Comparison of Complications in Stroke Subjects Undergoing Early Versus Standard Tracheostomy.
BACKGROUND: Although the benefits of early tracheostomy have been discussed in numerous studies, it is still unclear whether it is safe to perform early tracheostomy on unstable stroke patients. The purpose of this study is to assess the influences of the timing of tracheostomy on the incidence of c...
| Publicado en: | Respiratory Care Vol. 60; no. 5; pp. 651 - 658 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
May2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103800839&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103800839 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: May2015 vid: 60 iid: 5 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 103800839 102727842 10.4187/respcare.03652 NLM25628452 103800839 ppf: 651 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Comparison of Complications in Stroke Subjects Undergoing Early Versus Standard Tracheostomy. aug: au: Young Chan Lee Tae Hyun Kim Jung-woo Lee In-Hwan Oh Young Gyu Eun affil: Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University sug: subj: Tracheostomy Methods Stroke Complications Retrospective Design Stroke Risk Factors Intubation, Intratracheal Glasgow Coma Scale Scales Human Male Female Middle Age Aged Aged, 80 and Over Descriptive Statistics Data Analysis Software South Korea Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: BACKGROUND: Although the benefits of early tracheostomy have been discussed in numerous studies, it is still unclear whether it is safe to perform early tracheostomy on unstable stroke patients. The purpose of this study is to assess the influences of the timing of tracheostomy on the incidence of complications following surgical tracheostomy in stroke patients. METHODS: We retrospectively performed chart reviews of 95 stroke subjects who underwent tracheostomy. In terms of timing, procedures performed within 7 d of intubation were categorized as early tracheostomy, and those performed after 7 d were categorized as standard tracheostomy. The incidence of complications following tracheostomy was compared between the two groups. The risk factors for complication were also investigated. RESULTS: Among the 95 subjects, 59 (62.1%) received early tracheostomy and 36 (37.9%) received standard tracheostomy. The overall incidence of tracheostomy complications was 24.2%, and there was no significant difference in incidence between the two groups. A comparison of risk factors between the groups with and without complications revealed no significant differences in age, sex, body mass index, Glasgow coma scale score, stroke type, or history of underlying disease. However, activated partial thromboplastin time was significantly higher in the group with complication. CONCLUSIONS: There was no significant difference in the incidence of complications in stroke subjects undergoing early versus standard tracheotomy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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