dx.doi.org/10.23750/abm.v93iS2.12998
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author Marinaki, Chrisoula
Kapadochos, Theodoros
Katsoulas, Theodoros
Rubbi, Ivan
Liveri, Athanasia
Stavropoulou, Areti
Bonacaro, Antonio
Papageorgiou, Dimitrios
author_facet Marinaki, Chrisoula
Kapadochos, Theodoros
Katsoulas, Theodoros
Rubbi, Ivan
Liveri, Athanasia
Stavropoulou, Areti
Bonacaro, Antonio
Papageorgiou, Dimitrios
author_sort Marinaki, Chrisoula
collection PubMed
description BACKGROUND AND AIM OF THE STUDY: The time interval between the patients’ intubation and the performance of a tracheostomy has been considered as critical for the disease prognosis and outcome. The aim of the present study was to compare and contrast the outcomes of early vs late tracheostomy with regard to intensive care unit (ICU) patients’ weaning from respiratory support. METHODS: This retrospective observational study, involved patients who were hospitalized in two general and one Covid-19 ICUs of two tertiary hospitals in Athens and were subjected to tracheostomy. Data were collected from the patients’ medical records in order to estimate the duration of patient weaning and the number of days from the patients’ intubation until the time of tracheostomy. In the present study the term early tracheostomy denotes tracheostomy performed within 14 days from patient intubation and late tracheostomy defines the tracheostomy carried out after 14 days. For Covid-19 patients, guidelines suggested that tracheostomies should be performed 21 days following intubation, due to the high risk of virus transmission. RESULTS: One hundred and thirty-one patients who underwent tracheostomy participated in the study. Most tracheostomies were performed using the percutaneous technique. The group of patients tracheostomized within 14 days after their admission in ICU weaned faster from respiratory support compared to ones who were tracheostomized after 14 days. CONCLUSIONS: The most common distinction between early and late tracheostomy is 14 days, with early tracheostomy being more beneficial in terms of patients’ outcomes, and specifically ICU patients’ weaning. (www.actabiomedica.it)
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spelling pubmed-95342182022-10-18 Early versus Late Tracheostomy Promotes Weaning in Intensive Care Unit Patients Marinaki, Chrisoula Kapadochos, Theodoros Katsoulas, Theodoros Rubbi, Ivan Liveri, Athanasia Stavropoulou, Areti Bonacaro, Antonio Papageorgiou, Dimitrios Acta Biomed Original Article BACKGROUND AND AIM OF THE STUDY: The time interval between the patients’ intubation and the performance of a tracheostomy has been considered as critical for the disease prognosis and outcome. The aim of the present study was to compare and contrast the outcomes of early vs late tracheostomy with regard to intensive care unit (ICU) patients’ weaning from respiratory support. METHODS: This retrospective observational study, involved patients who were hospitalized in two general and one Covid-19 ICUs of two tertiary hospitals in Athens and were subjected to tracheostomy. Data were collected from the patients’ medical records in order to estimate the duration of patient weaning and the number of days from the patients’ intubation until the time of tracheostomy. In the present study the term early tracheostomy denotes tracheostomy performed within 14 days from patient intubation and late tracheostomy defines the tracheostomy carried out after 14 days. For Covid-19 patients, guidelines suggested that tracheostomies should be performed 21 days following intubation, due to the high risk of virus transmission. RESULTS: One hundred and thirty-one patients who underwent tracheostomy participated in the study. Most tracheostomies were performed using the percutaneous technique. The group of patients tracheostomized within 14 days after their admission in ICU weaned faster from respiratory support compared to ones who were tracheostomized after 14 days. CONCLUSIONS: The most common distinction between early and late tracheostomy is 14 days, with early tracheostomy being more beneficial in terms of patients’ outcomes, and specifically ICU patients’ weaning. (www.actabiomedica.it) Mattioli 1885 2022 2022-05-12 /pmc/articles/PMC9534218/ /pubmed/35545976 http://dx.doi.org/10.23750/abm.v93iS2.12998 Text en Copyright: © 2022 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA https://creativecommons.org/licenses/by-nc-sa/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Original Article
Marinaki, Chrisoula
Kapadochos, Theodoros
Katsoulas, Theodoros
Rubbi, Ivan
Liveri, Athanasia
Stavropoulou, Areti
Bonacaro, Antonio
Papageorgiou, Dimitrios
Early versus Late Tracheostomy Promotes Weaning in Intensive Care Unit Patients
title Early versus Late Tracheostomy Promotes Weaning in Intensive Care Unit Patients
title_full Early versus Late Tracheostomy Promotes Weaning in Intensive Care Unit Patients
title_fullStr Early versus Late Tracheostomy Promotes Weaning in Intensive Care Unit Patients
title_full_unstemmed Early versus Late Tracheostomy Promotes Weaning in Intensive Care Unit Patients
title_short Early versus Late Tracheostomy Promotes Weaning in Intensive Care Unit Patients
title_sort early versus late tracheostomy promotes weaning in intensive care unit patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9534218/
https://www.ncbi.nlm.nih.gov/pubmed/35545976
http://dx.doi.org/10.23750/abm.v93iS2.12998
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