Improving Tracheostomy Decannulation Rate In Trauma Patients.
Publication/Presentation Date
7-1-2019
Abstract
OBJECTIVE: Identify the effect of a multidisciplinary tracheostomy decannulation protocol (TDP) in the trauma population.
DESIGN: Single center retrospective review.
SETTING: American College of Surgeons Level 1 Trauma Center; large academic associated community hospital.
PATIENTS: Adult trauma patients who required a tracheostomy.
INTERVENTIONS: A TDP empowering respiratory therapists to move patients towards tracheostomy decannulation (TD).
MEASUREMENTS: TD rate, time to TD, length of stay, reintubation and recannulation rates.
MAIN RESULTS: A total of 252 patients met inclusion criteria during the study period with 134 presenting after the TDP was available. Since the TDP was implemented, patients managed by the TDP had a 50% higher chance of TD during the hospital stay (p
CONCLUSIONS: In a trauma population, implementation of a TDP significantly improves TD rates during the same hospital stay. A larger population will be required to identify patient predictive factors for earlier successful TD.
Volume
1
Issue
7
ISSN
2639-8028
Published In/Presented At
Farrell, M. S., Gillin, T. M., Emberger, J. S., Getchell, J., Caplan, R. J., Cipolle, M. D., & Bradley, K. M. (2019). Improving Tracheostomy Decannulation Rate In Trauma Patients. Critical care explorations, 1(7), e0022. https://doi.org/10.1097/CCE.0000000000000022
Disciplines
Medicine and Health Sciences
PubMedID
31984377
Department(s)
Department of Surgery
Document Type
Article